Problems, Dilemmas, and Policy Recommendations for Rural Elderly Care in China

China Health Insurance ›› 2025, Vol. 0 ›› Issue (8) : 5-15.

China Health Insurance ›› 2025, Vol. 0 ›› Issue (8) : 5-15. DOI: 10.19546/j.issn.1674-3830.2025.8.001
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Problems, Dilemmas, and Policy Recommendations for Rural Elderly Care in China

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Abstract

"Accelerating the completion of the shortcomings of rural elderly care services" is a major strategic deployment proposed by the third plenary session of the 20th Central Committee of the Communist Party of China. This article uses questionnaire surveys and case interviews, as well as the data of the fourth and fifth sampling surveys of the living conditions of elderly people in urban and rural areas in China, to analyze the problems and challenges faced by rural elderly care in China, based on the analysis of the changes in China's traditional rural elderly care system. The paper proposes to build a rural elderly care service system with township health centers as the main body. First, encourage qualified township health centers to provide long-term care services and make up for the shortcomings of rural elderly care services. Second, strengthen departmental linkage and financial subsidies to reduce the transformation cost of township health centers. Third, accelerate the coverage of long-term care insurance to all residents and improve the supply capacity of rural long-term care services. Fourth, rationally design long-term care insurance and medical insurance payment policies to improve the enthusiasm for service supply.

Key words

elderly care / long-term care insurance / township health centers / idle resources

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Problems, Dilemmas, and Policy Recommendations for Rural Elderly Care in China[J]. China Health Insurance. 2025, 0(8): 5-15 https://doi.org/10.19546/j.issn.1674-3830.2025.8.001

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