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32 HEC F. 1 (2020)

handle is hein.journals/hecforum32 and id is 1 raw text is: HEC Forum (2020) 32:1-12 https://doi.org/1 0.1007/si 0730-019-09391-7 Towards Ethically and Medically Sustainable Care for the Elderly: The Case of China Wenye Xiel - Ruiping Fan' Published online: 13 November 2019 © Springer Nature B.V. 2019 Abstract An enormous challenge facing China is how to provide sustainable care for its rap- idly-increasing elderly population. Its recent policy directives include three medi- cal forms-the institution-cooperation-form, the institution-medical-form, and the family-physician-form-to integrate medical care into ordinary care for the elderly. This essay indicates that China will not be able to maintain sustainable elderly care unless it places emphasis on the family-physician-form that focuses on family physi- cians and the use of primary care services. The essay constructs arguments for this policy suggestion based on China's long-standing Confucian ethical resources of fil- ial piety and family-based concerns for elderly care. Keywords Elderly care policy - Filial piety - Sustainable elderly care - Family physician - China Aging in China and Medical Care With declining fertility rates and an increasing life expectancy, the percentage of the population that is elderly has dramatically increased in many countries during the past decades. China is a prominent case. With the Chinese one-child policy lead- ing to a significantly lowered birth rate, China has experienced explosive growth in both the number and proportion of the population aged 65 and above. In 2016, there were already 150 million elderly people, making up 10.8% of the total Chinese population. The old-age dependency ratio of the society went from 9.9% in 2000 to 15% in 2016. The working-age population bears an ever-increased burden as the elderly population continues to grow. Based on statistical information offered by the National Bureau of Statistics of China (2017), we constructed Fig. 1 to provide rel- evant information. It is predicted that residents aged 65 and above will constitute E Wenye Xie wenyexie2-c @my.cityu.edu.hk Department of Public Policy, City University of Hong Kong, Tat Chee Avenue, Kowloon, Hong Kong, SAR I_) Springer

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