The “Leap Forward” in Nursing Home Development in Urban China: Future Policy Directions

Shum, Michelle; Lou, VW; He, Kelly Z.J.; Chen, Coco C.H.; Junfang, Wang

doi:10.1016/j.jamda.2015.04.010

Cited by 46 publications

(30 citation statements)

References 20 publications

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“…Information on health-related services and knowledge, such as health self-management and local long-term care facilities, could be used to enrich the content of social capital interventions. Finally, we argue that the promotion of community-based social capital plays an important and compensatory role in sustaining family-based aged-care systems in China [2]. This is crucial for the social sustainability of the nation as a whole.…”

Section: Discussionmentioning

confidence: 84%

“…The decline in average family size and extensive internal migration, for example, have weakened Chinese families' capacities to care for their older members [1]. Furthermore, national long-term care systems are still developing [2]. Under such circumstances, knowledge of social determinants of healthy aging are crucial for the development of evidence-based policies and interventions and the sustainable development of Chinese society.…”

Section: Introductionmentioning

confidence: 99%

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Social Capital and Self-Rated Health among Older Adults Living in Urban China: A Mediation Model

Lü

Zhang

2019

Sustainability

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Social capital and healthy aging are both crucial for social sustainability in China. The present study tested the role of structural social capital in self-rated health among older urban Chinese adults and the influence of cognitive social capital on this relationship. A sample of 456 older adults aged 60 or older in Suzhou, China, were recruited and completed the survey in 2015. Structural equation modeling was used to test the proposed model. Cognitive social capital had larger effects on self-rated health than structural social capital. The relationship between structural social capital and self-rated health was fully mediated by cognitive social capital, when sociodemographic characteristics, socioeconomic status, physical health conditions, and living arrangements were controlled. The culturally sensitive latent construct of community-based social capital proved to be a valid instrument in urban Chinese contexts. Structural social capital likely indirectly affects self-rated health through cognitive social capital. Policy and intervention implications are discussed.

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Section: Discussionmentioning

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Social Capital and Self-Rated Health among Older Adults Living in Urban China: A Mediation Model

Lü

Zhang

2019

Sustainability

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“…The lack of eligibility criteria in the overarching LTC system makes it difficult to guarantee efficient service delivery to those with urgent LTC needs [ 27 ]. Moreover, due to the lack of a holistic process of care provision in conjunction with various underlying care models, the current Chinese LTC system can only offer an acceptable environment with basic standards of living [ 28 ]. The rules regulating quality of institutional care and home care only focus on structural aspects of quality, including facilities, built environment, and equipment.…”

Section: Introductionmentioning

confidence: 99%

“…Although a number of recent research articles have examined older adult care services in metropolitan areas in China (e.g. Beijing, Shanghai, and Guangzhou) [ 26 , 28 , 30 ], limited empirical data are available for small and medium-sized cities. In China, small and medium-sized cities (SMC) play an important role in poverty reduction by improving access to urban services for rural migrants and the poor.…”

Section: Introductionmentioning

confidence: 99%

Pain perception of older adults in nursing home and home care settings: evidence from China

Jiang

Wang

et al. 2018

BMC Geriatr

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BackgroundIn the past decade, the number of long-term care (LTC) services for older adults in China has grown annually by an average of 10%. Older adults, their family members, and policymakers in China are concerned about patient outcomes in different care settings because older adults who have a similar functional status and LTC needs may choose either nursing home care or home care. The aim of this study was to compare pain perception in nursing home care and home care settings for physically dependent older adults in China.MethodsMulti-stage sampling method was used to recruit respondents aged 65 and older from Yichang City, China, in 2015. The researchers employed a two-step analytical strategy—zero-inflated ordered probit regression followed by propensity score matching method—to model the effect of contrasting residence types on pain perception.ResultsZero-inflated ordered probit regression analysis with participants unmatched (n = 484) showed that compared with older adults who received home care, those who received nursing home care did not have more severe pain (β = 0.088, SE = 0.196, p = 0.655). After propensity-score matching, the research found that older adults in the home care group perceived less pain compared with the nursing home group (β = 0.489, SE = 0.169, p = 0.004).ConclusionsThe older adults who received home care perceived significantly less pain than the nursing home residents. The pain of older adults may differ based on the type of LTC services and therapy intensity they received, and home care might lead to less pain and better comfort than nursing home care.

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“…As environment in nursing homes is complex, managers cannot focus on every one of the elderly people. So the challenge is to provide location service and health service in the event of dangerous conditions [1][2][3][4][5]. With the rapid development of monitoring technology, RFID get more attention due to its advantage, such as unique identification, moveable identification, multitargets identification, and good environmental adaptability.…”

Section: Introductionmentioning

confidence: 99%

Health Monitoring System for Nursing Homes with Lightweight Security and Privacy Protection

Jiang

Liu

2017

Journal of Electrical and Computer Engineering

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With the rapid growth of aged population in China, it is urgent to design a safe and effective monitoring system for the nursing homes. An optimized scheme and high performance security and privacy protection for monitoring system have already become the focus studied especially. So this paper proposed a health monitoring system with lightweight security and privacy protection for nursing homes. Dual-band RFID, virtual routing location algorithm, and diet and exercise data collection based on RFID were adopted to obtain the location and health information. And that fused a mobile authentication protocol based on Hash function to realize security access and privacy protection, which can improve security and reduce the complexity of calculation and the implementation cost compared with the typical authentication protocols. The experiment results show that the ratio of relative network delay is below 35%. The system has strong real-time, high security, more comprehensive data, and lower cost of computation and communication. It can satisfy the requirements of health monitoring for nursing homes.

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The “Leap Forward” in Nursing Home Development in Urban China: Future Policy Directions

Cited by 46 publications

References 20 publications

Social Capital and Self-Rated Health among Older Adults Living in Urban China: A Mediation Model

Social Capital and Self-Rated Health among Older Adults Living in Urban China: A Mediation Model

Pain perception of older adults in nursing home and home care settings: evidence from China

Health Monitoring System for Nursing Homes with Lightweight Security and Privacy Protection

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