HEC Forum

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Towards Ethically and Medically Sustainable Care for the Elderly: The Case of China

  • Wenye XieEmail author
  • Ruiping Fan


An enormous challenge facing China is how to provide sustainable care for its rapidly-increasing elderly population. Its recent policy directives include three medical forms—the institution-cooperation-form, the institution-medical-form, and the family-physician-form—to integrate medical care into ordinary care for the elderly. This essay indicates that China will not be able to maintain sustainable elderly care unless it places emphasis on the family-physician-form that focuses on family physicians and the use of primary care services. The essay constructs arguments for this policy suggestion based on China’s long-standing Confucian ethical resources of filial piety and family-based concerns for elderly care.


Elderly care policy Filial piety Sustainable elderly care Family physician China 



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© Springer Nature B.V. 2019

Authors and Affiliations

  1. 1.Department of Public PolicyCity University of Hong KongKowloonHong Kong, SAR

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