ArticleFrontiers in public health2025
Improving healthcare efficiency through long-term care insurance (LTCI): a super-SBM and DID analysis of 291 Chinese cities.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Does Provincial Pooling of the Resident Medical Insurance Fund Improve the Efficiency of Medical Resource Allocation of China?Healthcare (Basel, Switzerland) · 2026Article
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Authors and funding
2 authors.
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Abstract
Background: The intensification of population aging has exacerbated the strain on medical resources. Long-term care insurance (LTCI) influences healthcare efficiency by redefining the boundaries between medical and care services. However, its mechanisms and effectiveness in developing countries remain underexplored. This study investigates the impact pathways and heterogeneous characteristics of the effects of LTCI on regional healthcare efficiency in China, providing evidence for policy optimization. Methods: Using panel data from 291 prefecture-level cities in China from 2010-2021, healthcare efficiency was measured via the slack-based measure super efficiency (Super-SBM) model. The difference-in-differences (DID) method was employed to evaluate the policy effects of LTCI. Bootstrap-based mediation models were used to examine the transmission mechanisms of hospitalization volume, average length of stay, and the number of care institutions. Regional heterogeneity was also analyzed. Results: LTCI significantly improved regional healthcare efficiency (β = 0.071, Conclusions: LTCI is an effective tool for optimizing the allocation of medical resources. Region-specific strategies should be adopted to increase demand-side incentives and advance supply-side reforms. This study provides new insights for the efficient utilization of medical resources and the design of LTCI systems in developing countries.
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