Does long-term care insurance reduce hospital utilization and medical expenditures? Evidence from China

被引：73
|
作者：
Feng, Jin [1 ]
Wang, Zhen [2 ]
Yu, Yangyang [3 ]
机构：
[1] Fudan Univ, Sch Econ, Room 415,600 Guoquan Rd, Shanghai 200433, Peoples R China
[2] Fudan Univ, Sch Econ, Room 213,600 Guoquan Rd, Shanghai 200433, Peoples R China
[3] Shanghai Univ Finance & Econ, Sch Publ Econ & Adm, Room 210,Fenghuang Bldg,111 Wuchuan Rd, Shanghai 200433, Peoples R China
来源：
SOCIAL SCIENCE & MEDICINE | 2020年 / 258卷
基金：
中国博士后科学基金; 美国国家科学基金会;
关键词：
Long-term care insurance; Hospital utilization; Medical expenditures; Bed-blocking; China; HEALTH;
D O I：
10.1016/j.socscimed.2020.113081
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
This study examines the effect of long-term care insurance (LTCI) on hospital utilization and expenditures among the elderly in China. We exploit the introduction of public LTCI in Shanghai, China, and implement a difference-in-difference technique to disentangle the effects of LTCI. We find that the introduction of LTCI significantly reduces the length of stay, inpatient expenditures, and health insurance expenditures in tertiary hospitals by 41.0%, 17.7%, and 11.4%, respectively. We find a greater effect on people over 80 years old. Outpatient visits in tertiary hospitals decrease by 8.1% per month after LTCI. The possible mechanisms are the substitution of long term care for hospitalization and health improvement. Our cost-effectiveness analysis indicates that every extra 1 yuan spent in LTCI will generate a decrease of 8.6 yuan in health insurance expenditures.
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页数：8
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