China's rapidly aging population creates policy challenges in shaping a viable long-term care system.
China's rapidly aging population creates policy challenges in shaping a viable long-term care system.
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DOI：
10.1377/hlthaff.2012.0535
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发表时间：
2012-12
期刊：
影响因子：
--
通讯作者：
Mor V
中科院分区：
文献类型：
--
作者：
Feng Z;Liu C;Guan X;Mor V
在中国，随着人口结构的变化和社会经济的变化侵蚀了传统的老年护理，为大量老年人口提供的正规长期护理服务不断增加，以满足日益增长的需求。我们分析了中国不断变化的长期护理格局，并追踪了主要的政府政策和私营部门的举措。尽管家庭和社区服务仍然参差不齐，但机构护理在缺乏监管的情况下蓬勃发展。鉴于促进机构进一步发展的政策诱因、薄弱的监管框架和缺乏执行能力所产生的紧张关系，中国的政策制定者在监管快速增长的寄宿护理行业方面面临着越来越大的挑战。我们建议解决以下紧迫的政策问题：建立一个平衡的服务体系，避免促进老年人护理机构快速增长的“制度偏见”，而不是家庭或社区护理；通过信息系统加强监管和质量保证；优先开展教育和培训活动，培养专业化的长期护理队伍。
In China, formal long-term care services for the large aging population have increased to meet escalating demands as demographic shifts and socioeconomic changes have eroded traditional elder care. We analyze China’s evolving long-term care landscape and trace major government policies and private-sector initiatives shaping it. Although home and community-based services remain spotty, institutional care is booming with little regulatory oversight. Chinese policy makers face mounting challenges overseeing the rapidly growing residential care sector, given the tension arising from policy inducements to further institutional growth, a weak regulatory framework, and the lack of enforcement capacity. We recommend addressing the following pressing policy issues: building a balanced system of services and avoiding an “institutional bias” that promotes rapid growth of elder care institutions over home or community-based care; strengthening regulatory oversight and quality assurance with information systems; and prioritizing education and training initiatives to grow a professionalized long-term care workforce.
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影响因子：
5.4
作者：
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DOI：
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发表时间：
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