The Impact of Consumer Numeracy on the Purchase of Long-Term Care Insurance

被引：16

作者：

McGarry, Brian E. ^{[1
]}

Temkin-Greener, Helena ^{[2
]}

Chapman, Benjamin P. ^{[3
]}

Grabowski, David C. ^{[4
]}

Li, Yue ^{[2
]}

机构：

[1] Univ Rochester, Hlth Serv Res & Policy, Dept Publ Hlth Sci, Sch Med & Dent, 265 Crittenden Blvd CU 420644, Rochester, NY 14642 USA

[2] Univ Rochester, Sch Med & Dent, Dept Publ Hlth Sci, Rochester, NY USA

[3] Univ Rochester, Sch Med & Dent, Dept Psychiat, Rochester, NY 14642 USA

[4] Harvard Med Sch, Dept Hlth Care Policy, Boston, MA USA

来源：

HEALTH SERVICES RESEARCH | 2016年 / 51卷 / 04期

关键词：

Long-term care insurance; consumer decision making; numeracy; long-term care financing; MEDICAL DECISION-MAKING; COGNITIVE-ABILITY; OLDER-ADULTS; PART D; MARKET; HEALTH; COMPREHENSION; INFORMATION; COVERAGE; DEMAND;

D O I：

10.1111/1475-6773.12439

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Objective. To determine the effect of consumers' numeric abilities on the likelihood of owning private long-term care insurance. Data Source. The 2010 wave of the Health and Retirement Study, a nationally representative survey of Americans age 50 and older, was used (n = 12,796). Study Design. Multivariate logistic regression was used to isolate the relationship between numeracy and long-term care insurance ownership. Principal Findings. Each additional question answered correctly on a numeracy scale was associated with a 13 percent increase in the likelihood of holding LTCI, after controlling for predictors of policy demand, education, and cognitive function. Conclusions. Poor numeracy may create barriers to long-term care insurance purchase. Policy efforts aimed at increasing consumer decision support or restructuring the marketplace for long-term care insurance may be needed to increase older adults' ability to prepare for future long-term care expenses.

引用

页码：1612 / 1631

页数：20

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