The purpose of this paper is to identify the issues that limited the supply of home and community-based Long-Term-Care (LTC) for the elderly, offer essential insights into the sustainable development of China's LTC.Design/methodology/approach: A content analysis of news coverage on 12 major portals in China has been conducted to identify the issues.
Findings:The results demonstrate that there are 12 significant problems in the supply of home and communitybased LTC for the elderly. For the service providers, the lack of qualified LTC professionals, limited service types/ low service quality and unrealised integrated care, lack of steady profit patterns are the three major problems. The deficiencies of the LTC system and the lack of incentive policies and legislation for private investors' participation are the two major problems faced by the government. The public is confronted with a shortage of home and community support resources and unable to adapt to a change due to their mindsets.
Practical implications:The issues identified in this paper can not only provide some opportunities to various stakeholders in this area but also offer insights into the sustainable development of China's LTC.
Effective supply of charging infrastructure is a necessary support for the development of electric vehicle and also an important strategic measure to promote energy consumption revolution and green development. The construction and operation of charging infrastructure in China is unfortunately not smooth, lagging behind the actual demand. Public-Private Partnerships (PPPs) may offer a promising way forward and accelerate the development of charging infrastructure by tapping the private sectors’ financial resources and professional skills. However, PPP has not been commonly adopted in this sector yet. This paper hence studied an illustrative case of Anqing Project in China to demonstrate how governments structure a PPP deal in the electric vehicle charging infrastructures. A content analysis was conducted on the important project documents to investigate key elements including the planning, construction, risk sharing, profit distribution, and supervision during the execution stage. Based on the illustration, some key lessons and recommendations were provided to offer a reference for future charging infrastructure PPP projects in China.
Summary
The gap between supply and demand for health care services is expanding rapidly in China. In order to resolve this problem, the government has implemented supply‐side reforms in the health care sector by inviting private capital to increase supply quantity and improve quality. However, health care institutions have high complexity and particular needs, while non‐profit hospitals have very strong public interests. This gives rise to complications in the implementation of public‐private partnerships (PPPs) for health care services. In this paper, the authors have selected one case each from three different models of non‐profit hospital PPP projects in the national PPP project database, operated by the Ministry of Finance, and compared how these projects were operated to identify the differences among them. A content analysis of the vital project documents is the primary analysis technique used for this comparison. Key issues investigated include reasons for model selection, requirements for private sectors and market competition level in different models, risk identification and sharing, design of payment mechanism, operation supervision, and performance appraisal of the project. Based on the comparison, some key lessons and recommendations are discussed to act as a useful reference for future non‐profit hospital PPP projects in China.
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