The Privatisation and the Unbalanced Spatial Development of Residential Care for the Elderly: the Case of Beijing, China

Jia, Min; Zhou, Yanyan; Lin, Jingyi

doi:10.1007/s12061-016-9204-4

Cited by 6 publications

(6 citation statements)

References 16 publications

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“…Like other social policy areas, eldercare services have mainly been expanded via marketization strategies; as Nan et al (2020) show, this is evident insofar as Chinese policies on aging have increasingly mentioned “marketization” and “services” since 2000. As scholars (Leung and Xu, 2015; Jia, Zhou, and Lin, 2018; Luo and Zhan, 2018) have shown, the expansion of eldercare services has largely been achieved by encouraging collectives, social organizations, and private businesses to provide eldercare services by charging fees for older people ineligible for means-tested public services under the “three nos” policy.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Although scholars agree that marketization has resulted in the massive expansion in the supply of eldercare services, they differ in their evaluations of marketization processes. Jia, Zhou, and Lin (2018) and Luo and Zhan (2018: 451), for instance, have both claimed that these marketization strategies have created a neoliberal development trend. Luo and Zhan (2018), however, have also argued that this has changed since the 2000s with increasing government subsidies and pilot projects for long-term care insurance (see, e.g., Du, Dong, and Ji, 2021).…”

Section: Literature Reviewmentioning

confidence: 99%

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Marketization of Eldercare in Urban China: Processes, Effects, and Implications

Maags

2022

Modern China

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China is one of the most rapidly aging societies worldwide. As eldercare services have only been developed over the last two decades, the party-state has increased its efforts by promoting the marketization of eldercare services. Drawing on Vaittinen, Hoppania, and Karsio’s “political economy of care” framework, this study conducts a comparative analysis of marketization processes in Hangzhou and Nanjing to examine local government marketization strategies, their effects on service development, and their socioeconomic implications. I argue that local governments have pursued a “dual-track marketization” strategy. On the one hand, the means-tested public eldercare service infrastructure, which has existed since the Mao Zedong era, has been made subject to the kinds of neoliberal market reforms also found in, for example, European countries, while on the other hand, an entirely new private eldercare service infrastructure is being set up. As the market logic takes over, however, income- and gender-based social inequalities are enhanced.

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Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Marketization of Eldercare in Urban China: Processes, Effects, and Implications

Maags

2022

Modern China

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“…Only recently have more advanced spatial analytical approaches been used to analyse and visualise variations in accessibility to residential or community care provision for the elderly at more detailed spatial scales (Chotvijit et al., 2018 ; Frochen et al., 2019 , 2020 ; Jia et al., 2018 ; Kilinc et al., 2017 ; Liu et al., 2020 ; Matei et al., 2018 ; Vrabková et al., 2021 ). These have primarily used either a proximity or a density measure to investigate service variations.…”

Section: Geographical Approaches To Examine Inequalities In Access To...mentioning

confidence: 99%

Towards an understanding of inequalities in accessing residential and nursing home provision: The role of geographical approaches

Higgs

Langford

Llewellyn

2022

Health Social Care Comm

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Suggestions of the existence of so‐called ‘social care deserts’ in England in the years leading up to the COVID‐19 pandemic drew attention to the potential impact of geographical inequalities on the availability of residential, nursing and domiciliary care. To date, much of this analysis has been conducted at spatially aggregated scales such as that of local authorities or postcode sector. Hidden within such aggregate‐level analysis however are geographical differences in the local provision of care services. In this paper, we draw attention to geographical modelling techniques that can be used to examine local trends in the supply of social care services in relation to potential demand. These spatial models can be used to examine variations in the number of facilities (or choice) within reasonable drive times/distances. Drawing on a national database of residential and nursing care beds in Wales for March 2020, we illustrate the potential of such techniques to provide an insight into current patterns in access to care homes, and to monitor future changes in the fall‐out from the effects of the COVID‐19 pandemic on the care home sector. The concentration of care home sites in metropolitan areas and in the heavily populated post‐industrial valleys in the south‐east is identified, but significant demand present in these areas ameliorates scores towards mid‐range ratios. We conclude by suggesting that the types of techniques used in this study enable disparities in provision within localised areas to be better explored, thereby helping planners and policy makers to address potential inequalities in provision.

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“…However, Grengs (2014) argues that vulnerable social groups in Detroit enjoy better accessibility than more privileged groups for several trip purposes, such as childcare facilities and hospitals, while the situation is reversed when it comes to accessing stores and supermarkets. In the Chinese context, some scholars identify an unbalanced spatial development of public services such as elderly care facilities (e.g., Jia et al, 2018). Others argue that low-income migrants in cities mostly live close to public facilities (Lin et al, 2011;Liu et al, 2018).…”

Section: Equity In the Accessibility Of Public Facilitiesmentioning

confidence: 99%

Accessibility-Based Equity of Public Facilities: a Case Study in Xiamen, China

Lin

Geertman

et al. 2021

Appl. Spatial Analysis

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China's rapid economic development has led to inequality in terms of property, education, and health. Equal access to basic public facilities has become a key concern of inclusive development policies. However, previous studies have paid little attention to the effects of different travel modes on the accessibility of basic public facilities. The present research fills this gap. Taking Xiamen city as a case study, it explores the degrees of horizontal and vertical equity by examining the accessibility of various basic public facilities, paying attention to different travel modes and travel times. The results for Xiamen city show that disadvantaged groups experience a greater level of inequity. By taking these aspects into account, one is better equipped to identify areas in the city where access to basic public facilities is in need of substantial improvement.

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The Privatisation and the Unbalanced Spatial Development of Residential Care for the Elderly: the Case of Beijing, China

Cited by 6 publications

References 16 publications

Marketization of Eldercare in Urban China: Processes, Effects, and Implications

Marketization of Eldercare in Urban China: Processes, Effects, and Implications

Towards an understanding of inequalities in accessing residential and nursing home provision: The role of geographical approaches

Accessibility-Based Equity of Public Facilities: a Case Study in Xiamen, China

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