Table 1
Main policy documents for integration of health and care.
| DOMAIN | POLICY DOCUMENT(S) | DEPARTMENT | TIME | MAIN CONTENTS |
|---|---|---|---|---|
| Service delivery | Basic Standards for Skilled Nursing Facilities (2011) | MOH | 2011.03.21 | Stresses the role of skilled nursing facilities as an important part of the health care system; specifies the service contents and standards of skilled nursing facilities |
| Basic Standards for Rehabilitation Hospitals (2012) | MOH | 2012.04.25 | Proposes specific construction standards of Rehabilitation Hospitals | |
| Several Opinions on Accelerating the Development of Elderly Care Services | State Council | 2013.09.06 | Encourages medical services to be provided in elder care institutions, communities and families, and requires medical institutions to better provide chronic disease prevention | |
| Guiding Opinions on Promoting the Integration of Health and Care Services | NHFPC & MCA, etc. | 2015.11.18 | Defines the goals and proposes the main forms and supporting measures of integration | |
| Notice on Facilitating the Licensing of Integrated Health and Care Institutions | MCA & NHFPC | 2016.04.08 | Strengthens intersectoral cooperation to create a “barrier-free” environment for registration of new institutions | |
| Guidance on Promoting the Family Physician Contracted Services | State Council | 2016.05.25 | Requires “family physician-led teams” in community health institutions to sign contracts with residents and provide them with services including basic medical care, public health and certain health management services | |
| Notice on the First Batch of National Level Pilot Units for the Integration of Health and Care Services | NHFPC & MCA | 2016.06.16 | Selects 50 cities (districts) as the first batch of national level pilot units for the integration of health and care services | |
| Notice on the Second Batch of National Level Pilot Units for the Integration of Health Care Services | NHFPC & MCA | 2016.09.14 | Selects 40 cities (districts) as the second batch of national level pilot units for the integration of health and care services | |
| Basic Standards and Management Standards for Rehabilitation Medical Centers and Nursing Centers | NHFPC | 2017.10.30 | Encourages private sector to establish community-based rehabilitation and nursing facilities | |
| Notice on the Replacement of Administrative Approval with Registration for the Establishment of Medical Institutions within Elder Care Institutions | NHFPC | 2017.11.08 | Cancels the administrative approval required for establishing medical facilities within elder care institutions, to be replaced by registration | |
| Financing | The Plan for Deepening the Reform of the Health Care System during the 12th Five -Year Plan Period | State Council | 2012.03.14 | Encourages commercial insurance companies to develop long-term care insurance products actively |
| The 13th Five-Year Plan for National Economic and Social Development | State Council | 2016.03.16 | Proposes to “explore building a LTC insurance system” in this period officially | |
| Guiding Opinions on Launching the Pilot of LTCI System | MHRSS | 2016.07.08 | Launches LTCI pilots and selects 15 cities across the country as the first batch of national pilot cities | |
| The 13th Five-Year Plan for the Development of National Elderly Care Cause and Elderly Care System | State Council | 2017.02.28 | Encourages commercial insurance companies to develop long-term care insurance products and services to meet the diversified and multi-level needs for long-term care of the elderly | |
| Guiding Opinions on Expanding the Pilots of LTCI System | NHSA etc. | 2020.09.16 | Expands LTCI pilots to 49 cities |
[i] Source: Compiled based on policy documents obtained from www.gov.cn and www.pkulaw.cn.
Table 2
Number of rehabilitation hospitals and skilled nursing facilities in China.
| REHABILITATION HOSPITALS | SKILLED NURSING FACILITIES | |||
|---|---|---|---|---|
| NON-PUBLIC(%) | NON-PUBLIC(%) | |||
| 2010 | 268 | 118(44.0) | 49 | 27(55.1) |
| 2011 | 301 | 155(51.5) | 60 | 38(63.3) |
| 2012 | 322 | 173(53.7) | 75 | 53(70.7) |
| 2013 | 376 | 214(56.9) | 105 | 84(80.0) |
| 2014 | 396 | 230(58.1) | 126 | 104(82.5) |
| 2015 | 453 | 289(63.8) | 168 | 143(85.1) |
| 2016 | 495 | 332(67.1) | 240 | 208(86.7) |
| 2017 | 552 | 400(72.5) | 349 | 312(89.4) |
| 2018 | 637 | 485(76.1) | 477 | 432(90.6) |
| 2019 | 706 | 545(77.2) | 628 | 571(90.0) |
[i] Source: National Health Commission of China, China Health Statistics Yearbook, 2011–2020.
Table 3
Number of Participants and those receiving benefits in LTCI piloting cities.
| PARTICIPANTS (MILLION) | PARTICIPANTS RECEIVING BENEFITS (THOUSAND) | |
|---|---|---|
| 2017 | 44.0 | 75 |
| 2018 | 63.6 | 255 |
| 2019* | 88.5 | 426 |
[i] *Data until June 2019.
Source: Data for 2017 are from The pilot of long-term care insurance is progressing smoothly. Ministry of Human Resources and Social Security. http://www.mohrss.gov.cn/; data for 2018 is from Letter of the Ministry of Civil Affairs in response to the proposal to promote the sound development of China’s old-age services, http://www.mca.gov.cn/article/gk/jytabljggk/zxwyta/201911/20191100021091.shtml; data for 2019 is from Letter of the NHSA in response to proposal No. 0934 (Sector of Social Administration No. 091) of the second Session of the 13th National Committee of the CPPCC. http://www.nhsa.gov.cn/art/2019/12/3/art_26_2115.html.