Home Care Combination

Table 1. Understanding of home care and ‘9073’ care combination Concepts

Sources Familial care
‘Jiating Yanglao’ Home care
‘Jujia Yanglao’ Community care
‘Shequ Yanglao’ Residential Care Combination
Ministry of Civil Affairs in China
(policy document) Care exclusively provided by family members Centred on the family, relied on the community, supporting by professional services;
Providing socialized services to older people who are living at home to solve their difficulties in daily life;
Different from traditional familial care. Official 9073 90% 7% 3%
Fang,
marketing manager Family supports;
Living at home;
Relying on the community for care services 90% home care;
Closer to policy definition 90%
Lu,
care manager Living with
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Same definition for home care as policy documents (Centred on the family, relied on the community, supporting by professional services;
Providing socialized services to older people who are living at home to solve their difficulties in daily life;);
Including providing services to older people’s houses, and community care that involve older people into community day-care center for services.
Hao,
sub-district government official Living at home; no supports from the state; purchase services by themselves. No differences between home care and community care;
Care at home with subsidy from the state;
For the most vulnerable groups (e.g. income less than 2600, 1500 RMB; older than 90 years old), governments pay for 10/20 hours’ home care services per month;
If free services are not enough, they need to purchase extra services by themselves. Get to nursing homes for care 90% familial care, 7% home and community care, 3% residential care 90% 7% 3%
Qing,
Boss of care agency Based on family ability;
Children or relatives take care of older people;
Older people live at their own house or family members’ house;
Purchase services from informal market. Stay at
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nursing), practical care (e.g. cooking, shopping, cleaning) and emotional support. ‘Community care’ in this thesis includes care services provided in the community (not in residential institutions or at home). These definitions are differentiated based on the locations where older people receive services. Except to the definitions of concepts, policy documents are also unclear on whether the ‘9073’ combinations are plans or the current situation, which leads to confusion in analysis. I believe that these models are plans for building new care arrangements, since the 90% cannot be the current home care proportion. As a interviewed public official said, the ‘9073’ combination is a conceptual idea without supporting evidence.
I don’t think the state has done a measurement or calculation for the ‘9073’. Instead, it is more to a conceptual idea. Regarding to 90% as home care, in my opinion, no matter for the current situation or care needs in the future, 90% would be self-caring rather than care provided by care workers at home. Because it is impossible for us to get that amount of care workers. Currently, most care workers are 4050 workers (laid-off workers in their 40s and 50s). However, 4050 workers are getting older. After this group

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