Background
China experiences rapid population aging. Continuing Care Retirement Communities (CCRCs) are an emerging institutional living arrangement in China for providing older residents with care services. Although the authorities have issued a multitude of supportive policies, it lacks a comprehensive overview nor in-depth analysis of these policies. This study aims to investigate the dynamical trends of policy hotspots and the progression of coordination between departments.
Methods
We conducted a thorough content analysis of 186 central-level policies from 2000 to 2022. The temporal distribution and features of CCRCs policies over time were examined, followed by co-word analysis and Social Network Analysis (SNA) to identify policy hotspots and cooperation among promulgating departments in each phase. Gephi-supported visualization was used to create graphical maps, highlighting policy focuses and the relationships among government departments.
Results
China’s CCRCs policy has transitioned from an exploratory phase (2000-2013) to an industrialization phase (2014-present). SNA analysis reveals that during the initial phase, policy themes focused on market-based elder care, support measures, supervision, government-market cooperation, and talent introduction. In contrast, the industrialization phase emphasized health, technical innovation, senior care industry growth, and pilot projects and reform. Of the eleven departments initially involved, the Ministry of Civil Affairs (MCA) was the most active, with participation eventually growing to 36 departments, resulting in 191 interdepartmental collaborations and forming three departmental cooperation clusters.
Conclusions
CCRCs are moving towards increased commercialization, with the market increasingly sharing the responsibility for providing services for older adults. Moreover, the participatory governments proceed to increase, but there is still a lack of coordination amongst them.