With an increasing number of elders moving into nursing homes the shift from family to nursing
home care calls for an exploration of caregiving decision-making in urban China. This study
examines how a rapidly growing aging population the one-child policy and economic reform in
urban China pose unprecedented challenges to the country's ingrained tradition of family
caregiving. It presents interviews of matched elders and their children from a
government-sponsored nursing home in Shanghai and analyzes the decision-making process of
institutionalization. This book offers fresh insight into the evolving culture and arrangements
of caregiving in contemporary Chinese society illuminating the diverse needs for long-term
care of Chinese elders-the world's largest aging population-in the coming decades.