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Long-term care insurance and the future of healthy aging in China

Nature Aging volume 3, pages 1465–1468 (2023)Cite this article

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China faces urgent challenges associated with population aging. In this Comment, we summarize China’s adoption of long-term care insurance and underscore its importance for social and economic wellbeing. We provide recommendations for a future of sustainable and healthy aging in China.

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Fig. 1: Timeline of recent events relevant to LTCI in China.

References

  1. World Health Organization. Integrated Continuum of Long-term care. who.int, https://www.who.int/teams/maternal-newborn-child-adolescent-health-and-ageing/ageing-and-health/integrated-continuum-of-long-term-care (accessed December 9, 2023).

  2. Feng, Z. et al. Lancet 396, 1362–1372 (2020).

    Article  PubMed  Google Scholar 

  3. National Healthcare Security Administration. Statistical Communiqué on the Development of National Healthcare security [in Chinese]. nhsa.gov.cn, http://www.nhsa.gov.cn/art/2023/7/10/art_7_10995.html (2023).

  4. Lee, S.-H., Chon, Y. & Kim, Y.-Y. Health Care 11, 206 (2023).

    PubMed  PubMed Central  Google Scholar 

  5. Li, F. & Otani, J. Int. J. Health Plann. Manage. 33, 479–488 (2018).

    Article  PubMed  PubMed Central  Google Scholar 

  6. Chen, X. et al. Lancet 400, 1967–2006 (2022).

    Article  PubMed  PubMed Central  Google Scholar 

  7. Chen, S. et al. J. Glob. Health Econ. Policy 1, e2021014 (2021).

    PubMed  PubMed Central  Google Scholar 

  8. Lei, X., Bai, C., Hong, J. & Liu, H. Soc. Sci. Med. 296, 114745 (2022).

    Article  PubMed  Google Scholar 

  9. Feng, J., Wang, Z. & Yu, Y. Soc. Sci. Med. 258, 113081 (2020).

    Article  PubMed  Google Scholar 

  10. Frankovic, I. & Kuhn, M. J. Health Econ. 87, 102717 (2023).

    Article  PubMed  Google Scholar 

  11. Clemens, J. The Effect of US Health Insurance Expansions on Medical Innovation (National Bureau of Economic Research, 2013).

  12. Zhu, Y. & Österle, A. Soc. Sci. Med. 191, 30–37 (2017).

    Article  PubMed  Google Scholar 

  13. Chen, S., Kuhn, M., Prettner, K., Bloom, D. E. & Wang, C. Soc. Sci. Med. 287, 114270 (2021).

    Article  PubMed  PubMed Central  Google Scholar 

  14. Rothgang, H. Soc. Policy Adm. 44, 436–460 (2010).

    Article  Google Scholar 

  15. National Healthcare Security Administration, Ministry of Finance of the People’s Republic of China. Guiding opinions on expanding the long-term care insurance pilots [in Chinese]. nhsa.gov.cn, http://www.nhsa.gov.cn/art/2020/9/16/art_37_3586.html (2020).

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Acknowledgements

The authors of this Comment received funding from the Chinese Academy of Engineering (project 2022-XBZD-14), the Chinese Academy of Medical Sciences & Peking Union Medical College (project 2022-CFT-QT-016), Horizon Europe (HORIZON-MSCA-2021-SE-01) (project 101086139 — PoPMeD-SuSDeV), and the Bill & Melinda Gates Foundation (project INV-006261).

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Authors and Affiliations

  1. Heidelberg Institute of Global Health (HIGH), Faculty of Medicine and University Hospital, Heidelberg University, Heidelberg, Germany

    Simiao Chen

  2. School of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China

    Simiao Chen & Chen Wang

  3. Chinese Academy of Social Sciences, Beijing, China

    Linye Li

  4. Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

    Lirui Jiao

  5. National Clinical Research Center for Respiratory Diseases, Beijing, China

    Chen Wang

  6. Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, China

    Chen Wang

Authors
  1. Simiao Chen
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  2. Linye Li
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  3. Lirui Jiao
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  4. Chen Wang
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Contributions

S.C. and C.W. contributed to the conceptualization of this Comment. S.C., L.L., L.J. and C.W. contributed to the writing of this Comment.

Corresponding author

Correspondence to Simiao Chen.

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The authors declare no competing interests.

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Nature Aging thanks Yanan Zhang for their contribution to the peer review of this work.

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Chen, S., Li, L., Jiao, L. et al. Long-term care insurance and the future of healthy aging in China. Nat Aging 3, 1465–1468 (2023). https://doi.org/10.1038/s43587-023-00540-9

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