Abstract
Under the background of aging, how to provide affordable and sustainable geriatric care services in China has become a crucial issue with social concern. Chinese society has been continuing the tradition of family support for the elderly, which was formed in the long history of agricultural society, based on filial piety culture and big family structure. However, due to the industrialization process since the reform and opening up, a large number of laborers leave the countryside and enter the city. With the influence of the one-child policy, the structure of the Chinese family has changed fundamentally, that is, the small family has become the main form. While the risk of aging accumulates, the state has become the legal subject to provide elderly care, but the specific obligations in practice are still unclear. Long-term care insurance should be the way to provide geriatric care services, and pilot reforms have been carried out in some cities. In the future, the long-term care insurance will be affected by China’s massive demand for geriatric care, the limited financial capacity of the state and the family tradition of caring the aged, which all together will build the long-term care system with Chinese characteristics.
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Notes
- 1.
Li (2015).
- 2.
- 3.
Stuifbergen and Van Delden (2011).
- 4.
Seeborga et al. (2000).
- 5.
Woo et al. (2002).
- 6.
Pan (2009).
- 7.
Yang (2007), p. 50.
- 8.
Yao (2001), p. 112.
- 9.
- 10.
Zhang et al. (2014).
- 11.
Luo and Zhan (2012).
- 12.
Wang (2015).
- 13.
Zhong and Li (2016), p. 51.
- 14.
Zhang (2009).
- 15.
Zhong and Li (2016), p. 53.
- 16.
Yang (2007), p. 50.
- 17.
Buhui (2016), p. 168.
- 18.
Liu (2016), p. 121.
- 19.
Ding (2003), p. 38.
- 20.
Fang et al. (2009).
- 21.
Zhang and Liu (2010).
- 22.
Xin (2012).
- 23.
Liu (2006), pp. 100–108.
- 24.
Li (2012), pp. 145–159.
- 25.
- 26.
Giles et al. (2010).
- 27.
Lin (2011), p. 62.
- 28.
Pu (2016), pp. 15–20.
- 29.
- 30.
Li (1999).
- 31.
Gu and Vlosky (2008), pp. 52–84.
- 32.
- 33.
Wang et al. (2018).
- 34.
Chi (2019).
- 35.
Zheng (2018).
- 36.
Pan et al. (2017).
- 37.
Zhang (2012), pp. 99–102.
- 38.
Wang (2018), pp. 26–30.
References
Buhui (2016) An analysis of the causes of the aging problem in contemporary China: from the perspective of social. Historical and cultural change. Hum Resour Dev 12:168
Chi F (2019) Resolving the contradiction of aging through structural reform. Economic Reference Daily, April 3
Deng J, Deng W (2007) Comparative analysis of financing scheme of long-term care insurance in the first pilot cities. Chinese J Health Policy 10(8):13–17
Ding S (2003) An analysis of China’s rural family pension. China Agricultural Press, p 38
Fang C, Yang D, Meiyan W (2009) Migration and labor mobility in China. Hum Dev Res Pap (HDRP) Ser 09:1–38
Flaherty JH, Liu ML, Ding L, Dong B, Ding Q, Li X, Xiao S (2007) China: the aging giant. J Am Geriatr Soc 55(8):1295–1300
Giles J, Wang D, Zhao C (2010) Can China’s rural elderly count on support from adult children? Implications of rural-to-urban migration. J Popul Ageing 3(3):183–204
Gu D, Vlosky D (2008) Long-term care needs and related issues in China. In: Garner JB, Christiansen TC (eds) Social sciences in health care and medicine. Nova Science Publishers, pp 52–84
Gu D, Gu D, Zhou J (2009) Analysis of the number of days required for full-time care before death and the cost of care in the last month of life among the Chinese elderly. In: Hofmann BR (ed) Health care costs: causes, effects and control. Nova Science Publisher, pp 51–79
Ikels C (1993) Chinese kinship and the state: shaping of policy for the elderly. Annu Rev Gerontol Geriatr 13(1):123–146
Li L (1999) Family insurance or social insurance options for China’s social security reform. Int J Econ Dev 1(4):431–450
Li Q (2012) Migrant workers and social stratification in China. Social Sciences Literature Publishing, pp 145–159
Li Z (2015) General report on national strategic research on population ageing. 3(3):4–38
Lin J (2011) The value and innovation of social insurance law. J Law (9):62
Liu B (2006) Family in social change - a study of urban families in contemporary China. Bashu Book Society, pp 100–108
