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REVIEW article

Front. Public Health

Sec. Aging and Public Health

Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1570794

This article is part of the Research Topic Enhancing Geriatric Care: International Collaboration and Best Practices for Aging Populations View all 9 articles

Evaluation of Long-Term Care Insurance Pilot City Policies in China: A Cross-Sectional Study

Provisionally accepted
  • Naval Medical University, Shanghai, China

The final, formatted version of the article will be published soon.

    Background: The acceleration of China's aging process makes examining policy experiences from LTCI pilot cities highly significant for advancing the LTCI system in China and other emerging nations.Methods: Policy documents were gathered using Citespace 6.3.R1, with primary data sources obtained from official government websites. A comparative study of LTCI policies in pilot cities was conducted, focusing on policy support, participation scope, financing channels, benefit provision, care conditions, and management structures to evaluate the programs' logic.Results: Pilot cities have developed distinct approaches in the LTCI development process. However, issues persist, including a singular financing channel, misalignment between benefit provision supply and demand, substandard care quality, and the need for improved management effectiveness.Discussion: Establishing a sustainable LTCI system requires implementing an independent financing mechanism and a standardized financial model, developing an efficient LTCI service supply framework, strengthening LTCI oversight and administration, and fostering the commercial insurance market.

    Keywords: long-term care insurance, Geriatric services, Policy Analysis, Population aging, Cross-sectional study

    Received: 04 Feb 2025; Accepted: 10 Mar 2025.

    Copyright: © 2025 Du, Liu and Hu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Yiran Hu, Naval Medical University, Shanghai, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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