Abstract

Health care for the elderly is one of the key issues in the field of public health. In the context of global aging, the government's policy framework for elderly care affects the development of local elderly care. The priorities and instruments of the elderly care policy are important windows for understanding the local development planning system. This paper uses a quantitative text analysis method based on text mining to analyze 3,618 provincial policies in China. Considering the pilot demonstration projects for elderly care selected by the Chinese government in recent years, this paper finds that local elderly care policies have a three-phase evolution, and the priorities in each phase are solving the legacy of transition, expanding private sector participation, and realizing the well-being of the elderly. Moreover, mature regions use more environmental policy instruments, and the most effective are financial services, regulatory systems, and strategic guidance. For immature regions, it is necessary to use more core instruments on the premise of using basic instruments so that public policies can serve local development and realize the well-being of the elderly.

Highlights

  • In the context of global aging, elderly care is an important issue in the field of public health

  • Based on the existing research and building on its insufficiencies, this paper aims to address the following questions: [1] Is there a phased evolution in China’s local elderly care policy? What are the priorities of the policies in each phase? [2] In the current phase, how do local governments use policy instruments to promote the development of local elderly care services, and what effects have they produced? To answer these questions, this paper carries out a specially designed research programme, outlined in the materials and Methods Section

  • This paper aimed to answer two research questions: [1] Is there a phased evolution in China’s local elderly care policy? What are the priorities of policies at each phase? [2] In the current phase, how do local governments use policy instruments to promote the development of local elderly care services, and what effects have they produced? As revealed in the analysis above, China’s local elderly care policy has undergone three phases of evolution

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Summary

Introduction

In the context of global aging, elderly care is an important issue in the field of public health. Faced with the ever-increasing demand for elderly care and the associated challenges, governments around the world have promulgated a series of policies in the past few decades. Western developed countries have entered the aging society before countries in other regions [1], and the research on the elderly care policy in these countries is more comprehensive. According to a report of the World Health Organization, China is the country facing the most serious challenge of aging [2]. The level of public service provision at the local level determines the quality of elderly care enjoyed by most citizens. The study of local elderly care policies may help uncover important mechanisms that have been overlooked

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