Early Effects of Cognitive-Impairment Friendly Community on Health Care Utilization in China: Evidence from Administrative Data

Jingyi Ai, Xi Chen, Jin Feng and Yufei Xie
Additional contact information
Jingyi Ai: Fundan University
Jin Feng: Fudan University, China
Yufei Xie: San Diego State University

No 18118, IZA Discussion Papers from Institute of Labor Economics (IZA)

Abstract: The study examines the early effects of cognitive-impairment (CI) friendly communities on health care utilization among older adults in Shanghai, China. By exploiting the rollout of CI-friendly communities and employing a difference-in-differences approach, we evaluate the impact of CI-friendly communities. We find that CI-friendly communities significantly increase the probability and frequency of visiting cognition-disease-related departments (CRD) by 0.7 (13.73%) percentage points and 0.02 (17.24%) times, respectively. In particular, the effect is more pronounced for individuals not previously received CRD care. The dominant mechanisms may include information and early screening effects. Additionally, CI-friendly communities affect health care utilization in other positive ways, such as reducing emergency room (ER) visits and promoting primary care use.

Keywords: awareness of cognitive impairment; health care utilization; CI-friendly community (search for similar items in EconPapers)
JEL-codes: I11 I18 J14 (search for similar items in EconPapers)
Date: 2025-09
New Economics Papers: this item is included in nep-age, nep-cna and nep-sea
References: Add references at CitEc
Citations:

Downloads: (external link)
https://docs.iza.org/dp18118.pdf (application/pdf)

Related works:
Working Paper: Early Effects of Cognitive-Impairment Friendly Community on Health Care Utilization in China: Evidence from Administrative Data (2025)
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:iza:izadps:dp18118

Ordering information: This working paper can be ordered from
IZA, Margard Ody, P.O. Box 7240, D-53072 Bonn, Germany

Access Statistics for this paper

More papers in IZA Discussion Papers from Institute of Labor Economics (IZA) IZA, P.O. Box 7240, D-53072 Bonn, Germany. Contact information at EDIRC.
Bibliographic data for series maintained by Holger Hinte ().