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Integrating Health and Care in China: Lessons Learned and Future Outlook
- Source :
- International Journal of Integrated Care, International Journal of Integrated Care, Vol 21, Iss S2 (2021), International Journal of Integrated Care; Vol 21 (2021): IJIC 20th Anniversary Issue; 18
- Publication Year :
- 2021
- Publisher :
- Ubiquity Press, 2021.
-
Abstract
- Background: An aging population is one of the key drivers reshaping health care systems. In China, the complex needs of its huge aging population require integration across the health and care sectors. Policies and progress: Over the past decade, the central government of China promulgated a series of policies to promote the establishment of aftercare facilities, specify approaches to integrate health and care service delivery at institutional and community levels, pilot long-term care insurance (LTCI) as a funding mechanism, and reform administrative structures in favor of integration. Progress has been made towards organizational and clinical integration of service delivery both at institutional and community levels. LTCI has been introduced as the financing mechanism covering long term care services. Discussions and Conclusions: The experiences of China in the integration of health and care could be summarized as a top-down approach in policy formulation and implementation, the significant employment of pilots and demonstrations, and the activation of market forces. However, China is still in the initial stage of integrating health and care and is faced with system-level challenges in its financing, management, and workforce, and faces technical challenges, such as a lack of tools, and standards. In the future, these issues need to be addressed.
- Subjects :
- Medicine (General)
Economic growth
Population ageing
China
Health (social science)
Sociology and Political Science
business.industry
Service delivery framework
Policy Paper
Health Policy
integration
health and care policy
Funding Mechanism
Long-term care
R5-920
Central government
Health care
Workforce
business
Subjects
Details
- Language :
- English
- ISSN :
- 15684156
- Volume :
- 21
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- International Journal of Integrated Care
- Accession number :
- edsair.doi.dedup.....fed2c741fbcdfedfb8a118c3ad51e3fd