Please use this identifier to cite or link to this item: https://hdl.handle.net/10419/331682 
Year of Publication: 
2025
Series/Report no.: 
IZA Discussion Papers No. 18118
Publisher: 
Institute of Labor Economics (IZA), Bonn
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.
Subjects: 
CI-friendly community
health care utilization
awareness of cognitive impairment
JEL: 
I18
J14
I11
Document Type: 
Working Paper

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