The regulation and guidance of long-term care insurance to the demands of home and community-based care: international experiences and implications

Corresponding author: humin, humin@fudan.edu.cn

DOI: 10.12201/bmr.202402.00001

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  Abstract: In order to implement a people-centered service concept and promote the sustainability of long-term care systems,countries worldwide are increasingly focusing on benefit package design when allocating and using public long-term care funds. This emphasis is aimed at regulating and guiding long-term care demand and developing home and community-based care. Based on the purchasing theory, this study categorized the long-term care benefit package models in representative countries into two types: Institutional Eligibility Restrictions Type and Home-care-focused Benefit Type, and further elaborated the specific benefit package design. In China, long-term care insurance are still in the initial stages of development. We should optimize the service utilization structure and promote a rational allocation of resources through purchasing, while incorporating diverse benefit designs such as eligibility restrictions, differential benefit levels, and supplementary support, to establish a robust, multi-tiered long-term care system based on home and community-based care.

  Key words: Purchasing；Long-term care; Long-term care insurance; Home and community-based care

  Submit time: 21 February 2024

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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