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

doi:10.1016/j.jamda.2015.04.010

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 journal › Journal article › peer-review

47 Citations (Scopus)

Abstract

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 language	English
Pages (from-to)	784-789
Number of pages	6
Journal	Journal of the American Medical Directors Association
Volume	16
Issue number	9
DOIs	https://doi.org/10.1016/j.jamda.2015.04.010
Publication status	Published - Sept 2015

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title = "The “Leap Forward” in Nursing Home Development in Urban China: Future Policy Directions",

abstract = "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. ",

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AU - Shum, Michelle H Y

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AU - He, Kelly Z.J.

AU - Chen, Coco C.H.

AU - Wang, Junfang

PY - 2015/9

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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.

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DO - 10.1016/j.jamda.2015.04.010

M3 - Journal article

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EP - 789

JO - Journal of the American Medical Directors Association

JF - Journal of the American Medical Directors Association

IS - 9

ER -

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

Abstract

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