Impact of integrated healthcare and elderly care policy pilots on older adults'participation in paid work

VernacularTitle:医养结合政策试点对老年人有偿劳动的影响研究
Author: Jia-Yuan JIANG ¹ ; Si-Yi WANG ; Kan TIAN ; Xiao-Yong YU
Author Information

1. 南京中医药大学养老服务与管理学院江苏南京 210023
Publication Type:Journal Article
Keywords: Integrated healthcare and elderly care; Older adults; Paid work; DID
From: Chinese Journal of Health Policy 2025;18(5):58-65
CountryChina
Language:Chinese
Abstract: Objective:This study examines the impact of integrated healthcare and elderly care policy pilots on paid work among older adults.Methods:Using CHARLS panel data(2013-2020),we employed a difference-in-differences(DID)model to assess the policy effects.Results:The results indicate a 10.3%average increase in paid work among older adults in pilot areas.Mechanism analysis reveals that health status mediated this effect,while social security exhibited a suppression effect.The policy significantly increased participation in agricultural work,non-agricultural employment,and self-employed farming but reduced participation in hired agricultural labor.Heterogeneity analysis shows stronger effects in rural and central-western regions.Conclusion and Suggestions:The integrated care policy effectively promotes older adults'paid work engagement.We recommend strengthening service systems,implementing phased benefit improvements with work incentives,expanding pilot coverage in rural and central-western regions,and fostering health-labor policy coordination.