Care for Whom: Diverse Institutional Orientations of Non-Governmental Elder Homes in Contemporary China

Dai, Haijing

doi:10.1093/bjsw/bct058

Cited by 10 publications

(11 citation statements)

References 10 publications

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“…They use it to make favourable interpretations of particular issues advancing their goals. For example, the political framing of the 'big societies' and 'participatory societies' as a solution to growing complexity of the public wicked problems has become an important political legitimization for shifting responsibilities towards community and individuals (Alcock, 2012;Corbett & Walker, 2013;Dai, 2014). It empowers the third sector and informal caretakers through providing a new policy environment to revive communities and allows the state to step back from some areas of public service delivery (Corbett & Walker, 2013).…”

Section: Framing Through Narrative Storiesmentioning

confidence: 99%

Narrative stories in Chinese characters: political framing of ageing and welfare reform in China

Gerven

2019

Policy and Society

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This article analyses narrative stories used by the Chinese government to connect the problem of population ageing to welfare reform. The findings derived from semi-structural interviews and key policy documents suggest the unfolding of the narrative stories of power and stories of rising and stories of decline. The narrative stories in the developmental Chinese welfare state are diverse and stem from different processes than those for the mature European welfare states. The Narrative stories also vary for different policy areas. For inequality and health-care policies, under the master narrative of story of power, state depicts 'stories of giving-to-give' to support expansion in the traditional 'old risk' type of policies to main population, including the elderly. For longterm care, the power narrative of 'giving-to-shape' legitimizes the expansionary reforms for a small group of deserving frail elderly. Behind this political framing of long-term care reform lies the story of decline that justifies the modest role of state provision in the organization of long-term care and leaves the responsibility for economic, social and spiritual wellbeing for the society itself. The story of decline in China also gravitates around sustainability of societies rather than around financial sustainability commonly underlining the political debate in the West.

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Section: Framing Through Narrative Storiesmentioning

confidence: 99%

Narrative stories in Chinese characters: political framing of ageing and welfare reform in China

Gerven

2019

Policy and Society

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“…However, for the owners of service-oriented elder homes, they believe the local government should be responsible for the sustainability of the elder homes by offering financial assistance and policy support. Thus, Dai points out that the local government in China need to recognize the varieties of these non-governmental service organizations and address their needs for their healthy development [1].…”

Section: Introductionmentioning

confidence: 99%

Research on the Development of Pension Real Estate in China

Jiang¹,

Zhang²

2021

Proceedings of the 2021 3rd International Conference on Economic Management and Cultural Industry (ICEMCI 2021)

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In recent years, due to the increasing number of elderly people in China and the declining fertility rate, the retirement of these elderly people has become a major social as well as medical problem. Accordingly, the pension real estate industry has been growing over the years. However, it is a fresh industry at an initial stage, and there are many unavoidable problems. In terms of policy, although there is a certain amount of policy support, these policies are not strong enough in terms of contention. Therefore, it is difficult to play a major role in the development of this industry. Also, there are a lot of problems in the investment and funding of this industry. To a large extent, due to the lack of government policy support, many investors are afraid of entering the industry, making the industry short of funds. Likewise, pensions for the elderly have changed significantly in terms of award and use. As for the business model, this industry is also facing a big challenge in China. Due to the unique spending habits of China's elderly population, few people use their pensions to enjoy life for themselves. Under such circumstances, many companies are facing serious losses. After analyzing the challenges faced in several areas, we also give certain recommendations for each of them, taking into account the actual situation in China.

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“…The rate of diagnosis and treatment is low. According to Dai (), even in large urban hospitals, medical staff lack knowledge of cognitive impairment and more than half of the healthcare professionals did not know the criteria for diagnosing dementia. In a survey of family caregivers in the four largest cities (Beijing, Xi'an, Shanghai and Chengdu), it found that only 26.9% of people who had cognitive symptoms formally received a dementia diagnosis, and of these, only 2% received medical treatment (Zhang & Goza, ).…”

Section: Introductionmentioning

confidence: 99%

“…Health providers' knowledge and skills in the diagnosis and management of dementia is low in China (Hsiao, Liu, Xu, Huang, & Chi, ). The majority of care homes have no qualified doctors and nurses, and most of their care staff are poorly educated migrant workers (Dai, ; Wu et al, ). These institutions can only provide assistance with daily activities, but lack the skills and knowledge to manage the behavioural and psychological symptoms of dementia (Feng et al, ).…”

Section: Introductionmentioning

confidence: 99%

Tensions in dementia care in China: An interpretative phenomenological study from Shandong province

Zhang

Clarke

Rhynas

2019

Int J Older People Nursing

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Aims:The study aims to analyse the tensions and the challenges of dementia care that are experienced by people with dementia and their family caregivers in China.Background: China has the largest dementia population in the world; however, dementia care services and related support services are still developing. Caring for a person with dementia is very challenging, as evidenced by many studies. As the majority of people with dementia are looked after by their family in their homes in China, it is very important to understand what people with dementia and their family caregivers are experiencing in the context of dementia care services that are in the process of developing. Design: Interpretative phenomenological analysis (IPA) was used. Method: Semi-structured individual interviews with 24 participants (10 people with dementia and 14 unrelated family caregivers) recruited from a mental health centre in Shandong Province. Findings: Three main themes emerged that highlighted unmet need: (a) Lack of support services, (b) Insufficient institutional care and (c) Social attitude and social stigma towards dementia. Conclusions: These themes reveal the challenges that the participants face in the context of dementia care services that are in the process of development in China;and how their lived experiences have been affected by the constraints of social support, public services, healthcare access, long-term care services and social stigma. Implications for practice:This study highlights the tensions that are identified by people with dementia and family caregivers. The research recommends that more support services would be beneficial for this group and would also enhance family support dementia care in China. Looking after an older family member is a culturally, socially and legally embodied norm in Chinese society, so it is important to address education for dementia awareness and the sustainability of family support care services in China by providing dementia services and resources to support both people with dementia and family caregivers.

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Care for Whom: Diverse Institutional Orientations of Non-Governmental Elder Homes in Contemporary China

Cited by 10 publications

References 10 publications

Narrative stories in Chinese characters: political framing of ageing and welfare reform in China

Narrative stories in Chinese characters: political framing of ageing and welfare reform in China

Research on the Development of Pension Real Estate in China

Tensions in dementia care in China: An interpretative phenomenological study from Shandong province

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