关键词: 居家和社区养老服务, 改革试点, 政策效应, “个体-家庭”双重效应模型

Abstract: This paper conducts a quantitative analysis of the policy effects of China’s pilot reforms in home- and community-based eldercare services using panel data from the China Longitudinal Ageing Social Survey (CLASS) for 2014 and 2020 and a difference-in-differences (DID) model. An “individual-family” dual-effects model is built for this purpose. The aforementioned analysis reveals the following four results. First, the “mental health effects” of the pilot reforms were validated by the data from the pilot policies, yet primarily evident in female older people and urban elderly. Second, the pilot reforms showed quite high family spillover effects and notably inspired filial piety and relevant behaviors among children towards their older parents, which played an important role in promoting family development and the reconstruction of filial norms in the new era. Third, the pilot reforms expanded the social networks of older people, thus improving their mental health. Finally, although the core achievement of the pilot reforms lay in daily care services, they provided a path for the integrated development of medical care and health care with their extensive health assessments. Overall, these findings provide valuable insights for advancing the high-quality development of China’s home- and community-based service systems.

Keywords: Home- and Community-based Eldercare Services, Pilot Reforms, Policy Effects, “Individual-Family” Dual Effects Model