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长期护理保险对失能家庭照护者生活方式的影响
The Impact of Long-Term Care Insurance on the Lifestyle of Caregivers for Disabled Family
【摘要】 家庭照护是主要的照护形式,然而现有政策常以照护对象为目标,忽视了对家庭照护者的关注和支持。基于中国健康与养老追踪调查2011—2020年的数据,采用交错双重差分法考察了长期护理保险对失能老人配偶生活方式的影响。研究结论表明,长期护理保险试点能提高失能老人配偶锻炼的概率,以及增加配偶的午睡时长。可能的机制是,长期护理保险增加了失能家庭选择正式照护的机会,挤出了配偶的照护时间,且没有降低失能老人的健康状况。但基于保险给付方式的异质性分析发现,长期护理保险的政策效果仅在以服务给付为主的城市中更显著。研究结论可为完善长期护理保险制度和家庭照护人力资源开发提供经验证据。
【Abstract】 Family caregiving is the primary form of care; however, existing policies often focus on the care recipients, neglecting attention and support for family caregivers.Based on data from the China Health and Retirement Longitudinal Study(CHARLS) from 2011 to 2020,the staggered difference-in-differences method was used to examine the impact of long-term care insurance on the lifestyle of spouses of disabled older individuals.The research findings indicate that the pilot program of long-term care insurance can increase the likelihood of exercise among spouses of disabled older individuals and extend the duration of their afternoon naps.The possible mechanism is that long-term care insurance increases the opportunity for families with disabled members to choose formal care,reducing the caregiving time of spouses while not reducing the health status of disabled older individuals. However,the analysis based on the heterogeneity of insurance payment methods suggests that the effects of long-term care insurance are more significant in cities where service-based payments are predominant. The research conclusions can provide empirical evidence for improving the long-term care insurance system and developing human resources for family caregiving.
【Key words】 Long-Term Care Insurance; Family Caregivers; Substitution Effect; Health Effect; Lifestyle;
- 【文献出处】 人口与发展 ,Population and Development , 编辑部邮箱 ,2025年03期
- 【分类号】F842.6;D669.6
- 【下载频次】280