Chou Kee-Lee, Chow Nelson W S, Chi Iris
Sau Po Centre on Ageing, University of Hong Kong, Pokfulam Road, Hong Kong.
J Aging Soc Policy. 2005;17(2):85-106. doi: 10.1300/J031v17n02_06.
Over the next three decades, due to a rapidly aging population coupled with the recent economic downturn, Hong Kong society will face severe challenges in establishing a sustainable aged care system. We identify four principles: the encouragement of family care, service integration, a mixed mode of financing, as well as a "small government and large market" approach to guide the development of aged care services. After a brief description of existing Hong Kong long-term care services for the elderly, we evaluate this service according to these principles. We examine how a proposed voucher system could tackle problems in the current system of long-term care. Finally, we propose solutions to alleviate the possible negative consequences of the voucher system and describe the essential preconditions for the full implementation of the system.
在未来三十年里，由于人口迅速老龄化，再加上近期的经济衰退，香港社会在建立可持续的老年护理体系方面将面临严峻挑战。我们确定了四项原则：鼓励家庭护理、服务整合、混合融资模式以及“小政府大市场”的方式来指导老年护理服务的发展。在简要介绍了香港现有的老年人长期护理服务后，我们根据这些原则对这项服务进行评估。我们研究了拟议的券制如何解决当前长期护理体系中的问题。最后，我们提出解决方案以减轻券制可能带来的负面后果，并描述该体系全面实施的基本前提条件。
