Population aging in Macau has intensified. As families become increasingly smaller, the burden on caregivers is becoming a growing concern for society. Studies show that 36% of caregivers devote more than seven hours a day to providing care, the equivalent of a full-time job.
In addition, more than half of them balance caregiving responsibilities with paid employment. Given this enormous physical and psychological burden, it is suggested that existing support be optimized along three lines: expanding the scope of public policies, classifying resources more accurately, and strengthening proactive referral mechanisms.
The current Caregiver Subsidy Regulations cover people caring for chronically bedridden individuals and those with intellectual disabilities, autism, or severe or profound physical disabilities. Although the subsidy has been increased to MOP2,400 per month, the families of people with dementia, Parkinson’s disease, or moderate disabilities also face considerable pressure, justifying their gradual inclusion. The government should improve the “definition of caregiver” to provide a scientific basis for future policies.
In terms of services, the Macau SAR Government has been promoting emotional support, respite care, and training programs. In response to the wide range of needs, it is proposed that a “Tiered Caregiver Support System” be established to assess the time devoted to caregiving, the level of difficulty involved, the condition of the care recipient, and the level of pressure experienced by the caregiver. This would make it possible to define clear levels of support, ensuring targeted assistance and the effective use of public resources.
With the opening of the Caregiver Support Center this year, closer “medical-social cooperation” is expected. Upon hospital discharge or the diagnosis of a disabling condition, the healthcare system should make an immediate referral to ensure that caregivers receive professional guidance during the transition.
Respite services, emergency care, and home-based support should also be expanded. To identify high-risk families, Macau should draw inspiration from neighboring regions and promote information sharing among community organizations, hospitals, and public agencies, thereby strengthening the social safety net.
