a Institute of Social Science Survey , Peking University , Beijing , China.
b Graduate School of Education , Peking University , Beijing , China.
J Aging Soc Policy. 2019 May-Jun;31(3):271-290. doi: 10.1080/08959420.2018.1485391. Epub 2018 Aug 21.
Facing a rapidly aging population, China has recently started to formulate and implement policies with the aim to provide old-age care. While well-developed old-age care policies commonly include a built-in component that assesses eligibility based on vulnerability, no such process is established in the context of China. Here, based on data from the China Health and Retirement Longitudinal Study collected in both 2011 and 2013, we (a) developed a simple and effective strategy for identifying vulnerable Chinese elderly, which can serve as a basis for policy targeting, and (b) improved the policy relevance and targeting efficiency of this vulnerability measure by including additional health indicators. Our vulnerability measures identify 35% to 46% of Chinese elderly as vulnerable, covering up to 67% of elderly at high risk of death or functional decline. They can serve as an initial screening step for more comprehensive geriatric assessments and enable policy makers to effectively target vulnerable elderly persons in China.
面对迅速老龄化的人口，中国最近开始制定和实施旨在提供养老服务的政策。虽然完善的养老政策通常包括根据脆弱性评估资格的内置组件，但中国并没有这样的流程。在这里，我们基于 2011 年和 2013 年中国健康与退休纵向研究收集的数据，（a）开发了一种简单有效的识别中国脆弱老年人的策略，可作为政策目标的基础，（b）通过纳入其他健康指标，提高了这种脆弱性措施的政策相关性和目标效率。我们的脆弱性指标将 35%至 46%的中国老年人识别为脆弱，覆盖高达 67%的死亡或功能下降风险高的老年人。它们可以作为更全面的老年评估的初步筛选步骤，使政策制定者能够有效地针对中国的脆弱老年人。
