An Initial Analysis of the Effects of a Long-Term Care Insurance on Equity and Efficiency: A Case Study of Qingdao City in China.
An Initial Analysis of the Effects of a Long-Term Care Insurance on Equity and Efficiency: A Case Study of Qingdao City in China.
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长期护理保险对公平与效率的影响--以青岛市为例
DOI：
10.1177/0164027520907346
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发表时间：
2021-03
影响因子：
2.6
通讯作者：
Mi H
中科院分区：
文献类型：
--
作者：
Yang W;Chang S;Zhang W;Wang R;Mossialos E;Wu X;Cui D;Li H;Mi H
寻找一个适当的机制来资助长期护理是许多国家的一个紧迫的政策问题。本文以中国青岛市为例，通过评估其对融资公平和效率的影响，对一项新的试点LTC保险进行了初步评估。这项研究从2016年进行的47次深入访谈中获得数据，发现尽管强调确保公平获得护理，但保险参与者之间的经济负担仍然存在相当大的差异。虽然保险为保健部门节省了费用，但长期护理服务提供者受到激励，以最低的费用提供护理，即使这种护理因其服务的固定付款而被认为是不够的。本文提供了重要的见解的潜力和挑战，在发展中国家应用LTC保险模式，其中重要的经验教训，可以借鉴其他国家的公共LTC保险。
Finding a suitable mechanism to finance long-term care (LTC) is a pressing policy concern for many countries. Using Qingdao city in China as a case study, this article presents an initial assessment of a newly piloted LTC insurance by evaluating its effects on equity and efficiency in financing. Drawing data from 47 in-depth interviews conducted in 2016, this study found that there remain sizable disparities in financial burden among insurance participants, despite an emphasis on ensuring equitable access to care. Although the insurance brought cost savings to the health care sector, the LTC providers are incentivized to provide care at the least cost, even when such care is deemed inadequate due to the fixed payment for their services. This article offers critical insights into the potentials and challenges of applying the LTC insurance model in a developing country, where critical lessons can be drawn for public LTC insurance in other countries.
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