This volume provides a comprehensive review of China's healthcare system and policy reforms in the context of the global economy. Following a value-chain framework, the 16 chapters cover the payers, the providers, and the producers (manufacturers) in China's system. It also provides a detailed analysis of the historical development of China's healthcare system, the current state of its broad reforms, and the uneasy balance between China's market-driven approach and governmental regulation. Most importantly, it devotes considerable attention to the major problems confronting China, including chronic illness, public health, and long-term care and economic security for the elderly. Burns and Liu have assembled the latest research from leading health economists and political scientists, as well as senior public health officials and corporate executives, making this book an essential read for industry professionals, policymakers, researchers, and students studying comparative health systems across the world.

The population of Asia is growing both larger and older. Demographically the most important continent on the world, Asia's population, currently estimated to be 4.2 billion, is expected to increase to about 5.9 billion by 2050. Rapid declines in fertility, together with rising life expectancy, are altering the age structure of the population so that in 2050, for the first time in history, there will be roughly as many people in Asia over the age of 65 as under the age of 15. It is against this backdrop that the Division of Behavioral and Social Research at the U.S. National Institute on Aging (NIA) asked the National Research Council (NRC), through the Committee on Population, to undertake a project on advancing behavioral and social research on aging in Asia. Aging in Asia: Findings from New and Emerging Data Initiatives is a peer-reviewed collection of papers from China, India, Indonesia, Japan, and Thailand that were presented at two conferences organized in conjunction with the Chinese Academy of Sciences, Indian National Science Academy, Indonesian Academy of Sciences, and Science Council of Japan; the first conference was hosted by the Chinese Academy of Social Sciences in Beijing, and the second conference was hosted by the Indian National Science Academy in New Delhi. The papers in the volume highlight the contributions from new and emerging data initiatives in the region and cover subject areas such as economic growth, labor markets, and consumption; family roles and responsibilities; and labor markets and consumption.

China is aging at an unprecedented rate. Improvements in life expectancy and the consequences of the decades-old family planning policy have led to a rapid increase in the elderly population. According to the United Nations World Population Prospects, the proportion of older people age 65 and over will increase by about one-fourth by 2030, and the elderly will account for about one quarter of the total population by 2050. Population aging will not only pose challenges for elder care but also have an impact on the economy and all aspects of society (World Bank, 2016a). The government is aware of the need to develop an efficient and sustainable approach to aged care. To this end, the General Office of the State Council issued the 12th Five-Year Plan for the Development of Aged Care Services in China and the Development Plan for a System of Social Services for the Aged (2011-2015). It is now in the process of formulating the 13th Five-Year National Plan on Aging, which will further elaborate and finalize the reform roadmap for 2016 to 2020. The Plan is expected to be finalized and launched by June 2016. The National Development and Reform Commission (NDRC) helped draft these plans and is now leading the development of policy measures for the provision of social services for the elderly. This volume has been prepared to support the translation of the broad ideas on aged care provision expressed in the 12th and 13th Five-Year Plans and other government plans into reality and to help the government tackle the challenges described above. It strives to identify a policy framework that fits the Chinese context and can be put in place gradually. Specifically, it aims to provide an up-to-date understanding of the evolving aged care landscape in China; review international experiences in long-term care provision, financing, and quality assurance and assess their relevance to China’s current situation; discuss implications of current developments and trends for the future of aged care in China; and propose policy options based on available evidence and best practices.

If modernisation means mass longevity, it raises hopes that everyone may enjoy a full span of years. It also brings the fear that many will not be able to take care of themselves and will rely upon society to provide special care. Modernisation in this sense also means the rise of the welfare state: let the government take care of the frail and the old.Mass aging has proven to be a financial crisis for welfare states in the advanced economies of the West; it also raises questions about the future of family-based care in the East while professionals and academicians in the advanced economies of the West continue to debate about whose responsibility it is to take care of the elders (the state or the individual?), governments in East Asia hold firmly to the position that it is the family that has the primary responsibility to take care of old members, and that the government's role is to assist families in discharging elder care responsibilities.This publication examines some of the often-raised questions identified in the research literature in the past 25 years — for example, the nature and scope of caregiving, the issue of care burden, and the claim that family-based care is really women care that is sex-biased. The author marshals evidence to show from studies conducted in China that care burden is a complex form of social relations that is shaped by the culture. Furthermore, the gender and type of relations may largely determine in what type of kin relations are the subjective feelings of burden the greatest and where objective indications of burden may remain constant. In conclusion, the author suggests that the best common resolution for both the East and the West is to establish a workable partnership between the state and the family in facing the forthcoming crisis of elder care in a fully aged society.

This book provides an overview of the rapid development Beijing has seen in a wide range of areas in 2018, both in itself and as an integral part of a larger region, as China’s economic development continues to improve in overall quality and regional coordination. General reports on progress Beijing made and problems it faced in 2018 in improving its economy, public services, and municipal and community governance, urban planning, and funding for innovations are followed by case studies that look at best practices and how they can be applied towards promoting coordinated development of the Beijing-Tianjin-Hebei region. The strategy features prominently in the outlook contributors present for the greater metropolitan area of Beijing for 2019. This book is a valuable source of reference for anyone trying to gain a better understanding the what, how, and why in relation to one of the world’s fastest growing mega-cities.

Recognizing rapidly ageing population is one key concern faced by cities and the challenge it would present to healthcare system, this book looks at ageing in China’s population as well as the delivery and financing of long-term care (LTC) in China. The book compares key features of long-term care insurance (LTCI) schemes in 15 pilot cities and evaluates the sustainability of various financing models adopted by the cities in the LTCI schemes. The book uses an interpretive case study approach to give an in-depth look into the LTC models in three pilot cities – Qingdao, Nantong, and Shanghai. The three cities represent three different models of financing and delivering LTC. To assess how effective the LTC models in these three cities are, the book uses five criteria, including utilization of medical resources, cost, equity, quality of care and sustainability. Also, the authors discuss how the financing and delivery of LTC can be improved in China, the impact of the 2019 coronavirus (COVID-19) pandemic on older adults in need of LTC in the country and the implications of China’s LTCI reform for other countries. The book will be a useful reference to scholars and policy-makers who look at urban ageing and healthcare costs and delivery.