Scaling Home- and Community-Based Services for Older People Through PPPs in China

HKUST IEMS Thought Leadership Brief No. 111

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Zilin Li, Stuart Gietel-Basten 

Population ageing is putting increasing pressure on governments worldwide to expand long-term care services for older people. Demand for home- and community-based services (HCBS) is rising as family structures change, multimorbidity prevalence increases, and institutional care becomes more costly and less desirable. China officially shifted its policy focus from institutional care to HCBS since the 12th Five-Year Plan for the Development of Elder Care Services(2011–2015) (State Council, 2011). The central government established targets for a “90–7–3” structure, aiming to have 90% of older adults receiving care at home, 7% supported by community-based services, and 3% receiving institutional care.

The Simplified Chinese version is available here.

About the author

Zilin LI is a Postdoctoral Researcher in the Department of Equity, Ethics and Policy, Faculty of Medicine and Health Sciences, McGill University. Her research focuses on the intersections of social policy, health, and population studies.  

Stuart GIETEL-BASTEN is a Professor of Social Science and Public Policy at the Hong Kong University of Science and Technology. He is also the Associate Dean (Research) of the School of Humanities and Social Sciences, Associate Director of the Center for Aging Science and Associate Director of Leadership and Public Policy Executive Education.