Aging with Disabilities: Navigating the Dual Challenge of Aging and Disability in a Rapidly Aging Society with a Focus on China.

Abstract

China faces the dual challenge of population aging and rising disability rates, creating an "aging-disability overlap" that places unprecedented pressure on the nation's healthcare system. This paper analyzes the complex mechanisms underlying the intersection of aging and disability, revealing that chronic and degenerative diseases are primary contributors to disability among older adults, with disability rates significantly increasing with age and comorbidities. Despite China's implementation of long-term care insurance pilot programs and community-based elderly care services, multiple challenges persist: insufficient financing sustainability, inconsistent assessment standards, regional development imbalances, professional talent shortages, and social-cultural prejudices. In response, this paper proposes a comprehensive strategy framework aligned with "Healthy China 2030"'s goals of strengthening disability prevention and early intervention mechanisms; enhancing long-term care services with diversified security systems; fostering professional talent development in geriatric and rehabilitation medicine; promoting research and application of intelligent assistive technologies; and creating barrier-free communities within an inclusive social environment. Through these coordinated approaches, we aim to improve the quality of life for older adults with disabilities and facilitate dignified and high-quality healthy aging.