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老有所依,情有所系OACHSSCD

Having a Reliable Support System and Emotional Connection in Old Age:Reconstruction of the Long-Term Care Insurance and Children's Support Patterns

中文摘要英文摘要

在中国老龄化加速与家庭养老功能转型的背景下,长期护理保险如何重塑子女代际支持行为成为关键议题.基于中国健康与养老追踪调查2013-2020年四期数据,采用多时点双重差分法,评估了长期护理保险对子女养老支持的影响.研究发现,长期护理保险并非简单挤出家庭养老,而是驱动其从"全要素投入"向"情感驱动型"的结构性转型:政策显著降低了子女的经济与照料支持,但提升了情感支持.机制分析揭示了"减负"与"松绑"双重路径,前者通过降低自付医疗费用与增加正式照护服务,替代了子女的经济与照料投入;后者通过改善老人心理健康,促进了代际情感沟通.拓展分析揭示,政策效果受到家庭微观特征的系统性调节,失能程度、抚幼负担等需求侧因素与子女数量、收入等供给侧资源共同调节着政策效应强度;此外,政策模式亦呈现异质性特征,服务给付型与混合给付型模式对三类代际支持均有显著影响,而现金补贴型模式则主要表现为情感促进效应.研究为理解社会保障政策与家庭养老功能的互动关系提供了新的理论视角,对构建"家庭—社会"协同养老体系具有启示意义.

Against the backdrop of population aging and the transformation of family support in China,how Long-Term Care Insurance(LTCI)reshapes children's intergenerational support has become a critical issue.Based on the data from the China Health and Retirement Longitudinal Study(CHARLS)from 2013 to 2020,this study employs a multi-period difference-in-differences approach to assess the impact of LTCI on various dimensions of filial support.The findings reveal that LTCI does not simply"crowd out"family-based elderly care but drives its structural transformation from"full-factor investment"to"emotion-driven".The policy significantly reduces children's financial and instrumental support while enhancing their emotional support.The mechanism analysis identifies the dual pathways of"reduction of burdens"and"relaxation of restrictions".The former reduces out-of-pocket medical expenses and increases formal care services,replacing the economic and care input from children.The latter improves the mental health of the elderly and promotes intergenerational emotional communication.Further analysis shows that the policy effects are systematically moderated by family micro-characteristics.Demand-side factors such as disability severity and child-rearing burden,as well as supply-side resources such as the number of children and income,jointly regulate the intensity of the policy effect.Moreover,the policy models also exhibit heterogeneity characteristics:service-based models and mixed models significantly affect all three dimensions of generational support,whereas cash-based models primarily enhance emotional support.This study offers a new theoretical perspective on the interaction between social security policies and family elderly care fuctions,with implications for building a synergistic"family-society"collaborative elderly care system.

安康;何依萍

山东农业大学 经济管理学院,山东 泰安 271018||山东省"三农"省情调研中心,山东 泰安 271018山东农业大学 经济管理学院,山东 泰安 271018

社会科学

失能老人长期护理保险子女养老支持代际支持家庭养老变迁

disabled elderlylong-term care insurancechildren's support for elderly careintergenerational supportchanges in family-based elderly care

《人口与经济》 2026 (3)

71-85,15

2026年度山东省人文社会科学课题一般项目"长期护理保险对失能家庭韧性的影响研究".

10.3969/j.issn.1000-4149.2026.00.029

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