The availability and affordability of long-term care for disabled older people in China: The issues related to inequalities in social security benefits.
The availability and affordability of long-term care for disabled older people in China: The issues related to inequalities in social security benefits.
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DOI：
10.1016/j.archger.2016.06.018
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发表时间：
2016-11
影响因子：
4
通讯作者：
Wu Z
中科院分区：
文献类型：
--
作者：
Lei P;Feng Z;Wu Z
中国正面临着来自人口老龄化问题的越来越大的压力。社会保障体系内福利的不同资格标准的合理性受到了广泛的质疑；然而，到目前为止，还没有任何研究探讨其与长期护理的可获得性和可负担性之间的关系。本研究评估了中国失能老年人(65岁及以上)长期护理服务的可获得性和可负担性，并特别关注了不同群体在领取特定社会保障福利方面的差异。失能老年人LTC服务可获得性和可负担性数据来自具有全国代表性的中国健康长寿纵向调查(CLHLS)样本。确定了三种不同的社会保障福利，并探讨了它们对残疾老年人长期护理服务的影响。只有有限的或没有可用的或负担得起的长期TC服务的残疾老年人的总体比例非常高，特别是对于那些拥有中等社会保障福利或没有社会保障福利的人。与那些有资格享受慷慨社会保障福利的人相比，没有社会保障福利的老年人无力支付医疗费用的可能性是后者的18.45倍。研究结果表明，中国的政策制定者可以把重点放在社会保障和社会经济弱势群体((拥有有限或没有社会保障福利且家庭收入较低的)残疾老年人)的长期TC需求上，从而缩小他们与有资格享受丰厚社会保障福利的老年人之间的差距。
China is experiencing increasing pressure from issues relating to an ageing population. The rationality of different eligibility criteria of the benefits within the social security system has been widely challenged; however, to date, no previous study has explored its association with the availability and affordability of long-term care (LTC). This study evaluates the availability and affordability of Long-Term Care (LTC) services for disabled older people (aged 65 and above) in China, with special attention to the differences among groups in receipt of specific social security benefits. The data of availability and affordability of LTC services for disabled older people is from a nationally representative sample Chinese Longitudinal Healthy Longevity Survey (CLHLS). Three different social security benefits were identified and their effects on the long-term care services for disabled older people were explored. The overall proportions of disabled older people who have only limited or no available or affordable LTC services were remarkably high, especially for those who have moderate or no social security benefits. Compared to those who are entitled to generous social security benefits, older people who have no social security benefits are 18.45 times more likely to be unable to afford health care expenses. The findings imply that policy makers in China could focus on the LTC needs for the social security and socioeconomically disadvantaged ((who have limited or no social security benefits and in low household income) disabled older people which could reduce the gap between them and those who are entitled to generous social security benefits.
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影响因子：
5.1
作者：
Wu, Ling
通讯作者：
Wu, Ling
DOI：
10.1017/s0714980815000203
发表时间：
2015-09-01
影响因子：
1.9
作者：
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通讯作者：
Feng, Zhixin
影响因子：
4.5
作者：
Liu N;Zeng L;Li Z;Wang J
通讯作者：
Wang J
影响因子：
5.7
作者：
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通讯作者：
Kane, RA
DOI：
10.1016/s0140-6736(14)61462-8
发表时间：
2015-02-07
期刊：
Lancet (London, England)
影响因子：
--
作者：
Chatterji S;Byles J;Cutler D;Seeman T;Verdes E
通讯作者：
Verdes E