The “Leap Forward” in Nursing Home Development in Urban China: Future Policy Directions

Michelle H Y Shum, Vivian W.Q. Lou, Kelly Z.J. He, Coco C.H. Chen, Junfang Wang

Research output: Contribution to journalArticlepeer-review

37 Citations (Scopus)


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.

Original languageEnglish
Pages (from-to)784-789
Number of pages6
JournalJournal of the American Medical Directors Association
Issue number9
Publication statusPublished - Sept 2015


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