Building Elderly Health Support System and Positively Responding to Population Aging

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A construção de um sistema de apoio à saúde dos idosos e as iniciativas relativas ao envelhecimento da população da China são os focos desta apresentação, exibida durante o seminário “População e Desenvolvimento na Agenda do Cairo: balanço e desafios”. Veja mais em: www.sae.gov.br

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Building Elderly Health Support System and Positively Responding to Population Aging

  1. 1. Building Elderly Health Support System and Positively Responding to Population Aging Shi Yaming Department of Family Development National Health and Family Planning Commission of the People’s Republic of China March 3, 2014
  2. 2. I. Analysis of the Population Aging Situations in China Enormous size of aged population and quick pace of population aging Getting old before getting rich Notable gaps between regions and between urban and rural areas Decline in working population and working population aging taking place at the same time Surge in living-alone and disabled elders
  3. 3. Proportions of three major age groups in population censuses 1. Enormous size of aged population and quick pace of population aging 7.7% 7.1% 8.1% 8.4% 10.3% 13.3% 180 million, 22.1% of worldwide aged population
  4. 4. Aged 60+ Aged 65+ Aged 80+ exceed 200 million in 2013 exceed 300 million in 2025 1. Enormous size of aged population and quick pace of population aging
  5. 5. Annual average growth rate ever since 1980s  population aged 60 and above, at 3%  population aged 80 and above, over 5%  total population, only 1% 1. Enormous size of aged population and quick pace of population aging
  6. 6. 2. Getting old before getting rich Per capita national income in 2012  in China, USD 7,640  in Europe, USD 27,080 on average  the same aging level as developed countries in around 2025  a big gap in terms of per capita economic indicators and the level of social affluence
  7. 7. 3. Notable gaps between regions and between urban and rural areas Regional difference: proportion of 65+ population by province, 2010
  8. 8. 3. Notable gaps between regions and between urban and rural areas Cities Featured by Higher Level of Population Aging (2010) Shanghai Jiangsu Sichuan Chongqing proportion of population aged 60 and above(%) 15.07 15.99 16.30 17.42  In 2010, the proportion of population aged 60 and above was only 11.7% in urban areas, and that in rural areas reached as high as 15.0%.
  9. 9.  In 2010, the total number of working population aged 15- 59 was 930 million (70% of total population).  The working population started to decline from 2012, and would drop down to 650 million (52% of total population in 2050). 4. Decline in working population and working population aging taking place at the same time
  10. 10. Proportions of Working-age Population of Respective Age Groups in 2010 and 2050
  11. 11. 5. Surge in living-alone and disabled elders Proportion of living-alone elders and elderly couples in 2010  aged 60 and above, 9.4% and 28.9%  aged 80 and above, 15.7% and 15.9%
  12. 12.  In 2012, Chinese government amended the Law on Protection of the Rights and Interests of the Elderly.  In 2013, Chinese government promulgated “Several Opinions of State Council for Accelerating the Development of Elderly Care Service Industry”. II. Recent Developments of China in Elderly Health Undertakings
  13. 13. 1. Elderly health service network improved steadily  Establish such elderly-oriented medical institutions as geriatrics hospital, nursing house and rehabilitation hospital, and gradually develop such healthcare models as tiered healthcare and separate treatment of acute and chronic diseases.
  14. 14. 2. Elderly health assurance policy system improved constantly  Basic medical security system is covering more and more people, which amount to 1.28 billion for the present.  With the continual consolidation and development of the new rural cooperative medical care system, the per capita subsidy provided by all levels of government has increased from RMB 20 in 2003 to RMB 280 nowadays, and up to 75% of inpatient care costs covered by this system can be reimbursed.
  15. 15. 3. Elderly health service coverage expanded gradually  Elders aged 65 and above are entitled to free health check-up and counseling once every year. As of March 2013, we have provided health management service for 119 million elders.
  16. 16. 4. Long-term nursing service models explored actively  Establish and improve the long-term nursing service system "supported by institutions, based at home and relying on the community", thus extending the nursing service for the elderly to extensive families and communities.
  17. 17.  1) To establish healthy aging support system and make sure elders are covered by the health services.  2) To establish home-based long-term nursing & care system for the elderly and develop standards, norms and appraisal systems for elderly care workers.  3) To strengthen the basic research and data support for elderly health. III. Suggestions on Preparing for Aging Society
  18. 18. Thank You!

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