Home Health Care Needs and Willingness to Pay for Home Health Care Among the Empty-nest Elderly in Shanghai, China

Liu, Lijuan; Fu, Yunfeng; Qu, Li

doi:10.1016/j.ijge.2013.01.013

Cited by 30 publications

(18 citation statements)

References 15 publications

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“…As a result of the drastic decline of family support and a short supply of elderly care institutions, the demand for community‐based elderly care (CEC) has been on the rise. Although the elderly who are economically better‐off are able and willing to pay for elderly care and services (Liu, Fu, Qu, & Wang, ), a significant proportion of China's elderly population are living in poverty. How to provide adequate support for those who cannot afford private care has posed a serious policy challenge to the Chinese government.…”

Section: Introductionmentioning

confidence: 99%

Network structure and collaborative innovation processes—A comparative analysis of two elderly service networks in Shanghai

Lam

2018

Public Admin & Development

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Summary How does the structure of government‐funded service networks affect the process of service innovation? We have conducted a comparative analysis of the structure and processes of collaborative innovation of 2 government‐funded community‐based elderly service networks in Shanghai. We have found that in consistent with the literature, a network that has a network administrative organization structure is better able to manage the process of service innovation in a way that balances the need to achieve government policy goals on the one hand and the imperative to facilitate bottom‐up citizen participation on the other. Surprisingly, contrary to what prior studies have suggested, we have found that a network in which a lead organization plays a dominant role, despite its more centralized process of service innovation, is often able to deliver a variety of high‐quality and low‐cost services addressing citizens' needs. With the leadership provided by the network lead organization and its close affiliation with the street‐office government, the network has been able to solicit government support. Such a hierarchical yet responsive state‐society relation has emerged as a result of the coalescence of a corporatist state legacy and an increasing pressure for local governments to seek citizens' support in service delivery.

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Section: Introductionmentioning

confidence: 99%

Network structure and collaborative innovation processes—A comparative analysis of two elderly service networks in Shanghai

Lam

2018

Public Admin & Development

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“…The concept of willingness to pay has been studied in various fields, 44 such as health care 45 – 48 and social protection. 49 , 50 The participants of the survey were asked to express how much they would be willing to pay for the service if that was an option. The questions were fixed with the possibility to select only one answer or to grade answers using the Likert scale.…”

Section: Methodsmentioning

confidence: 99%

Can we do better? Economic analysis of human resource investment to improve home care service for the elderly in Serbia

Mihić¹,

Todorović²,

Obradović³

et al. 2016

CIA

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BackgroundSocial services aimed at the elderly are facing great challenges caused by progressive aging of the global population but also by the constant pressure to spend funds in a rational manner.PurposeThis paper focuses on analyzing the investments into human resources aimed at enhancing home care for the elderly since many countries have recorded progress in the area over the past years. The goal of this paper is to stress the significance of performing an economic analysis of the investment.MethodsThis paper combines statistical analysis methods such as correlation and regression analysis, methods of economic analysis, and scenario method.ResultsThe economic analysis of investing in human resources for home care service in Serbia showed that the both scenarios of investing in either additional home care hours or more beneficiaries are cost-efficient. However, the optimal solution with the positive (and the highest) value of economic net present value criterion is to invest in human resources to boost the number of home care hours from 6 to 8 hours per week and increase the number of the beneficiaries to 33%.ConclusionThis paper shows how the statistical and economic analysis results can be used to evaluate different scenarios and enable quality decision-making based on exact data in order to improve health and quality of life of the elderly and spend funds in a rational manner.

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“…The first one includes papers that investigate other related fields in HHC such as Supply Chain Management in HHC or Human Factor in HHC, and the second one consists of papers that presents mathematical modeling or using meta-heuristic algorithm for routing and assigning in HHC staff planning. In the first classification, Liu et al (2014) compared HHC and nest elderly in Shanghai. Their purpose was assessing the home health care needs among the empty-nest elderly living.…”

Section: Literature Reviewmentioning

confidence: 99%

“…The World Health Organization (WHO) has announced that the rate of care-dependent elderly people in Europe will strongly increase within next decades (Rabbani et al, 2017). Home care initially concentrated on nursing cares, developed complex, and technical cares such as chronic cares, rehabilitation, end-of-life pal-liative cares, and home chemotherapy (Liu et al, 2014). Nowadays the services may include cleaning, preparing food, and help for everyday tasks (Decerle et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Using a metaheuristic algorithm for solving a home health care routing and scheduling problem

Manavizadeh¹,

Farrokhi-Asl²,

Beiraghdar³

2020

10.5267/j.jpm

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The Health Care system is changing from the hospitalization to the home care, and the World Health Organization has announced that the rate of care-dependent elderly people in Europe will considerably increase within the next decades. Thus, scientific planning for this area is an essential factor to improve the community health. This paper aims to develop a mathematical modeling for Home Health Care Routing and Scheduling Problem and to solve it by means of Simulated Annealing (SA) algorithm considering real condition (staff vehicle traveling, conditions of patients and so forth). We permit interdependent services for patients in which they can order as many services as they want with any relation between them (Multiple Services) and supposed time window for each service. The mathematical formulation of the problem is coded in GMAS software, which is a well-known commercial software for solving optimization problems. In addition, for large-scale problems where GAMS is unable to solve, SA algorithm is applied to tackle the problems. Finally, sensitivity analysis on the most important parameters (number of services and number of patients with interdependent Multiple services) are conducted. The results reveal that when each patient can order infinite services with any relation between them, complexity of the problem increases, but SA algorithm can solve large instances with reasonable solution in the less computational time. Thus, SA algorithm shows a rational performance for large instances. Moreover, the most important factors that affect the objective value and the run time of the problems are number of patients, and number of patients with interdependent multiple services.

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Home Health Care Needs and Willingness to Pay for Home Health Care Among the Empty-nest Elderly in Shanghai, China

Cited by 30 publications

References 15 publications

Network structure and collaborative innovation processes—A comparative analysis of two elderly service networks in Shanghai

Network structure and collaborative innovation processes—A comparative analysis of two elderly service networks in Shanghai

Can we do better? Economic analysis of human resource investment to improve home care service for the elderly in Serbia

Using a metaheuristic algorithm for solving a home health care routing and scheduling problem

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