Why are people with dementia overlooked in long-term care insurance policy in Guangzhou, China?
Interviewees reported that need assessment lacked a clear definition, were poorly supervised, and had high moral hazards. Challenges to care delivery included unprofessionalism of formal caregivers, shortage of resources, unprepared informal caregivers, a lack of a supportive environment and the negative impact of COVID-19. DISCUSSION AND IMPLICATIONS: People with dementia are overlooked in LTCI policy which may result from difficulties in implementing dementia-related assessment criteria, and hampered service delivery due to a shortage of skilled caregivers. These issues need to be carefully considered before scaling up the coverage of LTCI policy nationwide.
Authors
- Jing Liao (ORCID: https://orcid.org/0000-0001-6370-3430)
- Sophia Lobanov‐Rostovsky (ORCID: https://orcid.org/0000-0003-1611-0901)
- Eric J. Brunner (ORCID: https://orcid.org/0000-0002-0595-4474)
- Wing Kit Chan (ORCID: https://orcid.org/0000-0002-3154-7143)
- Bei Ye (ORCID: https://orcid.org/0000-0002-2307-1501)
- Zhongyan Zhang (ORCID: https://orcid.org/0000-0002-3292-7180)
- Yingxin Xu
- Natasha Curry
Institutions
- Sun Yat-sen University (CN)
- Nuffield Trust (GB)
- University College London (GB)
- Southern Medical University (CN)
Publication Details
- Journal
- BMC Health Services Research
- Published
- 2024-12-23
- DOI
- https://doi.org/10.1186/s12913-024-12126-1
- Citations
- 4
- Primary Topic
- Intergenerational Family Dynamics and Caregiving
- Type
- article
- Field-Weighted Citation Impact
- 4.53
Funders
- National Natural Science Foundation of China
- Economic and Social Research Council