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Shifting from Fragmentation to Integration: A Systematic Analysis of Long-Term Care Insurance Policies in China Cover

Shifting from Fragmentation to Integration: A Systematic Analysis of Long-Term Care Insurance Policies in China

International Journal of Integrated Care
Volume 21 (2021): Issue 3
By: Wusi Zhou and  Weidong Dai  
Open Access
|Sep 2021

Figures & Tables

ijic-21-3-5676-g1.png
Figure 1

Theoretical framework for policy integration on LTCI.

ijic-21-3-5676-g2.png
Figure 2

The geographical position of pilot cities in China.

Table 1

Policies on the implementation of LTCI across 15 pilot authorities.

CITIESPOLICY DOCUMENTSGIVE POWER TOPROVIDE SERVICES
Chengde

  • Opinions of establishing and implementing the long-term care insurance system for urban employees (Trial)

  • Measures of Chengde Municipality to the management of long-term care insurance for home-based care of urban employees (Trial)

  • Chengde Human Resources and Social Security Bureau

  • Institutional care, hospital care

Changchun

  • Opinions of establishing the medical care insurance system for disable people

  • Measures of Changchun Municipality to the implementation of medical care of disabled people (Trial)

  • Jilin Human Resources and Social Security Bureau

  • Unspecified

Qiqihaer

  • Measures of Qiqihaer Municipality to the implementation of the long-term care insurance (Trial)

  • Regulations on implementing the long-term care insurance in Qiqihaer (Trial)

  • Heilongjiang Insurance Regulatory Bureau

  • Institutional care, nursing care, home care

Shanghai

  • Measures of Shanghai Municipality to the pilot of the long-term care insurance

  • Regulations on implementing the pilot long-term care insurance in Shanghai

  • Measures of Shanghai Municipality to unified need assessment and service management for elderly care (Trial)

  • Measures of Shanghai Municipality to the settlement of long-term care insurance (Trial)

  • Shanghai Municipal Human Resources and Social Security Bureau

  • Shanghai Civil Affairs Bureau

  • Shanghai Finance Bureau

  • Community-based home care, institutional care, hospital care

Nantong

  • Opinions on establishing the basic care insurance system (Trial)

  • Regulations on implementing the basic care insurance

  • Opinions of establishing the unified basic care insurance system across the municipality

  • Nantong Human Resources and Social Security Bureau

  • Home care, institutional care, hospital care

Suzhou

  • Opinions of implementing the pilot long-term care insurance

  • Measures of Suzhou Municipality to the administration of social basic medical insurance

  • Daily care services and their eligible criteria for the long-term care insurance in Suzhou

  • Suzhou Human Resources and Social Security Bureau

  • Hospital care, institutional care, community-based home care

Ningbo

  • Scheme of Ningbo Municipality on piloting the long-term care insurance

  • Regulations on implementing the pilot long-term care insurance in Ningbo

  • Measures of Ningbo Municipality to the pilot of disability assessment for the long-term care insurance

  • Ningbo Human Resources and Social Security Bureau

  • Ningbo Finance Bureau

  • Institutional care, nursing home care

Anqing

  • Opinions of implementing the pilot long-term care insurance for urban employees in Anqing

  • Measures of Qnqing Municipality to the implementation of long-term care insurance for urban employees

  • Anqing Human Resources and Social Security Bureau

  • Anqing Finance Bureau

  • Institutional care, home care, disabled dependent care

Shangrao

  • Scheme of piloting the long-term care insurance system across the city

  • Shangrao Human Resources and Social Security Bureau

  • Home care, self-care, door-to-door care

Qingdao

  • Regulations on implementing the long-term care insurance in Qingdao (Trial)

  • Interim measures of Qingdao Municipality on the long-term care insurance

  • Qingdao Human Resources and Social Security Bureau

  • Qingdao Department and Reform Commission

  • Qingdao Civil Affairs Bureau

  • Qingdao Finance Bureau

  • Qingdao Insurance Regulatory Bureau

  • For persons with disabilities: medical care, hospital care, door-to-door care, patrol care

