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      Long-term care system for older adults in China: policy landscape, challenges, and future prospects

      , , , , , ,
      The Lancet
      Elsevier BV

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          Abstract

          <p class="first" id="d4552408e155">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. </p>

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          Author and article information

          Journal
          The Lancet
          The Lancet
          Elsevier BV
          01406736
          October 2020
          October 2020
          : 396
          : 10259
          : 1362-1372
          Article
          10.1016/S0140-6736(20)32136-X
          34338215
          e30ed242-dcde-463a-8859-516d90574d8d
          © 2020

          https://www.elsevier.com/tdm/userlicense/1.0/

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