External Support for Elderly Care Social Enterprises in China: A Government-Society-Family Framework of Analysis

Li, Huimin; Huang, Jikun; Liu, Jiayun

doi:10.3390/ijerph19148244

Cited by 10 publications

(11 citation statements)

References 68 publications

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“…The optimal allocation of SECR is proactive measures in respond to population aging, because resource allocation is a key foundation of the wellbeing and health of the older adults [ 29 , 43 , 45 ]. This study provides critical evidence for optimizing resource allocation by investigating the influencing factors of the SECR allocation from a spatial perspective.…”

Section: Discussionmentioning

confidence: 99%

“…The aging subsidies issued by central or local governments for older people who meet certain conditions are unique additional source of funding. The government spending on social public health directly affects the supply of social elder care services [ 29 , 49 ].…”

Section: Index System For Measuring the Level Of Secrmentioning

confidence: 99%

“…However, the shortage of social elderly care resources (SECR) and the imbalance between supply and demand has led to unfair and inefficient supply [ 22 , 41 ] and unmet demand for elderly care services [ 6 , 39 ]. The SECR is a general term for the physical elements of care services for older adults that rely on entities other than families, such as government, enterprises, communities, and non-profit organizations [ 29 , 41 ]. The Chinese central government has been committed to improve SECR for the elderly people for the past several decades.…”

Section: Introductionmentioning

confidence: 99%

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Spatiotemporal evolution and influencing factors of the allocation of social care resources for the older adults in China

Peng,

Huang,

Deng

2023

Int J Equity Health

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Background The reasonable allocation of social care resources for the older adults is a key measure to actively respond to population aging. This study aims to evaluate the evolutionary trend, spatial differences and influencing factors of the social elderly care resources (SECR) allocation in China. Methods This study constructed a comprehensive index system consisting of three dimensions: material resources, human resources and financial resources, to measure the level of SECR in mainland China. The Kernel density estimation was used to reveal the dynamic evolution trend, and Dagum Gini Coefficient and its decomposition method were used to investigate the equity of SECR allocation. Spatial panel regression models were used to analyze the influencing factors of the allocation of SECR. Results The level of SECR is rising from 0.197 in 2013 to 0.208 in 2019. The middle-high- and high-level areas of SECR were mainly distributed in the eastern and western China. The Gini coefficient of SECR decreased from 0.262 in 2013 to 0.249 in 2019. Per capita GDP, the proportion of social welfare expenditure in GDP and the proportion of the tertiary industry in GDP have significant positive effects on the allocation of SECR. Population aging and the development of service industry exhibit significant negative spatial spillover effects on the allocation of SECR. Conclusions The fairness of the allocation of SECR in China has been improved, while the spatial distribution is imbalanced. Economic development, fiscal input and the development of service industry have significant positive effects while population aging has significant negative effects on the SECR allocation.

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Section: Discussionmentioning

confidence: 99%

Section: Index System For Measuring the Level Of Secrmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Spatiotemporal evolution and influencing factors of the allocation of social care resources for the older adults in China

Peng,

Huang,

Deng

2023

Int J Equity Health

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“…The aging of society is accelerating, the number of elderly people with chronic diseases and disabilities is increasing, and the demand for long-term care for old person is growing yearly (Meng et al, 2021). With the miniaturization of family structure and the weakening of family care function, institutional care gradually became an important supplementary form of family care (Li et al, 2022). Long-term care institutional nurses aim to provide professional care services such as health care, life assistance, rehabilitation, and hospice care for the aged with chronic diseases or physical and mental disabilities (Kilpatrick et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

The work status of nurses in long‐term care institutions in elderly care: A qualitative descriptive study

et al. 2023

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AimTo understand the work status of nurses in long‐term care institutions in China for elderly care to provide a reference for further formulating management strategies and promoting the development of long‐term care teams.MethodsUsing qualitative descriptive research methods, 31 nurses from three long‐term care institutions were selected through purposive sampling for in‐depth interviews, and a three‐week participatory observation was conducted on the daily work of nurses in the above three long‐term care institutions. Content analysis was used to analyse data.ResultsIn our sample, nurses in long‐term care institutions had insufficient manpower, generally had low academic qualifications, and lacked professional ability. Their work enthusiasm and initiative need to be further improved. Long‐term care nurses were moderately paid, and their salary satisfaction was lower than in other trades. At the same time, the social understanding of the long‐term care industry was insufficient, and the social identity of nurses in long‐term care institutions was low.ConclusionThe development of long‐term care requires the joint efforts of nurses, medical institutions, and society. By improving the system, cultivating talents and building a harmonious atmosphere, we aim to enhance the work enthusiasm of long‐term care nurses and promote the stable and orderly development of the long‐term care team.Implications for nursing managementNurses in long‐term care institutions are at the core of the ageing age and play a vital role in coping with the ageing problem, meeting long‐term care needs, improving the quality of life of old people and reducing the cost of long‐term care. The training and management of nurses in long‐term care institutions and the construction of the entire long‐term care system should be based on China's national conditions and actual needs.

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“…The entry of social capital into the elderly care industry can effectively solve the insufficient supply of elderly care services ( 1–4 ), improve the utilization efficiency of elderly care resources ( 5 , 6 ), and meet the diversified, personalized, and hierarchical service needs of the older adult ( 7 , 8 ). The role of social capital in the elderly service system cannot be ignored.…”

Section: Introductionmentioning

confidence: 99%

Evolutionary game and stability analysis of elderly care service quality supervision from the perspective of government governance

Wang,

Liu,

Zheng

2023

Front. Public Health

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ObjectiveThe performance of government functions is an important guarantee for the standardized operation of the elderly service market. The objective of this study is to explore the optimal path for the government to govern the elderly care service market.MethodsThe tripartite evolutionary game model is proposed in the paper, which composed of local governments, private elderly care institutions and the public. Furthermore, three mechanisms, i.e. dynamic penalty and static subsidy, static penalty and dynamic subsidy, dynamic penalty and dynamic subsidy, are designed. Under these different mechanisms, the stability of each subject’s strategy choice is analyzed by using system dynamics simulation.ResultsThe introduction of dynamic mechanisms can compensate for the inability of static mechanisms to bring the system to a steady state. The dynamic penalty and dynamic subsidy mechanism allows the system to evolve to the desired point of stability. The self-discipline behavior of private elderly care institutions is positively correlated with penalties and reputation gains-losses, negatively correlated with subsidies, and not correlated with supervision rewards. Excessive subsidies will promote the collusion of private elderly institutions.ConclusionOnly when the local government adopts the dynamic penalty and dynamic subsidy mechanism will private elderly care institutions choose to operate in a fully self-disciplined manner. Reasonable adjustments of penalties, reputation gains-losses and subsidies can not only further optimize the dynamic penalty and dynamic subsidy mechanism, but also help to achieve diversified regulatory objectives of the government. This study would provide a reference for local governments seeking to develop effective regulatory policies for the elderly service market.

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External Support for Elderly Care Social Enterprises in China: A Government-Society-Family Framework of Analysis

Cited by 10 publications

References 68 publications

Spatiotemporal evolution and influencing factors of the allocation of social care resources for the older adults in China

Spatiotemporal evolution and influencing factors of the allocation of social care resources for the older adults in China

The work status of nurses in long‐term care institutions in elderly care: A qualitative descriptive study

Evolutionary game and stability analysis of elderly care service quality supervision from the perspective of government governance

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