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Options for Aged Care in China

Author

Listed:
  • Elena Glinskaya
  • Zhanlian Feng

Abstract

China is aging at an unprecedented rate. Improvements in life expectancy and the consequences of the decades-old family planning policy have led to a rapid increase in the elderly population. According to the United Nations World Population Prospects, the proportion of older people age 65 and over will increase by about one-fourth by 2030, and the elderly will account for about one quarter of the total population by 2050. Population aging will not only pose challenges for elder care but also have an impact on the economy and all aspects of society (World Bank, 2016a). The government is aware of the need to develop an efficient and sustainable approach to aged care. To this end, the General Office of the State Council issued the 12th Five-Year Plan for the Development of Aged Care Services in China and the Development Plan for a System of Social Services for the Aged (2011-2015). It is now in the process of formulating the 13th Five-Year National Plan on Aging, which will further elaborate and finalize the reform roadmap for 2016 to 2020. The Plan is expected to be finalized and launched by June 2016. The National Development and Reform Commission (NDRC) helped draft these plans and is now leading the development of policy measures for the provision of social services for the elderly. This volume has been prepared to support the translation of the broad ideas on aged care provision expressed in the 12th and 13th Five-Year Plans and other government plans into reality and to help the government tackle the challenges described above. It strives to identify a policy framework that fits the Chinese context and can be put in place gradually. Specifically, it aims to provide an up-to-date 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’s current situation; discuss implications of current developments and trends for the future of aged care in China; and propose policy options based on available evidence and best practices.

Suggested Citation

  • Elena Glinskaya & Zhanlian Feng, 2018. "Options for Aged Care in China," World Bank Publications - Books, The World Bank Group, number 29807.
    • Handle: RePEc:wbk:wbpubs:29807
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    Citations

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    Cited by:

    1. Tianke Zhu & Jian Jin & Xigang Zhu, 2021. "China’s “Embedded Neoliberal” Home-Based Elderly Care? A State-Organised System of Neighbourhood Governance," Sustainability, MDPI, vol. 13(24), pages 1-24, December.
    2. Kun Wang & Yongjian Ke & Shankar Sankaran & Bo Xia, 2021. "Problems in the home and community‐based long‐term care for the elderly in China: A content analysis of news coverage," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(5), pages 1727-1741, September.
    3. Han Hu & Yafei Si & Bingqin Li, 2020. "Decomposing Inequality in Long-Term Care Need Among Older Adults with Chronic Diseases in China: A Life Course Perspective," IJERPH, MDPI, vol. 17(7), pages 1-14, April.
    4. Jingyi Ai & Jin Feng & Yangyang Yu, 2022. "Elderly Care Provision and the Impact on Caregiver Health in China," China & World Economy, Institute of World Economics and Politics, Chinese Academy of Social Sciences, vol. 30(5), pages 206-226, September.
    5. Marion F. Krings & Jeroen D. H. van Wijngaarden & Shasha Yuan & Robbert Huijsman, 2022. "China’s Elder Care Policies 1994–2020: A Narrative Document Analysis," IJERPH, MDPI, vol. 19(10), pages 1-13, May.
    6. Rong Peng & Xueqin Deng & Yinghua Xia & Bei Wu, 2022. "Assessing the Sustainability of Long-Term Care Insurance Systems Based on a Policy–Population–Economy Complex System: The Case Study of China," IJERPH, MDPI, vol. 19(11), pages 1-17, May.
    7. Xiangping Jia, 2020. "Priming the pump of impact entrepreneurship and social finance in China," Agriculture and Human Values, Springer;The Agriculture, Food, & Human Values Society (AFHVS), vol. 37(4), pages 1293-1311, December.
    8. OKUBO Shoki & KAWATA Keisuke & YIN Ting & ZHONG Renyao, 2019. "Income Stratification of Potential Care Workers among Internal Migrants in China," Discussion papers 19079, Research Institute of Economy, Trade and Industry (RIETI).
    9. Kang, Lili & Zhao, Guangchuan, 2022. "Financial support for unmet need for personal assistance with daily activities: Implications from China's long-term care insurance pilots," Finance Research Letters, Elsevier, vol. 45(C).
    10. Mitra, Sophie & Gao, Qin & Chen, Wei & Zhang, Yalu, 2020. "Health, work, and income among middle-aged and older adults: A panel analysis for China," The Journal of the Economics of Ageing, Elsevier, vol. 17(C).
    11. Meiling Ying & Sijiu Wang & Chen Bai & Yue Li, 2020. "Rural-urban differences in health outcomes, healthcare use, and expenditures among older adults under universal health insurance in China," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-16, October.
    12. Lei, Xiaoyan & Bai, Chen & Hong, Jingpeng & Liu, Hong, 2022. "Long-term care insurance and the well-being of older adults and their families: Evidence from China," Social Science & Medicine, Elsevier, vol. 296(C).
    13. Hongjuan Liu & Lingzhong Xu & Hailing Yang & Yan Zhao & Xiaorong Luan, 2022. "Preferences in long-term care models and related factors among older adults: a cross-sectional study from Shandong Province, China," European Journal of Ageing, Springer, vol. 19(1), pages 27-35, March.

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