Health spillover studies of long-term care insurance in China: evidence from spousal caregivers from disabled families
Abstract Background To alleviate the shortage of caregivers associated with disabled persons, China has implemented a pilot policy for long-term care insurance. This policy has the characteristics of "familialization" and "de-familialization" policy orientation, and it is indeed...
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | International Journal for Equity in Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12939-023-02001-6 |
| _version_ | 1797577416336474112 |
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| author | Wenjing Jiang Hongyan Yang |
| author_facet | Wenjing Jiang Hongyan Yang |
| author_sort | Wenjing Jiang |
| collection | DOAJ |
| description | Abstract Background To alleviate the shortage of caregivers associated with disabled persons, China has implemented a pilot policy for long-term care insurance. This policy has the characteristics of "familialization" and "de-familialization" policy orientation, and it is indeed essential to clarify whether the policy has a positive spillover effect on the health of family caregivers, which is of great value to the pilot from local practice to national institutional arrangement. Methods Based on the China Health and Retirement Longitudinal Study microdata and time-varying DID method, our study used the implementation of the pilot policy as a "quasi-natural experiment" to assess the health spillover effects of the pilot policy on family spousal caregivers. Results This policy significantly improved the health of spousal caregivers, increasing self-rated health and life satisfaction, and reducing depression; Compared with female, urban and central-western spousal caregivers, male, rural and eastern spousal caregivers were "beneficiaries" in more dimensional health. Conclusions Our research indicated that spousal caregivers of disabled people, particularly male, rural and eastern spousal caregivers, experienced positive health spillovers after implementing long-term care insurance. These results suggest that the imbalance between supply and demand of nursing staff could be solved in terms of de-familialization and familialization, spousal caregivers should be promoted to equally enjoy the policy benefits on gender, urban–rural and regions. |
| first_indexed | 2024-03-10T22:07:59Z |
| format | Article |
| id | doaj.art-ffac7510ab06423b9fd14f18dba5ba20 |
| institution | Directory Open Access Journal |
| issn | 1475-9276 |
| language | English |
| last_indexed | 2024-03-10T22:07:59Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal for Equity in Health |
| spelling | doaj.art-ffac7510ab06423b9fd14f18dba5ba202023-11-19T12:44:26ZengBMCInternational Journal for Equity in Health1475-92762023-09-0122111110.1186/s12939-023-02001-6Health spillover studies of long-term care insurance in China: evidence from spousal caregivers from disabled familiesWenjing Jiang0Hongyan Yang1Center for Social Security Studies, Wuhan UniversityCenter for Social Security Studies, Wuhan UniversityAbstract Background To alleviate the shortage of caregivers associated with disabled persons, China has implemented a pilot policy for long-term care insurance. This policy has the characteristics of "familialization" and "de-familialization" policy orientation, and it is indeed essential to clarify whether the policy has a positive spillover effect on the health of family caregivers, which is of great value to the pilot from local practice to national institutional arrangement. Methods Based on the China Health and Retirement Longitudinal Study microdata and time-varying DID method, our study used the implementation of the pilot policy as a "quasi-natural experiment" to assess the health spillover effects of the pilot policy on family spousal caregivers. Results This policy significantly improved the health of spousal caregivers, increasing self-rated health and life satisfaction, and reducing depression; Compared with female, urban and central-western spousal caregivers, male, rural and eastern spousal caregivers were "beneficiaries" in more dimensional health. Conclusions Our research indicated that spousal caregivers of disabled people, particularly male, rural and eastern spousal caregivers, experienced positive health spillovers after implementing long-term care insurance. These results suggest that the imbalance between supply and demand of nursing staff could be solved in terms of de-familialization and familialization, spousal caregivers should be promoted to equally enjoy the policy benefits on gender, urban–rural and regions.https://doi.org/10.1186/s12939-023-02001-6Long-term care insuranceDifferences-in-differencesDisabled personsSpousal careHealth |
| spellingShingle | Wenjing Jiang Hongyan Yang Health spillover studies of long-term care insurance in China: evidence from spousal caregivers from disabled families International Journal for Equity in Health Long-term care insurance Differences-in-differences Disabled persons Spousal care Health |
| title | Health spillover studies of long-term care insurance in China: evidence from spousal caregivers from disabled families |
| title_full | Health spillover studies of long-term care insurance in China: evidence from spousal caregivers from disabled families |
| title_fullStr | Health spillover studies of long-term care insurance in China: evidence from spousal caregivers from disabled families |
| title_full_unstemmed | Health spillover studies of long-term care insurance in China: evidence from spousal caregivers from disabled families |
| title_short | Health spillover studies of long-term care insurance in China: evidence from spousal caregivers from disabled families |
| title_sort | health spillover studies of long term care insurance in china evidence from spousal caregivers from disabled families |
| topic | Long-term care insurance Differences-in-differences Disabled persons Spousal care Health |
| url | https://doi.org/10.1186/s12939-023-02001-6 |
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