The interaction of delayed retirement initiative and the multilevel social health insurance system on physical health of older people in China

Yuan, Bocong; Li, Jiannan; Liang, Wenqi

doi:10.1002/hpm.3352

Cited by 12 publications

(13 citation statements)

References 22 publications

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“…Dysfunction in basic physical and instrumental activities is found to have a negative effect on working state [ 8 ]. In addition, given the high incidence of diseases among older workers, health insurance is an important factor related to their out-of-pocket expenses and the corresponding financial burden [ 9 ]. In China, the Urban Employee Basic Medical Insurance (UEBMI) scheme is a payment-free and lifetime-guaranteed health insurance plan for those who have reached the legal retirement age and met the required minimum payment period.…”

Section: Introductionmentioning

confidence: 99%

Late career participation of late retirees in the age of the silver tsunami: understanding the influencing mechanism of health status and employment-based health insurance participation

Yuan

Liang

et al. 2022

Health Res Policy Sys

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Background The delayed retirement initiative and population aging have led to a growing group of late retirees. However, it remains unclear whether the existing employment-based health insurance system can effectively match the recently proposed initiative and support late retirees, especially those with pre-existing function limitations. Thus, this study aims to investigate the influencing mechanism of China’s Urban Employee Basic Medical Insurance (UEBMI), physical functioning limitation (PFL) and difficulty in instrumental activities of daily living (IADLs) on labour participation of late retirees in China. Methods This study uses data from the China Health and Retirement Longitudinal Study (CHARLS) survey, which tracks the quality of life among older adults in China (valid sample size = 5560). Results Empirical results show that China’s employment-based health insurance (i.e. UEBMI) and health conditions (i.e. PFL and difficulty in IADLs) are positively associated with late retirees’ withdrawal from late career participation. In addition, a higher level of difficulty in IADLs could strengthen the effect of PFL on late retirees’ withdrawal from late career participation, which could be further buffered by UEBMI beneficiary status. Conclusion In the formulation of delayed retirement policies, it is necessary to consider the influencing mechanism of the social health insurance system and health conditions on late career participation of older workers to ensure policy effectiveness.

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Section: Introductionmentioning

confidence: 99%

Late career participation of late retirees in the age of the silver tsunami: understanding the influencing mechanism of health status and employment-based health insurance participation

Yuan

Liang

et al. 2022

Health Res Policy Sys

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“…8 As a result of the one-child policy, China's population is aging faster than almost any of other countries. 4 The number of people >65 years in China is expected to swell from 110 million in 2010 to 330 million by 2050. 9 It will take China only 20 years for a process that the proportion of older population increase from 10% to 20% (2017 to 2037), which is far shorter than Japan, Germany, and Sweden.…”

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confidence: 99%

“…The population aging brings the decline in proportion of the labor force in the population and accompanied labor shortage. 4 The low labor participation rate of older adults increases the financial burden of public pension and health care expenditures. 5 To alleviate these problems, governments have introduced different strategies to promote older people's work participation, including raising the legal retirement age.…”

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confidence: 99%

“…According to the UN, 3 the proportion of people aged 65 or older is expected to double between 2019 and 2050 in North Africa, Central and South Asia, East and Southeast Asia, and Latin America; one in four people in Europe and North America will be 65 or older, and the number of people aged 80 years or above will rise to 426 million worldwide. The population aging brings the decline in proportion of the labor force in the population and accompanied labor shortage 4 . The low labor participation rate of older adults increases the financial burden of public pension and health care expenditures 5 .…”

mentioning

confidence: 99%

“…As a result of the one-child policy, China's population is aging faster than almost any of other countries 4 . The number of people >65 years in China is expected to swell from 110 million in 2010 to 330 million by 2050 9 .…”

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confidence: 99%

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Labor Participation of Retirement-Aged Workers

Yuan

Lan

2021

Journal of Occupational &Amp; Environmental Medicine

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Background: Delayed retirement initiative is taken as one of the proposed solutions to population aging. Rare research attention has been paid to determinants in decisions-making of late retirement. Method: This study applies data from CHARLS survey (2018) that traces the health status among older adults in China, and implements the stepwise multiple regression analysis adjusted with robust standard errors on individual level. Results: The difficulty in instrumental activities of daily living (IADLs) and chronic conditions could increase the intention of retirement-aged workers to withdraw from late career participation; and the overlay of both would interact to reinforce such intention. Besides, the employment-related social pension participation could further strengthen the jointly contributing effect of both on withdrawal from late career participation. Conclusion: The triple interaction mechanism in retirement-aged workers' decisions of late retirement needs considering in the policy formulation of delayed retirement initiative.

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Policy interplay among social health insurance system, pension system, delayed retirement initiative and implications for the self‐rated health status of older workers

Li,

Yuan,

et al. 2023

Health Planning & Management

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Delayed retirement initiative proposed in China attaches greater importance to the sustainability of pension systems and the labour shortage, but less to the health status of older people. The existing social health insurance and pension system are not well established to match this initiative. This study investigates the policy mix of delayed retirement, employment‐based social health insurance, social pension participation for health status of older people. Results of the data from the China Health and Retirement Longitudinal Study (CHARLS‐2018) show that late retirement could benefit health status among older adults. Moreover, such effect of late retirement appears more salient for those uninsured by employment‐based social health insurance and those still in the pension contribution phase upon reaching the statutory retirement age. Hence, in countries with inadequate health insurance and pension systems, such as China, delayed retirement may serve as an important alternative to social security for the health of older people.

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The interaction of delayed retirement initiative and the multilevel social health insurance system on physical health of older people in China

Cited by 12 publications

References 22 publications

Late career participation of late retirees in the age of the silver tsunami: understanding the influencing mechanism of health status and employment-based health insurance participation

Late career participation of late retirees in the age of the silver tsunami: understanding the influencing mechanism of health status and employment-based health insurance participation

Labor Participation of Retirement-Aged Workers

Policy interplay among social health insurance system, pension system, delayed retirement initiative and implications for the self‐rated health status of older workers

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