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Effects of Home Care on the Use of Medical Services by the Elderly in China’s National Medical Insurance System

Author

Listed:
  • Wenshuai Qin

    (Bukhara State University, Faculty of Economics and Tourism)

  • Chien-ping Chen

    (Texas A&M University-Victoria, College of Business)

  • Yangyang Wang

    (Shandong Technology and Business University, School of Public Administration)

  • Hong Chen

    (Anhui University of Finance and Economics, School of Languages and Media)

  • Ze Zhang

    (Southern Connecticut State University, School of Business)

  • Lijian Qin

    (Anhui University of Finance and Economics, Research Center for Health Economics)

Abstract

This study analyzes nationwide micro-survey data from the Chinese Longitudinal Healthy Longevity Survey 2018 to assess the impact of home care and medical insurance on the health of older people in China, using factors that influence healthcare utilization. Applying the Andersen model, the findings reveal: (1) Home care and medical service use are complementary, increasing inpatient service utilization and total medical costs. (2) The effect varies by insurance type. Under the New Rural Cooperative Medical Scheme, home care raises inpatient service use and costs. Under Urban Employee/Resident Medical Insurance, home care has no statistically significant impact. Under Public Medical Care for Civil Servants, home care reduces inpatient service use, suggesting substitution. (3) Age-related patterns differ across programs, with the New Rural Cooperative Medical Scheme showing declining utilization, the Urban Employee/Resident Medical Insurance exhibiting a diminishing increase, and the Public Medical Care for Civil Servants indicating potential overuse. The Chinese government should consider restructuring its national medical insurance programs and promoting the substitutive effect of home care to enhance the well-being and social security of the aging population.

Suggested Citation

  • Wenshuai Qin & Chien-ping Chen & Yangyang Wang & Hong Chen & Ze Zhang & Lijian Qin, 2025. "Effects of Home Care on the Use of Medical Services by the Elderly in China’s National Medical Insurance System," International Advances in Economic Research, Springer;International Atlantic Economic Society, vol. 31(4), pages 217-232, November.
    • Handle: RePEc:kap:iaecre:v:31:y:2025:i:4:d:10.1007_s11294-025-09937-1
    DOI: 10.1007/s11294-025-09937-1
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