Long-term Care Insurance Policy Implementation in the Context of Aging: Theoretical Framework and Practical Paths Take the First Batch of Pilot Cities in China as an Example

Under the background of aging and childlessness, the number of disabled elderly people in China continues to rise and the introduction of long-term care insurance (LTCI) has provided significant relief to many disabled elderly individuals and their families, effectively alleviating the pressure of taking care of the elderly. As the pilot program expands across China, the current status of policy implementation in the first batch of pilot cities needs to be summarized in order to facilitate further policy improvement. This paper embraces the theoretical framework of policy implementation, dividing the process into three distinct yet interconnected stages: preparation stage, implementation stage, and summarization stage. This paper analyzes the current situation of policy implementation and typical practices in the first batch of pilot cities. The study summarizes innovations and shortcomings in areas such as policy promotion, service provision, benefit distribution, and performance evaluation, and offers policy recommendations, including improving policy promotion, expanding funding channels, and establishing evaluation systems.