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The availability and affordability of long term care for disabled elderly people in China: the issues related to uneven social security benefits

The availability and affordability of long term care for disabled elderly people in China: the issues related to uneven social security benefits
The availability and affordability of long term care for disabled elderly people in China: the issues related to uneven social security benefits
Background: China is experiencing increasing pressure from issues relating to an ageing population. The rationality of different eligibility criteria of the benefits within the social security system has been widely challenged; however, to date, no previous study has explored its association with the availability and affordability of long-term care (LTC).

Aim: This study evaluates the availability and affordability of Long-Term Care (LTC) services for disabled older people (aged 65 and above) in China, with special attention to the differences among groups in receipt of specific social security benefits.

Methods: The data of availability and affordability of LTC services for disabled older people is from a nationally representative sample Chinese Longitudinal Healthy Longevity Survey (CLHLS). Three different social security benefits were identified and their effects on the long-term care services for disabled older people were explored.

Results: The overall proportions of disabled older people who have only limited or no available or affordable LTC services were remarkably high, especially for those who have moderate or no social security benefits. Compared to those who are entitled to generous social security benefits, older people who have no social security benefits are 18.45 times more likely to be unable to afford health care expenses.

Conclusion: The findings imply that policy makers in China could focus on the LTC needs for the social security and socioeconomically disadvantaged (who have limited or no social security benefits and in low household income) disabled older people which could reduce the gap between them and those who are entitled to generous social security benefits.
0167-4943
21-27
Lei, Peng
7cf31310-0125-4e68-9a23-de509ed7c2a6
Feng, Zhixin
33c0073f-a67c-4d8a-9fea-5a502420e589
Wu, Zhuochun
a6ac1b4b-cc2f-48e1-a48f-00fe9cfd8f41
Lei, Peng
7cf31310-0125-4e68-9a23-de509ed7c2a6
Feng, Zhixin
33c0073f-a67c-4d8a-9fea-5a502420e589
Wu, Zhuochun
a6ac1b4b-cc2f-48e1-a48f-00fe9cfd8f41

Lei, Peng, Feng, Zhixin and Wu, Zhuochun (2016) The availability and affordability of long term care for disabled elderly people in China: the issues related to uneven social security benefits Archives of Gerontology and Geriatrics, 67, pp. 21-27. (doi:10.1016/j.archger.2016.06.018).

Record type: Article

Abstract

Background: China is experiencing increasing pressure from issues relating to an ageing population. The rationality of different eligibility criteria of the benefits within the social security system has been widely challenged; however, to date, no previous study has explored its association with the availability and affordability of long-term care (LTC).

Aim: This study evaluates the availability and affordability of Long-Term Care (LTC) services for disabled older people (aged 65 and above) in China, with special attention to the differences among groups in receipt of specific social security benefits.

Methods: The data of availability and affordability of LTC services for disabled older people is from a nationally representative sample Chinese Longitudinal Healthy Longevity Survey (CLHLS). Three different social security benefits were identified and their effects on the long-term care services for disabled older people were explored.

Results: The overall proportions of disabled older people who have only limited or no available or affordable LTC services were remarkably high, especially for those who have moderate or no social security benefits. Compared to those who are entitled to generous social security benefits, older people who have no social security benefits are 18.45 times more likely to be unable to afford health care expenses.

Conclusion: The findings imply that policy makers in China could focus on the LTC needs for the social security and socioeconomically disadvantaged (who have limited or no social security benefits and in low household income) disabled older people which could reduce the gap between them and those who are entitled to generous social security benefits.

Microsoft Word Manuscript_20160621_Final.doc - Accepted Manuscript
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Accepted/In Press date: 22 June 2016
e-pub ahead of print date: 23 June 2016
Published date: November 2016
Organisations: Gerontology

Identifiers

Local EPrints ID: 397882
URI: http://eprints.soton.ac.uk/id/eprint/397882
ISSN: 0167-4943
PURE UUID: d8e6580f-515b-4382-83c6-561eed087431

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Date deposited: 11 Jul 2016 10:18
Last modified: 18 Jul 2017 04:15

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Contributors

Author: Peng Lei
Author: Zhixin Feng
Author: Zhuochun Wu

University divisions

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