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Early Effects of Cognitive-Impairment Friendly Community on Health Care Utilization in China: Evidence from Administrative Data

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  • Ai, Jingyi
  • Chen, Xi
  • Feng, Jin
  • Xie, Yufei

Abstract

The study examines the early effects of cognitive-impairment (CI) friendly communities on health care utilization among older adults in Shanghai, China. By exploiting the rollout of CI-friendly communities and employing a difference-indifferences approach, we evaluate the impact of CI-friendly communities. We find that CI-friendly communities significantly increase the probability and frequency of visiting cognition-disease-related departments (CRD) by 0.7 (13.73%) percentage points and 0.02 (17.24%) times, respectively. In particular, the effect is more pronounced for individuals not previously received CRD care. The dominant mechanisms may include information and early screening effects. Additionally, CI-friendly communities affect health care utilization in other positive ways, such as reducing emergency room (ER) visits and promoting primary care use.

Suggested Citation

  • Ai, Jingyi & Chen, Xi & Feng, Jin & Xie, Yufei, 2025. "Early Effects of Cognitive-Impairment Friendly Community on Health Care Utilization in China: Evidence from Administrative Data," GLO Discussion Paper Series 1666, Global Labor Organization (GLO).
    • Handle: RePEc:zbw:glodps:1666
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    Keywords

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    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets

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