TY - JOUR
T1 - The “Leap Forward” in Nursing Home Development in Urban China
T2 - Future Policy Directions
AU - Shum, Michelle H Y
AU - Lou, Vivian W.Q.
AU - He, Kelly Z.J.
AU - Chen, Coco C.H.
AU - Wang, Junfang
PY - 2015/9
Y1 - 2015/9
N2 - In the past decade, the number of nursing beds in China has increased annually by an average of 10%, reaching 4.3 million in 2013. Although the State Council pushed for further increases to a ratio of 30 nursing home beds per 1000 persons by 2015, service utilization, quality assurance, and regulatory oversight are the inherent challenges in developing an equitable long-term care (LTC) system that can safeguard older persons' rights. We review and analyze both laws and policies in light of demographic and socioeconomic changes and advocate 3 policy directions for LTC development in China: allocating LTC resources with comprehensive eligibility criteria, with particular consideration of family needs; establishing viable quality standards for outcome-driven evaluation; and highlighting standardized monitoring mechanisms in both institutional and home LTC settings.
AB - In the past decade, the number of nursing beds in China has increased annually by an average of 10%, reaching 4.3 million in 2013. Although the State Council pushed for further increases to a ratio of 30 nursing home beds per 1000 persons by 2015, service utilization, quality assurance, and regulatory oversight are the inherent challenges in developing an equitable long-term care (LTC) system that can safeguard older persons' rights. We review and analyze both laws and policies in light of demographic and socioeconomic changes and advocate 3 policy directions for LTC development in China: allocating LTC resources with comprehensive eligibility criteria, with particular consideration of family needs; establishing viable quality standards for outcome-driven evaluation; and highlighting standardized monitoring mechanisms in both institutional and home LTC settings.
UR - http://dx.doi.org/10.1016/j.jamda.2015.04.010
U2 - 10.1016/j.jamda.2015.04.010
DO - 10.1016/j.jamda.2015.04.010
M3 - Article
SN - 1525-8610
VL - 16
SP - 784
EP - 789
JO - Journal of the American Medical Directors Association
JF - Journal of the American Medical Directors Association
IS - 9
ER -