Today, the rapid growth of aged populations is a pressing issue across the globe. In China, longevity risk is also associated with complex social issues consequent on birth control policies in the 1980s, raising the demand for elder care services in recent years. However, the relatively high cost of elder care services creates financial burdens not only for elderly people themselves, but also for their children. While increasing retirement incomes, the Chinese Government has also promoted new forms of social elder care, introducing market mechanisms into public nursing institutions, to increase financial resources for elder care provision. This thesis analyses these new funding models for elder care, examining supply and demand side factors that shape their effectiveness within a theoretical framework of New Public Management (NPM) and social investment. First, case studies are used to compare funding policies in four types of nursing institutions in and around Wuhan, Hubei Province, to evaluate different Public and Private Partnership (PPP) funding arrangements and their consequent influence on the performance of the nursing institutions. Second, Data Envelopment Analysis (DEA) is employed to calculate and compare the elder care services index in urban and rural areas. The outcomes provide insightful and useful guidance to identify probable problems within the elder care funding system. The results reveal that investment is more efficient when dedicated to financing the incomes of the elderly rather than to the construction of elder care institutions. The conclusions propose the feasibility of public long-term care insurance (LTCI) in China, as an appropriate approach to improve elderly people’s retirement income and thus their ability to purchase long-term care (LTC) in the future.
| Identifer | oai:union.ndltd.org:bl.uk/oai:ethos.bl.uk:759675 |
| Date | January 2018 |
| Creators | Deng, Peiqi |
| Publisher | University of Warwick |
| Source Sets | Ethos UK |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
| Source | http://wrap.warwick.ac.uk/108843/ |
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