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Elderly healthcare service at the community health centers in the Pearl River Delta region, China

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Abstract

Objective: The recent population census showed China had officially become a graying society. In the meantime, China also faces a growing burden of non-communicable diseases. Since 2009, a series of policies have been implemented to enhance primary care at the community level. This study describes the elderly care services provided in the differently organized community health centers (CHCs).

Methods: It covered 13 CHCs of six cities located within the Pearl River Delta (PRD) region. In-depth interviews were conducted with a total of 59 health administrators, CHC managers, and CHC doctors regarding elderly care.

Results: The study found that accessibility of healthcare for elders has been improved due to the development of health insurance schemes as well as preferential policy to encourage the CHC utilization by the elderly. All the CHCs provide health examinations and chronic disease management to the permanent elderly within their catchment district. However, some preventative care such as fall prevention, immunization and mental health management are not provided.

Conclusion: Key barriers include low capacity of health service providers in the CHCs, and a lack of government investment in CHCs. Our report provides an empirical evidence for the health care reform in China.

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Most cited references 21

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China: the aging giant

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Performance comparison among the major healthcare financing systems in six cities of the Pearl River Delta region, mainland China

Author and article information

Affiliations
1The Jockey Club School of Public Health and Primary Care, the Chinese University of Hong Kong, Hong Kong SAR, China
2School of public health, Guangzhou Medical University, Guangzhou, China
3Bauhinia Foundation Research Centre, Hong Kong SAR, China
Author notes
CORRESPONDING AUTHOR: Xiaolin Wei, The Jockey Club School of Public Health and Primary Care, the Chinese University of Hong Kong, Hong Kong SAR, China xiaolinwei@123456cuhk.edu.hk
Journal
FMCH
Family Medicine and Community Health
FMCH
Family Medicine and Community Health & American Chinese Medical Education Association (USA)
xxx-xxx
2305-6983
March 2013
February 2014
: 1
: 1
: 30-36
Copyright © 2013 Family Medicine and Community Health

This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

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Self URI (journal page): http://fmch-journal.org/
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