Abstract
This chapter explores the basic and general facts on long-term care demand and supply in rural China based on data from the 2008 wave of the Chinese Longitudinal Healthy Longevity Survey. It finds that there was a huge demand for long-term care in rural China until 2008, with as many as 16.8% (40.8%) of people aged 65 and over (80+) being disabled in activities of daily living or cognitive function. Meanwhile, the supply of long-term care in 2008 still depended exclusively on family care (children or spouse), and formal long-term care provided by hired aides or elder care institutions played only a negligible role. The chapter also finds that communal elder care was very limited. However, the impact of the New Rural Pension Scheme on elder care arrangements suggests that cash transfers work well only when a well-functioning elder care market is in place. Considering that the function of family care has been weakened by rural-urban migration and the shrinkage of family size, governments must make it a priority to cultivate the development of formal care markets and a communal elder care system.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Cheng L, Zhang Y, Liu Z (2013) Does the new rural pension scheme remold the eldercare patterns in rural China? Econ Res J 8:42–54 (in Chinese)
Deb S, Braganza J (1999) Comparison of rating scales for the diagnosis of dementia in adults with Down’s syndrome. J Intellect Disabil Res 43(5):400–407
Ettner SL (1994) The effect of the Medicaid home care benefit on long-term care choices of the elderly. Econ Inq 32(1):103–127
Folstein MF, Folstein SE, McHugh PR (1975) “Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12(3):189–198
Greiner PA, Snowdon DA, Schmitt FA (1996) The loss of independence in activities of daily living: the role of low normal cognitive function in elderly nuns. Am J Public Health 86(1):62–66
Gu D, Zeng Y (2004) Data assessment of the Chinese longitudinal healthy longevity survey: determinants of healthy longevity of the oldest-old in China. Peking University Press, Beijing
Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW (1963) Studies of illness in the aged: the index of ADL: a standardized measure of biological and psychosocial function. JAMA 185(12):914–919
Norton EC (2000) Long-term care. Handb Health Econ 1:955–994
Stabile M, Laporte A, Coyte PC (2006) Household responses to public home care programs. J Health Econ 25(4):674–701
Zeng Y, Vaupel JW, Zhenyu X, Chunyuan Z, Yuzhi L (2002) Sociodemographic and health profiles of the oldest old in China. Popul Dev Rev 28(2):251–273
Acknowledgements
This study was supported by the Humanity and Social Science Project of the Ministry of Education (Grant No. 17YJA790016).
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 Science Press
About this chapter
Cite this chapter
Cheng, L. (2022). Long-Term Care Demand and Supply Among the Rural Elderly in China: Evidence from CLHLS Data. In: Zeng, Y., Lu, J., Lei, X., Shi, X. (eds) Trends and Determinants of Healthy Aging in China. Springer, Singapore. https://doi.org/10.1007/978-981-19-4154-2_23
Download citation
DOI: https://doi.org/10.1007/978-981-19-4154-2_23
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-19-4153-5
Online ISBN: 978-981-19-4154-2
eBook Packages: HistoryHistory (R0)