Abstract：With the accelerating aging process of China’s population, the scale of the disabled elderly group continues to expand, and the issue of accessibility to long-term care services has become increasingly prominent, emerging as a key topic in the modernization of the social governance system. Currently, profound changes in China’s family structure, the compounding of chronic diseases and disability, the coexistence of economic burdens and social security pressures, and the transformation of elderly care concepts have severely constrained the accessibility of long-term care services. To address this, it is imperative for the national level to conduct overall institutional design, break down resource barriers, and establish accessibility standards and implementation safeguards through legislation. Meanwhile, local governments should be allowed adaptive local flexibility to explore new approaches that meet the requirements of suitability, affordability, and acceptability, thereby satisfying the diverse and differentiated demands for accessibility. On this basis, a systematic pathway framework for improving long-term care accessibility is constructed, including: advancing the development of a holistic long-term care governance system guided by institutional coordination and multi-stakeholder co-governance; establishing an intelligent prediction and assessment system for long-term care accessibility needs; promoting regional coordination and resource sharing; developing a family- and community-centered digital care ecosystem and a socialized long-term care system. At its core, this transformation lies in optimizing spatial layouts and fostering multi-stakeholder collaboration to achieve effective decentralization of care resources and a structural reshaping of service delivery models.
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2025, Vol. 42 
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