Differences in the Potential Accessibility of Home-Based Healthcare Services among Different Groups of Older Adults: A Case from Shaanxi Province, China

Wang, Lijian; Di, Xiaodong; Liu, Yang; Dai, Xiuliang

doi:10.3390/healthcare8040452

Cited by 6 publications

(4 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Where our study differs from the findings of Wang's study is ( 42 ): first, where there is common ground. Both studies agree that China's population is aging and that there is a lack of healthcare for the elderly.…”

Section: Discussioncontrasting

confidence: 90%

Analysis of healthcare needs differences and influencing factors among elderly population: Evidence from Yangtze River Delta region, China

et al. 2022

Front. Public Health

View full text Add to dashboard Cite

The quality of healthcare services is related to the quality of life of older people in their later years. A comprehensive evaluation of the healthcare needs of the elderly is the basic basis for providing targeted healthcare services for the elderly population. Taking the Yangtze River Delta region of China as an example, this article constructs an index system for evaluating the healthcare needs among the elderly, and explores the healthcare needs of the elderly and the influencing factors based on Dataset of the Fourth Sample Survey on the Living Conditions of China's Urban and Rural Older Persons. The study concludes that: Age 75 is the cut-off point for the healthcare needs of the elderly, with the growth of healthcare needs of the elderly aged 60–75 relatively flat and the growth of healthcare needs of the elderly aged 75 and above rising sharply. There is a wide variation in the Daily Activities Care Index, Incontinence Index and Aids Use Index scores and their indicators, as reflected in the differences in healthcare needs of older people in different age groups and in urban and rural areas. Healthcare needs of the elderly show a high positive correlation with the Daily Activities Care Index and Incontinence Index; healthcare needs of the elderly show a cubic function curve correlation with the assistive device use index. Community elderly healthcare services are conditions that influence the demand for elderly healthcare, but the low proportion of elderly people staying in elderly care institutions is due to a combination of low affordability, general quality of elderly care services and cultural factors. Educational attainment and marital status are micro-conditions that influence the demand for healthcare in old age. In terms of educational attainment, elderly people who have not attended school have an increasing need for healthcare as they get elderly. In terms of marriage, there is a strong negative correlation between the willingness to healthcare needs among elderly people with a spouse and a strong willingness to healthcare needs among elderly people who are widowed.

show abstract

Section: Discussioncontrasting

confidence: 90%

Analysis of healthcare needs differences and influencing factors among elderly population: Evidence from Yangtze River Delta region, China

et al. 2022

Front. Public Health

View full text Add to dashboard Cite

show abstract

“…However, a few scholars have argued that there is a lack of effective collaborative skills in the healthcare field and a lack of research on it (Okpala, 2017; VanVactor, 2012). Others have emphasized the need for leadership in healthcare to adopt a collaborative style to enhance the quality of healthcare services (Doshi, 2020; Okpala, 2019; Wang et al ., 2020) and ensure that patients receive these high-quality services (Gulati et al ., 2021; Saxena et al ., 2019). This study discerns the mediating role of leadership's collaborative nature (LCN) in the relationship between CI and PSP in healthcare drawing on social exchange theory (SET).…”

Section: Introductionmentioning

confidence: 99%

Cultural intelligence and proactive service performance: mediating and moderating role of leader's collaborative nature, cultural training and emotional labor

Al Shaer,

Jabeen,

Jose

et al. 2023

JHOM

View full text Add to dashboard Cite

PurposeDrawing on cultural intelligence and social exchange theories, this study examines cultural intelligence and its effects on proactive service performance and the mediating role of leader's collaborative nature and the moderating role of cultural training and emotional labor, particularly deep acting and surface acting, in the relationship between cultural intelligence and proactive service performance.Design/methodology/approachThe study sample comprised 510 healthcare practitioners. Structural equation modeling was used to examine the hypotheses.FindingsThe results show that cultural intelligence positively influences proactive service performance. Additionally, leadership's collaborative nature influences proactive service performance. The moderating effect of cultural training and deep acting positively influences the relationship between cultural intelligence and proactive service performance. In contrast, surface acting reveals a reverse effect, thus exhibiting a positive effect on this relationship.Research limitations/implicationsThese findings suggest that public healthcare organizations should pay more attention in improving deep acting, cultural training and leadership's collaborative nature for optimal service performance.Originality/valueThe novelty of this study lies in its presentation of an integrated framework based on cultural intelligence and social exchange theories that can solve the contemporary challenges facing healthcare firms operating in emerging markets in integrating cultural intelligence and service performance.

show abstract

“…In particular, western researchers have shed light on the accessibility challenges faced by vulnerable populations, such as children and individuals with disabilities, in reaching medical facilities 9,10 . Meanwhile, Chinese scholars are investigating spatial accessibility discrepancies across various occupational and age groups, with a specific focus on older adults [11][12][13] . In terms of methodology, most studies still rely on traditional quantitative statistical methods, such as the Gini coefficient, Lorenz curve, Thayer index, and concentration index, to measure the equity of spatial allocation of regional medical facilities [14][15][16] .…”

Section: Introductionmentioning

confidence: 99%

The social equity and the spatial accessibility of general hospitals in big Chinese cities: an exploration based on different income groups and transportation modes in Shenzhen

Xia,

Zhu

2023

Interdisciplinary Nursing Research

View full text Add to dashboard Cite

Objectives: The rational planning and allocation of hospitals significantly improves residents’‘ health and quality of life. However, the unequal allocation of medical resources remains a significant issue in large Chinese cities. This study investigated the disparities in access to healthcare among different social groups in Shenzhen and explored the discrepancy in equity and its influencing mechanisms. Methods: The population was divided into five social groups based on housing prices: high-income, middle-high-income, middle-income, middle-low-income, and low-income. The actual travel times of residential neighborhoods and general hospitals under both driving and public transportation were accessed through the application programming interface Amap, a mapping technology application. The accessibility of general hospitals was calculated by the Gaussian-based two-step floating catchment area method. The Gini coefficient was used to further investigate the equity in medical facility services. Results: Accessibility to first- and second-level hospitals was adequate for the high-income group. However, a significant spatial mismatch in the allocation of hospitals was identified for the middle-low-income and low-income groups, especially those reliant on public transportation. Conclusions: This study reveals an inequitable allocation of hospitals, with driving accessibility generally superior to public transport accessibility in Shenzhen, and a significant spatial mismatch for middle-low-income and low-income groups. This study suggests optimizing public transportation around hospitals and middle-low-income or low-income neighborhoods through urban planning to improve the accessibility of public service facilities for middle-low-income and low-income households, thereby promoting more health equity.

show abstract

Differences in the Potential Accessibility of Home-Based Healthcare Services among Different Groups of Older Adults: A Case from Shaanxi Province, China

Cited by 6 publications

References 44 publications

Analysis of healthcare needs differences and influencing factors among elderly population: Evidence from Yangtze River Delta region, China

Analysis of healthcare needs differences and influencing factors among elderly population: Evidence from Yangtze River Delta region, China

Cultural intelligence and proactive service performance: mediating and moderating role of leader's collaborative nature, cultural training and emotional labor

The social equity and the spatial accessibility of general hospitals in big Chinese cities: an exploration based on different income groups and transportation modes in Shenzhen

Contact Info

Product

Resources

About