At the end of 2022, the population of the elderly over 65 years old in China had already reached 209.78 million, and with an aging rate of 14.9%, Chinese society has entered the so-called “aged society.” The number of elderly people will continue to increase as the aging of society progresses. Within the large elderly population, the number of those requiring nursing care has reached 52.71 million and is expected to rise to more than 77 million by 2030. In China, traditional family caregiving has weakened, and calls for public assistance to replace family caregivers are increasing. Piloting of a long-term care insurance system began in 2016. Currently, there are 29 cities conducting national long-term care insurance pilot projects in China, 49 cities conducting provincial (prefecture-level in Japan) pilot projects, and 145 million people in total covered under the various programs.
This paper analyzes the actual conditions, characteristics and problems of the national long-term care insurance pilot projects being conducted in each of the 29 cities in terms of the people insured, evaluation standards for certification of long-term care needs, financial resources for long-term care insurance, insurance benefits, and service delivery systems. From the perspective of system design, recommendations are also given concerning the future development of the national version of the long-term care insurance system in China.
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