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

被引：42
|
作者：
Shum, Michelle H. Y. [1 ]
Lou, Vivian W. Q. [1 ,2 ]
He, Kelly Z. J. [2 ]
Chen, Coco C. H. [2 ]
Wang, Junfang [1 ]
机构：
[1] Univ Hong Kong, Dept Social Work & Social Adm, Pokfulam, Hong Kong, Peoples R China
[2] Univ Hong Kong, Sau Po Ctr Ageing, Pokfulam, Hong Kong, Peoples R China
来源：
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION | 2015年 / 16卷 / 09期
关键词：
Nursing home; urban China; long-term care; policy; LONG-TERM-CARE; INSTITUTIONAL CARE; ELDER CARE; QUALITY; SYSTEM; GERMANY; CITIES; JAPAN;
D O I：
10.1016/j.jamda.2015.04.010
中图分类号：
R592 [老年病学]; C [社会科学总论];
学科分类号：
03 ; 0303 ; 100203 ;
摘要：
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. (C) 2015 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
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页码：784 / 789
页数：6
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