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18 HEC F. 1 (2006)

handle is hein.journals/hecforum18 and id is 1 raw text is: HEC Forum (2006) 18 (1): 1-17. DOI: 10.1007/s10730-006-7984-7 © Springer 2006 Confucian Filial Piety and Long Term Care for Aged Parents Ruiping Fan* Introduction Elderly persons need more health care than young people. But health care does not always take place in formal medical institutions, such as clinics, hospitals or nursing homes. Most elderly persons are generally healthy and competent, needing ordinary health care rather than intensive or critical treatment. Ordinary health care is more of a long-term, broad living support than a temporary therapeutic procedure, although the latter is essential in certain circumstances. Such ordinary care includes physical, mental and even spiritual aspects, which are all crucially important for maintaining the health of an elderly person, either for preventing serious disease from happening or for rehabilitation after an aggressive intervention. This is why there are ever increasing concerns with the issue of long term care for generally healthy and competent elderly persons. This paper focuses on the issue of the location for such care: Where is such care best provided? Three options will be discussed. The first is the parents' home,' the location of the elderly care in traditional societies, which means that at least one of the married children and his family remains staying at his parents' home to take care of the parents (let me term this family-care). The second is long term care institutions for the elderly (such as elderly houses or assisted living facilities) that have been developed dramatically in recent years in developed countries and regions (let me term this institution-care). Finally, there has occurred a situation in which elderly persons and their children live in the vicinity or in the same building but in different flats (such as in the same building with the children living in the upper flats whereas their elderly parents in the lower flats) so that children can give visit and offer assistance to their parents everyday (let me term this vicinity- care).2 Ruiping Fan, Ph.D., City University of Hong Kong, Faculty of Humanities and Social Sciences, 83 Tat Chee Avenue, Kowloon, Hong Kong; email: safan@cityu.edu.hk.

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