Abstract:
In China, the population is rapidly ageing and the capacity of the system that cares for older people is increasingly a concern. In this Review, we provide a profile of the long-term care system and policy landscape in China. The long-term care system is characterised by rapid growth of the residential care sector, slow development of home and community-based services, and increasing involvement of the private sector. The long-term care workforce shortage and weak quality assurance are concerning. Public long-term care financing is minimal and largely limited to supporting welfare recipients and subsidising the construction of residential care beds and operating costs. China is piloting social insurance long-term care financing models and, concurrently, programmes for integrating health care and long-term care services in selected settings across the country; the effectiveness and sustainability of these pilots remain to be seen. Informed by international long-term care experiences, we offer policy recommendations to strengthen the evolving care system for older people in China.
摘要:
在中国,人口正在迅速老龄化,照顾老年人的系统的能力日益受到关注。在这篇评论中,我们提供了中国长期护理体系和政策格局的概况。长期护理系统的特点是住宅护理部门的快速增长,家庭和社区服务发展缓慢,以及私营部门越来越多的参与。长期护理劳动力短缺和质量保证薄弱令人担忧。公共长期护理融资很少,并且在很大程度上仅限于支持福利接受者和补贴住宅护理床的建设和运营成本。中国正在试行社会保险长期护理筹资模式,同时,在全国选定的环境中整合医疗保健和长期护理服务的方案;这些试点的有效性和可持续性仍有待观察。了解国际长期护理经验,我们提供政策建议,以加强中国不断发展的老年人护理体系。