Towards Ethically and Medically Sustainable Care for the Elderly: The Case of China
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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.
KeywordsElderly care policy Filial piety Sustainable elderly care Family physician China
- Beijing Municipal Bureau of Statistics. (2018). Basic living conditions of the whole households. Retrieved from http://tjj.beijing.gov.cn/English/MR/IE/201802/t20180201_392019.html
- Beijing Municipal Civil Affairs Bureau. (2018). Report on service facilities regarding home care for the elderly of Beijing. Retrieved from http://mzj.beijing.gov.cn/attached/file/20180516/20180516112815_282.pdf (in Chinese).
- Beijing Municipal Commission of Health and Family Planning Policy Research Center. (2017). Statistical report on the development of health and family planning in the municipal city of Beijing. Retrieved from http://www.phic.org.cn/tonjixinxi/weishengtongjigongbao/201803/P020180330667261022654.pdf (in Chinese).
- China Youth Daily. (2015). Monthly fee of nursing home providing high-quality medical care easily costs more than ten thousands yuan monthly. Retrieved from http://finance.sina.com.cn/china/20151207/080223947606.shtml (in Chinese)
- Chui, W. et al. (2009). Elderly commission’s study on residential care services for the elderly (final report). Retrieved from: https://www.elderlycommission.gov.hk/en/download/library/Residential%20Care%20Services%20-%20Final%20Report(eng).pdf.
- Eastday. (2013). Shanghai plans to lower standards on establishing elder care institutions. Retrieved from http://sh.eastday.com/m/20130926/u1a7682356.html (in Chinese)
- Fan, R. (1999). Introduction: Towards a Confucian bioethics. In R. Fan (Ed.), Confucian bioethics (pp. 1–23). Dordrecht: Kluwer Academic Publishers.Google Scholar
- General Office of the State Council of People’s Republic of China. (2013). Several opinions of the state council on expediting the development of the elderly service industry. Retrieved from http://www.gov.cn/zwgk/2013-09/13/content_2487704.htm (in Chinese).
- General Office of the State Council of People’s Republic of China. (2015). Guiding opinions on advancing the combining of medical and health services and elderly care services. Retrieved from http://www.gov.cn/zhengce/content/2015-11/20/content_10328.htm (in Chinese).
- Lau, D.C. (trans.) (1970). Mencius. Harmondsworth: Penguin.Google Scholar
- Legge, J. (trans.). (1971). The four books: Confucian analects, the great learning, the doctrine of the mean, and the works of Mencius. Taipei: Ch’eng-wen Publishing Co.Google Scholar
- National Bureau of Statistics of China. (2017). China statistical yearbook. Beijing: China Statistics Press (in Chinese).Google Scholar
- National Health Commission of the People’s Republic of China. (2006–2018). China health statistical yearbook 2005–2017. Beijing: Peking Union Medical College Publishing House (in Chinese).Google Scholar
- National Health and Family Planning Commission of the People’s Republic of China. (2014). Regulations on the standard of infirmaries in elderly care institutions. Retrieved from: http://www.nhfpc.gov.cn/yzygj/s3593/201411/dd043c3899684a8e8286abafffbd265c.shtml (in Chinese).
- National Health and Family Planning Commission of the People’s Republic of China (2017). China health and family planning statistical yearbook 2016. Beijing: Peking Union Medical College Publishing House (in Chinese).Google Scholar
- Shanghai Municipal People’s Government. (2015). Notice on issuing the “Measures on Basic Medical Insurance for residents of Shanghai”. Retrieved from http://www.shanghai.gov.cn/nw2/nw2314/nw2319/nw10800/nw11407/nw32868/u26aw45361.html (in Chinese).
- United Nations, Department of Economic and Social Affairs, Population Division. (2017). World Population Prospects: The 2017 Revision, custom data acquired via website.Google Scholar
- Wang S, Marquez P, & Langenbrunner J. (2011). Toward a healthy and harmonious life in China: Stemming the rising tide of non-communicable diseases. Washington DC: World Bank.Google Scholar
- Wu, Y. (2014). Thoughts on elder care services. Social Sciences of Beijing,1, 40–45 (in Chinese).Google Scholar
- Wu, Z., Li, J., & Xu, S. (2003). Comparative study on mental health of elderly people receiving different kinds of care. Chinese Journal of Gerontology,23(11), 713–715 (in Chinese).Google Scholar
- Xinhua News. (2018). Medical insurance reimbursement policies on outpatient services. Retrieved from http://m.xinhuanet.com/gd/2018-05/21/c_1122861030.htm (in Chinese).
- Yu, E. H. Y. (2007). Respect for the elderly and family responsibility. In S. C. Lee (Ed.), The Family, Medical Decision-Making, and Biotechnology: Critical Reflections on Asian Moral Perspectives. Dordrecht: Springer.Google Scholar
- Yung, Y. Y. (2015). The East Asian family-oriented principle and the concept of autonomy. In R. Fan (Ed.), Family-oriented informed consent (pp. 107–121). New York: Springer.Google Scholar
- Zhang, H., Jian, W., & Fang, H. (2016). Analysis of substitutional effect of outpatient expenditure on inpatient expenditure in hypertensive patients with rural new cooperative medical scheme. Beijing Da Xue Xue Bao,48, 472–477 (in Chinese).Google Scholar