The evolution of informal elderly care policies in China: A textual analysis based on policy tools

Corresponding author: Zhou Chengchao, zhouchengchao@sdu.edu.cn

DOI: 10.12201/bmr.202510.00015

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  Abstract: Objective: This study aims to analyze the focus and existing shortcomings of informal care policy in China , and to provide references for policy system optimization. Methods: A two-dimensional analysis framework of “policy instruments–participating actors” was constructed and a content analysis method was applied to quantitatively analyze 34 relevant policy texts on informal care(2011–2025), aiming to reveal the structural features and evolution logic of the policy system. Results: The policy evolution has undergone three stages: institutional initiation, regulated development, and systematic deepening.In terms of policy tools, supply-side, environmental, and demand-side tools accounted for 39.6%, 33.6%, and 26.8%, respectively, with the structure transitioning from a “supply-dominated” to a diversified synergistic model of “supply optimization + environmental empowerment + demand stimulation”. In terms of participating actors, government departments (27.7%) played a dominant role, technology enterprises showed increased participation (20.6%), while family members remained underrepresented(9.2%). Conclusion: It is necessary to further optimize the structure of policy tool, strengthen social participation and family support systems, promote the deep integration of technology and humanistic care, and enhance the systematicness and effectiveness of the policy system.

  Key words: Informal care; Policy tools; Participants; Content analysis

  Submit time: 11 October 2025

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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