  • For persons with dementia: LTC, daily care and short-term care in institutional settings

Jingmen

  • Regulation on implementing long-term care insurance in Jingmen (Trial)

  • Measures of Jingmen Municipality to the implementation of the long-term care insurance (Trial)

  • Measures of Jingmen Municipality to the administration over the designated hospitals of long-term care insurance in (Trial)

  • Jingmen Human Resources and Social Security Bureau

  • Home care (full-time and part-time), institutional care, hospital care

Guangzhou

  • Opinions of Guangzhou Municipal Government about the implementation of the pilot long-term insurance system

  • Measures of Guangzhou Municipality to the implementation of the pilot long-term insurance

  • Guangzhou Human Resources and Social Security Bureau

  • Guangzhou Department and Reform Commission

  • Guangzhou Civil Affairs Bureau

  • Guangzhou Finance Bureau

  • Guangzhou Insurance Regulatory Bureau

  • Integrated nursing care, door-to-door care

Chongqing

  • Opinions of piloting the long-term care insurance system in Chongqing

  • Chongqing Human Resources and Social Security Bureau

  • Institutional care

Chengdu

  • Scheme of piloting the long-term care insurance system in Chengdu

  • Regulations on implementing long-term care insurance in Chengdu (Trial)

  • Opinions of expanding the pilot scope of implementing the long-term care insurance system

  • Chengdu Human Resources and Social Security Bureau

  • Institutional care, home care

Shihezi

  • Opinions of establishing the long-term care insurance system (Trial)

  • Regulations on implementing long-term care insurance in Bashi shihezi (Trial)

  • Shihezi Human Resources and Social Security Bureau

  • Institutional care, home care

Table 2

Characteristics and features of LTCI policies across 15 pilot authorities.

CITIESCOVERAGESERVICE BENEFICIARIESFUND SOURCESPAYMENT RATESMEDICAL CARE & SENIOR SERVICESSUPPLY OPTIONSPUBLIC PRIVATE PARTNERSHIPBENEFIT SCOPE
SMALLMEDIUMLARGESMALLMEDIUMLARGEONETWOTHREE/OVERLOWSTANDARDHIGHONETWOTHREEONETWOTHREESINGLE RESPONSIBILITYJOINT WORKSMALLMEDIUMLARGE
Chengde√√√√√√√√
Changchun√√√√√√√√
Qiqihaer√√√√√√√√
Shanghai√√√√√√√√
Nantong√√√√√√√√
Suzhou√√√√√√√√
Ningbo√√√√√√√√
Anqing√√√√√√√√
Shangrao√√√√√√√√
Qingdao√√√√√√√√
Jingmen√√√√√√√√
Guangzhou√√√√√√√√
Chongqing√√√√√√√√
Chengdu√√√√√√√√
Shihezi√√√√√√√√
Tatol
(%)		8
(53.3%)		1
(6.7%)		6
(40.0%)		13
(86.7%)		2
(13.3%)		0
(0.0%)		3
(20.0%)		6
(40.0%)		6
(40.0%)		7
(46.7%)		3
(20.0%)		5
(33.3%)		8
(53.3%)		3
(20.0%)		4
(26.7%)		1
(6.7%)		9
(60.0%)		5
(33.3%)		5
(33.3%)		10
(66.7%)		6
(40.0%)		2
(13.3%)		7
(46.7%)
WHO:World Health Organization
LTC:long-term care
LTCI:long-term care insurance
ICOPE:integrated care for older people
PPP:public-private partnership
DOI: https://doi.org/10.5334/ijic.5676 | Journal eISSN: 1568-4156
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Language: English
Submitted on: Dec 22, 2020
Accepted on: Sep 2, 2021
Published on: Sep 17, 2021
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
older people,
disability,
long-term care,
policy fragmentation,
policy integration

© 2021 Wusi Zhou, Weidong Dai, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.

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