Research on the Impact of Long-term Care Insurance on Elderly Medical Service Utilization

—Empirical Analysis Based on CLASS Data from 2014 to 2023

DOI

10.2991/978-2-38476-611-6_65How to use a DOI?

Keywords

Long-term care insurance; Elderly; Medical services; Care services; Hospitalization behavior

Abstract

With the intensification of population aging in China and the deepening of long-term care insurance pilot programs, it is crucial to scientifically identify the impact of long-term care insurance on elderly medical service utilization. This study utilizes five phases of data from the China Longitudinal Aging Social Survey (CLASS) 2014-2023 and employs a progressive difference-in-differences model to explore the effects and mechanisms of long-term care insurance on elderly medical service utilization. The results show that long-term care insurance significantly reduces hospitalization rates among the elderly in pilot cities, with policy effects being more pronounced among disadvantaged groups such as those with lower education levels and poverty. Further analysis indicates that it effectively substitutes hospitalization behaviors by improving the utilization of care services such as home-based nursing and rehabilitation training. The study recommends deepening the implementation of the long-term care insurance system, paying attention to the care needs of vulnerable groups, strengthening the connection between care services and medical resources, and providing empirical evidence for improving China’s long-term care insurance system.

Copyright

© 2026 The Author(s)

Open Access

Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 International License (http://creativecommons.org/licenses/by-nc/3.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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TY  - CONF
AU  - Jingyi Li
PY  - 2026
DA  - 2026/09/07
TI  - Research on the Impact of Long-term Care Insurance on Elderly Medical Service Utilization
BT  - Proceedings of the 2026 12th International Conference on Digital Humanities and Frontiers in Social Sciences (DHFSS 2026)
PB  - Atlantis Press
SP  - 594
EP  - 606
SN  - 2352-5398
UR  - https://doi.org/10.2991/978-2-38476-611-6_65
DO  - 10.2991/978-2-38476-611-6_65
ID  - Li2026
ER  -