aging society

  • 详情 Effect Evaluation of the Long-Term Care Insurance (LTCI) System on the Health Care of the Elderly: A Review
    Background: How to cope with the rapid growth of LTC (long-term care) needs for the old people without activities of daily living (ADL), which is also a serious hazard caused by public health emergencies such as COVID-2019 and SARS (2003), has become an urgent task in China, Germany, Japan, and other aging countries. As a response, the LTCI (longterm care insurance) system has been executed among European countries and piloted in 15 cities of China in 2016. Subsequently, the influence and dilemma of LTCI system have become a hot academic topic in the past 20 years.Methods: The review was carried out to reveal the effects of the LTCI system on different economic entities by reviewing relevantliterature published from January 2008 to September 2019. The quality of 25 quantitative and 24 qualitative articles was evaluated using the JBI and CASP critical evaluation checklist, respectively. Results: The review systematically examines the effects of the LTCI system on different microeconomic entities such as caretakers or their families and macroeconomic entities such as government spending. The results show that the LTCI system has a great impact on social welfare. For example, LTCI has a positive effect on the health and life quality of the disabled elderly. However, the role of LTCI in alleviating the financial burden on families with the disabled elderly may be limited. Conclusion: Implementation of LTCI system not only in reducing the physical and mental health problems of health care recipients and providers, and the economic burden of their families, but also promote the development of health care service industry and further improvement of the health care system. However, the dilemma and sustainable development of the LTCI system is the government needs to focus on in the future due to the sustainability of its funding sources.
  • 详情 The Employment Landscape of Older Migrant Workers in China’S Aging Society: The Role of City-Level and Industry Specialization
    As China’s population ages, more older workers are participating in the labor market, including a significant number of older migrant workers moving to urban areas. However, surprisingly little research has been done on their destination city and employment patterns. This paper addresses this gap by investigating the impact of city-level and industry specialization on the employment prospects of older migrant workers. Using both individual- and city-level data, we find that unlike prime-age migrant workers, older migrant workers have higher employment probabilities in relatively less-developed lower-tier Chinese cities than in better-developed high-tier cities like Shanghai, Beijing, Shenzhen, or Guangzhou. This phenomenon is driven by industry specialization, particularly in the construction sector, which fosters a dense labor market and facilitates higher job-finding rates. Additionally, construction firms and real estate developers in lower-tier cities are more willing to offer better wages than those in high-tier cities, which aligns with older migrant workers’ relatively moderate education profile and wage preferences over housing costs.