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ID: 174697

Arrangements for the Care of Elderly in Shanghai / Baru, Rama V; Nundy, Madhurima

Nundy, Madhurima	Journal Article
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Summary/Abstract

This article looks at the arrangements for the care of elderly in Shanghai through the conceptual framework of the ‘care diamond’ and ‘continuum of care’. The findings, that are based on fieldwork conducted by the authors in Shanghai, delineate what constitutes care diamond in the city for the elderly population. This is mapped through the levels of care from home-based to tertiary-level end-of-life services that are needed by the elderly population. It also looks at the emerging markets of care in this sector and discusses whether multiple actors providing a range of services achieve continuum of care for Shanghai’s elderly population.

Key Words

Shanghai ; Elderly ; Long-Term Care ; Continuum Of Care ; Care Diamond

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ID: 129055

Transformation of health insurance schemes in China: lessons for access / Nundy, Madhurima

Nundy, Madhurima	Journal Article
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2014.

Summary/Abstract

Health insurance has been one of the major forms of health financing in China since the 1950s. Health insurance in China has seen dramatic shifts given the different economic and political contexts. From an almost universal coverage and access to health services in the pre-reforms period, China witnessed tremendous inequities in access with the breakdown of its collective financing structures and rising costs of health care in the 1980s and 1990s in both rural and urban areas with the onset of economic reforms. As a result policies in the late 1990s and 2000s shifted towards universalising access by introducing different insurance schemes for the urban and rural population. This article attempts to trace this transformation in insurance schemes through three distinct phases and draws lessons for access to health services.

Key Words

China ; Social reforms ; Reforms ; Inequity ; Political Context ; Health Insurance ;
Economic Context

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