Abstract: Objective: To investigate the status quo of long-term care insurance protection recipients' selection of service items in a pilot area, and to analyze the differences in item selection by care modes and activities of daily living, so as to provide references for the development and improvement of long-term care insurance related policies. Methods: From June to July 2019, a self-designed questionnaire was used to conduct a follow-up survey on the selection status of service items for 81 long-term care insurance protection recipients in this area. Results: The average number of service items recipients chose was 9.02±2.11. There was a statistical significance between different care modes in terms of the number of service items selected and whether or not to choose fourteen of the services such as "assist eating/water and guidance" (P<0.05). There was a statistically significance between different activities of daily living in terms of whether or not to choose "assist to toilet and guidance" (P<0.05). Statistical significance was also found in the selection ratio of related service items for two activities of daily living such as "assist to toilet" and "walking on the flat ground" (P<0.05). Conclusion: The selection of service items for the recipients in the pilot area is greatly affected by policy, care mode and other service supply. It has little relevance to the activities of daily living of recipients. Therefore, in the design of the long-term care insurance system, policies should be used rationally to improve the capacity and the accuracy of service supply.

Key words: long-term care insurance; care mode; care service; disability; elderly