Abstract

The impact of formal care (co-paid by long term care (LTC) insurance) on informal care is critical to the improvement and promotion of public policy. We conducted an interview-based survey to examine how the use of formal care impacts the use of informal care in Shanghai, which was one of China’s first long-term insurance pilots in 2016. In addition to total informal care time, the following four types of informal care were considered: (1) household activities of daily living (HDL) tasks, (2) activities of daily living (ADL) tasks, (3) instrumental activities of daily living (IADL) tasks, and (4) supervision tasks. Of the 407 families, an average of 12.36 h (SD = 6.70) of informal care was crowded out each week. Among them, ADL tasks, HDL tasks, and supervision tasks were reduced an average of 4.60 (SD = 3.59), 5.50 (SD = 3.38), and 2.10 h (SD = 3.06) per week, respectively. Each additional hour of formal care reduced 0.473 h of informal care. Care recipients’ gender and health status were also determined to be associated with crowding out hours of informal care. These findings can be utilized as empirical evidence for decision-makers to consider the scope of funding for formal care, and this study provides comparable results to developing countries and regions.

Highlights

  • China has the largest population in the world, and 241 million people were aged over 60 years inChina at the end of 2018 [1]

  • This study examined the association of using formal care co-paid by long-term care (LTC) insurance with the change of informal care use provided by children in Shanghai, China

  • The present study demonstrates that substantial informal care was substituted by formal care, which was co-paid by long-term care(LTC) insurance

Read more

Summary

Introduction

China has the largest population in the world, and 241 million people were aged over 60 years inChina at the end of 2018 [1]. China has the largest population in the world, and 241 million people were aged over 60 years in. The population over the age of 60 will exceed 400 million in. With the rapid growth of the elderly population, it is anticipated that the need for long-term care may increase substantially [3]. China started piloting long-term care (LTC) insurance on 27 June 2016 [4]. Shanghai was one of the first pilot cities in 2016, and LTC insurance was implemented in the entire city of Shanghai on demands. Each elderly person can be funded for up to 7 h of formal care per week with LTC insurance

Objectives
Methods
Results
Discussion
Conclusion
Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call