Quotation Zhu, Yumei, Österle, August. 2019. China's Policy Experimentation on Long-term Care Insurance: Implications for Access. International Journal of Health Planning and Management. 34 1661-1674.




China’s population is aging rapidly, while the traditional long-term care (LTC) system that heavily relies on families is eroding. In response, China has embarked on a journey of policy experimentation for long-term care insurance (LTCI) since 2016, launching LTCI pilots in 15 pioneer cities. These pilots have a great diversity in participation, eligibility, and provision. This paper estimates the prevalence of LTC needs and analyzes the impact of the LTCI pilots on access. Although substantial progress has been achieved, the overall coverage of LTCI is still relatively small and a large proportion of vulnerable people needing LTC seem to be left behind because of the strict eligibility criteria. This analysis suggests that future policy experimentation on LTCI reform in China needs to address the following pressing policy issues: expanding the coverage of LTCI; narrowing rural-urban disparities in access; improving access for vulnerable sub-populations; and reducing the heavy reliance on institutional care.


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Publication's profile

Status of publication Published
Affiliation WU
Type of publication Journal article
Journal International Journal of Health Planning and Management
Citation Index SSCI
Language English
Title China's Policy Experimentation on Long-term Care Insurance: Implications for Access
Volume 34
Year 2019
Page from 1661
Page to 1674
Reviewed? Y
DOI https://doi.org/10.1002/hpm.2879
Open Access Y
Open Access Link https://onlinelibrary.wiley.com/doi/full/10.1002/hpm.2879


Zhu, Yumei (Former researcher)
Österle, August (Details)
Institute for Social Policy IN (Details)
Research Institute for Economics of Aging FI (Details)
Research areas (ÖSTAT Classification 'Statistik Austria')
5346 Economics of the health system (Details)
5421 Aging research (Details)
5911 Social policy (Details)
5933 Aging research (Details)
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