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Financing elderly people's long‐term care needs: Evidence from China

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  • Fengyue Li
  • Junko Otani

Abstract

Confronted by accelerated population aging, China is establishing a long‐term care (LTC) system. This study discusses challenges and recommendations for financing China's LTC system. On the basis of the data on elderly people's self‐care ability from the Chinese Longitudinal Healthy Longevity Survey, we calculate the size of the elderly population that need LTC for the period from 2015 to 2030 and analyse the increasing tendency of LTC expenses by considering the impact of price increase. We also analyse the local governments' financial capacity for LTC support by comparing the expense level to the fiscal revenue. The study found that aging will double the LTC expenses by 2030. Therefore, this study suggests the establishment of an LTC insurance system that allocates LTC expenses, which are currently borne by individuals and families, more fairly among the government, individuals, and families. Moreover, with the current LTC reforms, implemented primarily by local governments in China, we believe that the central government should bear some of the fiscal responsibility by conducting fiscal transfers to partially support undeveloped regions that are establishing an LTC system.

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  • Fengyue Li & Junko Otani, 2018. "Financing elderly people's long‐term care needs: Evidence from China," International Journal of Health Planning and Management, Wiley Blackwell, vol. 33(2), pages 479-488, April.
    • Handle: RePEc:bla:ijhplm:v:33:y:2018:i:2:p:479-488
    DOI: 10.1002/hpm.2488
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    Cited by:

    1. Yi Wang & Jiajia Li & Nan Zhang & Lulu Ding & Yuejing Feng & Xue Tang & Long Sun & Chengchao Zhou, 2022. "Urban–Rural Disparities in Informal Care Intensity of Adult Daughters and Daughters-in-Law for Elderly Parents from 1993–2015: Evidence from a National Study in China," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 160(2), pages 487-503, April.
    2. Li, Yan, 2022. "Social care for disabled elderly women in urban China: The roles of the community," Social Science & Medicine, Elsevier, vol. 314(C).
    3. Miaoxi Zhao & Yanliu Lin & Huiqin Wang, 2022. "Locational Differences of Collective Land and Their Socioeconomic Effects on the Rural Elderly in China’s Pearl River Delta," Land, MDPI, vol. 11(5), pages 1-16, April.
    4. Wenna Wang & Yulin Zhang & Beilei Lin & Yongxia Mei & Zhiguang Ping & Zhenxiang Zhang, 2020. "The Urban-Rural Disparity in the Status and Risk Factors of Health Literacy: A Cross-Sectional Survey in Central China," IJERPH, MDPI, vol. 17(11), pages 1-12, May.
    5. Liangwen Zhang & Sijia Fu & Ya Fang, 2020. "Prediction the Contribution Rate of Long-Term Care Insurance for the Aged in China Based on the Balance of Supply and Demand," Sustainability, MDPI, vol. 12(8), pages 1-12, April.
    6. Chang Liu & Jing Hu & Xue Bai, 2023. "A Systematic Review of Literature on Caregiving Preparation of Adult Children," IJERPH, MDPI, vol. 20(13), pages 1-14, July.
    7. Hui Zhang & Donglan Zhang & Yujie Yin & Chao Zhang & Yixiang Huang, 2019. "Costs of Hospitalization for Dementia in Urban China: Estimates from Two Urban Health Insurance Scheme Claims Data in Guangzhou City," IJERPH, MDPI, vol. 16(15), pages 1-18, August.

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