Liu Y (2016) Institutionalized old-age support, family function and intergenerational feedback crisis. Shanghai Century Publishing Group, p 121
Lu B, Liu X, Piggott J (2015) Informal long term care in China and population ageing: evidence and policy implications. Popul Rev 54(2):28–41
Lu B, Mi H, Zhu Y, Piggott J (2017) A sustainable long-term health care system for aging China: a case study of regional practice. Health Syst Reform 3(3):182–190
Luo B, Zhan H (2012) Filial piety and functional support: understanding intergenerational solidarity among families with migrated children in rural China. Ageing Int 37(1):69–92
Pan J (2009) Reasons for the weakening of filial piety’s function in rural senior care in China and its preventive measures. Hunan Soc Sci (3):59–62
Pan Y, Jones PS, Winslow BW (2017) The relationship between mutuality, filial piety, and depression in family caregivers in China. J Transcult Nurs 28(5):455–463
Pu X (2016) Old-age security and government responsibility. China Labor and Social Security Press, pp 15–20
Seeborga MC, Jin Z, Zhuc Y (2000) The new rural-urban labor mobility in China: causes and implications. J Socio-Econ 29(1):39–56
Sher AE (1984) Aging in post-Mao China: the politics of veneration. Westview Press, Boulder
Stuifbergen MC, Van Delden JJM (2011) Filial obligations to elderly parents: a duty to care? Med Health Care Philos 14(1):63–71
Sun F (1998) Ageing of the population in China: trends and implications. Asia Pac Popul J 13(4):75–92
Wang Y (2015) A study on the maintenance of family pension function in history. Shandong Soc Sci (5):5–14
Wang Z (2018) The present situation, problems and suggestions of long-term care service supply in China. China Med Insur (9):26–30
Wang Q, Zhou Y, Ding X, Ying X (2018) Demand for long-term care insurance in China. Int J Environ Res Public Health 15(6):1–15
Woo J, Kwok T, Sze FKH, Yuan HJ (2002) Ageing in China: health and social consequences and responses. Int J Epidemiol 31(4):772–775
Xin M (2012) Labor market outcomes and reforms in China. J Econ Perspect 26(4):75–102
Xue H (2012) Reflection on China’s new rural social endowment insurance system. Contemp Econ Manage 34(2):32–38
Yang F (2007) Innovation research on rural old-age security model in China -- based on the analysis of institutional culture. Yunnan People’s Press
Yang W (2017) Pilot Survey of long-term care insurance system in shandong province. Insurance Theory Pract 1:47–68
Yang Y, Williamson JB, Shen C (2010) Social security for China’s rural aged: a proposal based on a universal non-contributory pension. Int J Soc Welf 19(2):236–245
Yao Y (2001) On the old-age support of Chinese families. China Population Publishing House
Zhang Z (2009) Theories of family in ancient Chinese philosophy. Front Philos China 4(3):343–359
Zhang R (2012) Model selection and system design of long-term nursing insurance in China. Acad J Zhongzhou (6):99–102
Zhang Y, Goza F (2006) Who will care for the elderly in China?: A review of the problems caused by China’s one-child policy and their potential solutions. J Aging Stud 20(2):151–164
Zhang Y, Liu J (2010) Transforming and development of migration - study on the impact of rural labor flow on outflow areas. China Social Science Press, pp 87–105
Zhang NJ, Guo M, Zheng X (2012) China: awakening giant developing solutions to population aging. Gerontologist 52(5):589–596
Zhang Z, Gu D, Luo Y (2014) Coresidence with elderly parents in contemporary China: the role of filial piety, reciprocity, socioeconomic resources, and parental needs. J Cross-Cult Gerontol 29(3):259–276
Zheng S (2018) Legislative analysis of long-term care insurance. Jurisprud Rev (1):131–139
Zhong Y, Li Z (2016) Evolution of Chinese traditional family support for the aged: the result of the change of cultural ethics. Popul J (2)
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Wang, T. (2020). From Tradition to Transformation: How to Provide Long-Term Care to the Elderly People in China?. In: Kasagi, E. (eds) Solidarity Across Generations. Ius Comparatum - Global Studies in Comparative Law, vol 49. Springer, Cham. https://doi.org/10.1007/978-3-030-50547-9_13
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