Ageing And Effecting Long Term Care In China

Recognizing rapidly ageing population is one key concern faced by cities and the challenge it would present to healthcare system, this book looks at ageing in China’s population as well as the delivery and financing of long-term care (LTC) in China. The book compares key features of long-term care insurance (LTCI) schemes in 15 pilot cities and evaluates the sustainability of various financing models adopted by the cities in the LTCI schemes. The book uses an interpretive case study approach to give an in-depth look into the LTC models in three pilot cities – Qingdao, Nantong, and Shanghai. The three cities represent three different models of financing and delivering LTC. To assess how effective the LTC models in these three cities are, the book uses five criteria, including utilization of medical resources, cost, equity, quality of care and sustainability. Also, the authors discuss how the financing and delivery of LTC can be improved in China, the impact of the 2019 coronavirus (COVID-19) pandemic on older adults in need of LTC in the country and the implications of China’s LTCI reform for other countries. The book will be a useful reference to scholars and policy-makers who look at urban ageing and healthcare costs and delivery.

This volume aims to provide an understanding of the evolving aged care landscape in China; review international experiences in long-term care provision, financing, and quality assurance and assess their relevance to China; discuss implications of current developments and trends for the future of aged care in China; and propose policy options.

China, which is fast on its way to becoming the most powerful economic force in the world, has four unique characteristics that distinguish it from other countries in Asia: (1) The proportion of aging population is growing faster than that of Japan (the country previously recognized as having the fastest rate) and much faster than nations in western Europe. (2) An early arrival of an aging population before modernization has fully taken place, with social policy implications. It is certain that China will face a severely aged population before it has sufficient time and resources to establish an adequate social security and service system for older people. (3) There will be fluctuations in the total dependency ratio. The Chinese government estimates are that the country will reach a higher dependent burden earlier in the twenty-first century than was previously forecast. (4) The government’s fertility policy (single child per family) and its implementation has a strong influence on the aging process. Fewer children are being born, but with more elderly people a conflict arises between the objectives to limit population increase and yet maintain a balanced age structure (Peng and Guo 2001). The intersection of these fourfold factors means that the increased aging population is giving rise to serious concerns among Chinese social policy makers. There is a chronic lack of good resource materials that attempt to make sense of social policy in its relationship to examining the problems and possibilities of human aging grounded in an analysis of economic of social policy in China and impact on rural and urban spaces. Such analysis of China will be covered by conceptual, theoretical, and empirical approaches. The book will also discuss substantive topics of housing, community care, family care, pensions, and mental health. The book brings together a truly world class array of researchers to provide discussions of critical implications of aging social policy and the economic impact in China.

This perceptive volume presents conceptual, theoretical, and empirical approaches to social policy analysis comparing China and Nordic countries in their treatment of the elderly. An international panel of experts offers valuable policy insights into issues of housing, community care, family care, pensions and social security, and mental health as China translates and adapts Western examples, particularly those set by Norway, Sweden, and Finland. The book contrasts shared issues in the contexts of economic history, accountability and service improvements, and sustainability while also examining specifically Chi nese problems such as care gaps between urban and rural elders. Coverage also considers the centrality of aging policy in China as the nation works toward its long-term goal of eradicating poverty. Included among the topics: Building a welfare system with Chinese characteristics: from a residual type to moderate universalism. “Aging in community”: historical and comparative study of aging welfare and social policy. Sweden: aging welfare and social policy in the 21st century. Policy responses to aging: care services for the elderly in Norway. China’s elderly care policy and its future trends. Aging Welfare and Social Policy will interest professionals and researchers addressing questions of Chinese and comparative social policy, health psychologists, and sociologists focused on family, youth, and aging.

The population of Asia is growing both larger and older. Demographically the most important continent on the world, Asia's population, currently estimated to be 4.2 billion, is expected to increase to about 5.9 billion by 2050. Rapid declines in fertility, together with rising life expectancy, are altering the age structure of the population so that in 2050, for the first time in history, there will be roughly as many people in Asia over the age of 65 as under the age of 15. It is against this backdrop that the Division of Behavioral and Social Research at the U.S. National Institute on Aging (NIA) asked the National Research Council (NRC), through the Committee on Population, to undertake a project on advancing behavioral and social research on aging in Asia. Aging in Asia: Findings from New and Emerging Data Initiatives is a peer-reviewed collection of papers from China, India, Indonesia, Japan, and Thailand that were presented at two conferences organized in conjunction with the Chinese Academy of Sciences, Indian National Science Academy, Indonesian Academy of Sciences, and Science Council of Japan; the first conference was hosted by the Chinese Academy of Social Sciences in Beijing, and the second conference was hosted by the Indian National Science Academy in New Delhi. The papers in the volume highlight the contributions from new and emerging data initiatives in the region and cover subject areas such as economic growth, labor markets, and consumption; family roles and responsibilities; and labor markets and consumption.

The case studies in this book focus on the emergence, extent and nature of national policies on ageing and associated strategies to address long-term care needs. Key opportunities for and constraints on policy are identified in this first round of regional studies.

Informed by the social-ecological framework, this book focuses on the development of Home and Community Based Services (HCBS) in urban China. Bringing a timely discussion around HCBS development in Shanghai, it presents an interplay of formal caregiving relationships, evolving caregiving culture, and the trajectory of long-term care in China. Drawing on surveys, in-depth interviews, and government archives, this book explores the emergence of one of the most developed HCBS programs in Shanghai, its development over the past decade, its administration and services, resource allocation, staff members’ work experiences, older adults’ service experiences, as well as service evaluation and improvements. Offering fresh insight into new forms of caregiving in community settings, and shaping a new discourse on caregiving policy, this book is a key read for both students and practitioners in the fields of long-term care, gerontology, geriatrics, health care, and health policy.

This book advocates the application of holistic and humanistic approaches in elderly care and services to achieve the goal of ageing with dignity in Hong Kong and Asia. It responds to the needs of an increasing ageing population that has to deal with related health needs in long-term care, community health and social services, particularly for chronic conditions and psychosocial support. The book consists of three sections on policy and development of aged care, holistic and humanistic care for older adults, and capacity building for ageing with dignity, respectively. Topics include the latest initiatives in aged care, appropriate services and delivery models, lifestyle modification, psychosocial and environmental considerations, professional development, technologies, and social capital. The chapters review and discuss these issues within a global context, illustrated by examples from Asian countries, underpinned by locally based empirical research. Contributors include academics and practitioners from diversified professional backgrounds that include medicine, nursing, pharmacy, traditional Chinese medicine, dietetics, and allied health. The book traverses into territories in the social sciences, life sciences, and sports sciences, while also touching on areas of business and administration, hospitality, law, public policy, and information technology in connection with public health. The contents serve as a topical reference for tertiary studies in ageing and related disciplines such as well-being and are also useful to policymakers, community and public health practitioners, health executives and interns working in areas of policy and practice pertinent to care development, health delivery models, planning, quality, ethics, better health promotion, professional training, and monitoring for older adults.