SSRScientific and Social Research2661-43322981-9946Bio-Byword Scientific Publishing Pty. Ltd.10.26689/ssr.v8i3.14360ArticleStandardized Reconstruction of the Longterm Care System for the Elderly in Macau: A Pathway Study Based on Hong Kong’s Integrated Experiencehttps://artdesignp.com/journal/SSR/8/3/10.26689/ssr.v8i3.14360XiaoPeiyu2026832026-04-15Based on policy instrument theory, this article systematically analyzes the structural challenges faced by Macao’s long-term care system for the elderly, such as fragmentation, lack of standardization, and shortages of professional manpower. Through a comparison of Hong Kong’s integrated governance framework and the United States’ InterRAI-based precise closed-loop management technology, this study proposes an innovative pathway tailored to the characteristics of Macao’s micro-economy. This pathway builds on the InterRAI standardized assessment tool to construct a data-driven closed-loop management mechanism that covers the entire process from “needs screening—care planning—resource payment—quality benchmarking—system optimization.” The aim is to explore a new sustainable elderly service governance model characterized by “government leadership, data-driven processes, and market collaboration”, providing a practical blueprint for restructuring the Macao system and offering both a theoretical reference and practical paradigm for other regions facing challenges of super-aged societies.

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