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

No 1666, GLO Discussion Paper Series from Global Labor Organization (GLO)

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-indifferences 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: CI-friendly community; health care utilization; awareness of cognitive impairment (search for similar items in EconPapers)
JEL-codes: I11 I18 J14 (search for similar items in EconPapers)
Date: 2025
New Economics Papers: this item is included in nep-age, nep-cna and nep-hea
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Persistent link: https://EconPapers.repec.org/RePEc:zbw:glodps:1666

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