Analysis of the status of formal care services received by disabled older people in long-term care insurance pilot areas and the influencing factors: a cross-sectional study
10.3760/cma.j.issn.0254-9026.2025.08.019
- VernacularTitle:我国长期护理保险试点地区失能老年人获得正式照料服务状况及其影响因素分析：一项横断面研究
- Author:
Zhouwei LIU
1
;
Yuling JIANG
;
Wenjian ZHOU
;
Longbing REN
;
Shaojie LI
;
Yang HU
;
Mingzhi YU
;
Yifei WU
;
Yi ZENG
;
Yao YAO
Author Information
1. 北京大学公共卫生学院，北京 100191
- Publication Type:Journal Article
- Keywords:
Long-term care insurance;
Dependent older adults;
Formal care;
Influencing factors;
Policy recommendations
- From:
Chinese Journal of Geriatrics
2025;44(8):1138-1143
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This study utilizes data from the 2021 Chinese Longitudinal Healthy Longevity and Happy Family Survey(CLHLS-HF)to examine the current status of Long-Term Care Insurance(LTCI)implementation and to identify the factors influencing whether disabled elderly individuals receive formal care services.The study aims to provide policy recommendations to enhance the effectiveness and equity of the system.Methods:In this cross-sectional study, a sample of 1 447 older participants with dependency, residing in LTCI pilot areas and meeting the inclusion criteria from the 2021 CLHLS-HF, was selected.Chi-square tests and binary logistic regression analyses were employed to explore the factors influencing the receipt of formal care by dependent older individuals.Results:Among the 1 447 participants, there were 496 males with an average age of 92 years(SD 9)and 951 females with an average age of 95 years(SD 9). Of these, 701 received formal care.The logistic regression analysis revealed that factors influencing the receipt of formal care included urban residence( OR=2.237, 95% CI: 1.675-2.987, P<0.001), residing in the eastern region( OR=2.907, 95% CI: 1.747-4.837, P<0.001), living in the western region( OR=3.132, 95% CI: 1.816-5.501, P<0.001), having no children( OR=2.478, 95% CI: 1.108-5.540, P=0.027), and the degree of disability, with severe disability being more likely to receive care compared to mild( OR=0.497, 95% CI: 0.388-0.637, P<0.001)and moderate disabilities( OR=0.589, 95% CI: 0.433-0.801, P=0.001). Conclusions:Dependent older individuals in the eastern and western regions, particularly those without children or with severe disabilities, are more likely to receive formal care through the LTCI system.However, there are substantial inequities in LTCI coverage among individuals with varying degrees of disability.To enhance the effectiveness of the LTCI system, greater efforts should be directed towards economically disadvantaged regions and older individuals with mild to moderate disabilities, thereby ensuring better protection for the disabled population.
