scholarly journals Resource Configuration Efficiency and Influencing Factors of Elderly Care Services Based on a Data-Driven DEA-Tobit Approach

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Dongqing Luan ◽  
Ziqing Zhao ◽  
Yanxi Xie

Efficient resource configuration is critical to providing sustainable aged care services. Empirical studies are conducted with a two-stage data-driven method of DEA-Tobit. First, the BCC model of data envelopment analysis is employed, to determine whether the values obtained from the three efficiency aspects (namely technical, pure technical, and scale) are situated in the frontiers of production, whether DEA is effective, and whether the problems of uneconomical scale or low technical level are available. Next, the causes of these problems are analyzed. Then, the regression analysis is performed using Tobit with the influencing factors including GDP, the number of institutions engaged in elderly care, the number of day service centers in the communities, the number of medical service institutions for the elderly, and the density of the elderly population. Known as a city with a severely aging population, Shanghai will be selected for a case study to propose countermeasures from the three dimensions of the elderly group, the elderly care industry, and the market environment.


Author(s):  
Wadad Kathy Tannous ◽  
Divya Ramachandran

India is the world's largest democracy and second most populous country with nearly 1.4 billion people. With reduced birth rates and increasing lifespans, it had nearly 104 million ‘senior citizens' in 2011, expected to grow to 300 million by 2050. Providing care for the elderly in India is a growing public and private concern. Filial piety is embedded in culture and long-term care for parents and the elderly is expected from children. However, over the last five decades there have been rapid changes in socioeconomic patterns with increasing mobility for work and rise of nuclear households. Despite this, elder care is still largely underdeveloped, with lack of formal training in geriatric care and geriatric care curriculum in medical education. Australia has a highly evolved elderly care system with care services that includes retirement villages, home care, residential care, and flexible care. These are provided by subsidization from the government and private user pay system. Australia is well poised to provide aged care expertise and services and shape elderly care in India.



2021 ◽  
Vol 275 ◽  
pp. 03003
Author(s):  
Yi Ding ◽  
Zhe Zhang ◽  
Meiyun Yang ◽  
Fengqi Sun

This research focuses on a service acquisition mode for parents in urban separated families of China to promote the popularization of elderly care services in Internet economy. Based on interviews and questionnaires, authors find the pain point of the elderly care service acquisition mode and propose a tripartite participatory mode. Using this new service acquisition mode, adult children can play an assistant role with a smartphone-based service purchase platform. Next, in order to determine what services should be provided priorly on the platform, an empirical study based on questionnaires and KANO model is carried out to screen a propriate services items. Through the innovation of new elderly care service acquisition mode, more practitioners are supposed to expands their business effectively in aging market, and to play an ever more active role in the growth of Internet economy.



Electronics ◽  
2020 ◽  
Vol 9 (11) ◽  
pp. 1925
Author(s):  
Soe Ye Yint Tun ◽  
Samaneh Madanian ◽  
Dave Parry

The elderly population is increasing globally, putting more pressure on aged care and public health systems. To address this issue and help increase the independence of older people, different digital technologies, including the Internet of things (IoT), can play an important role. Although there has been an increase in the number of studies in this field, most of them concentrate on IoT applications in elderly care from a technology perspective, with very little contribution from the clinical side. Therefore, this paper aims to investigate and identify the available IoT applications and their clinical utility for common diseases in elderly people. The results of this study could be useful for information technology professionals in developing and understanding the clinical requirements for IoT applications in healthcare for older people. Clinicians will also be informed about the clinical possibilities of using IoT devices in this area. Based on our findings, future research should focus on enhancing the clinical utility of current IoT applications in different settings and on developing new applications to support practitioners and older people.



2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Filzah Md Isa ◽  
Shaista Noor ◽  
Goh Wei Wei ◽  
Sharifah Diyana Binti Syed Hussain ◽  
Hairunnisa Mohamad Ibrahim ◽  
...  

Purpose Malaysia is considered to be a relatively young country as compared to other older countries such as Japan, China and Australia in terms of the ageing population. However, until 2035, Malaysia will be in the ageing group countries as 15% of the entire population will be above 60 years of age. This situation is quite alarming as more and more ageing care centres will be required to fulfill the ongoing demands of the ageing population. The elderly care centres in Malaysia are categorised as public (sponsored by the government), private, and charity based that comes under religious centres. Currently, there are about 365 registered elderly care centres working in the main states of Malaysia, including Sabah and Sarawak, two states of the East Malaysia. Due to the importance of ageing population issues, the present study is conducted to explore the demographics facet of Malaysian’s elderly care centres. The main reason behind that lies on the fact that many of these centres are still labelled as being not well equipped and lacking behind in trained staff, equipment and also suffering from severe financial constraints but some still capable of working on a sustainability basis. Design/methodology/approach Qualitative Research Strategy has been adopted, and 28 centres throughout Malaysia are included in this study. About 18 Operators from different centres and 15 caregivers were interviewed to get the holistic view of ageing care and facilities in their respective centres. Findings The results highlight that the majority of centres are not receiving any financial help from the government, and few centres are doing small business such as supplying consumable medical and non-medical items and providing renting and rehabilitation centres facilities to sustain. The caregivers are facing issues such as excess workload, less salary, peer conflicts and non-cooperative centre leadership. Originality/value The present study may help to provide useful information to the policymakers, which enables them to formulate the strategies for ageing care centres in Malaysia. As this study provides insight of components that have an impact on the overall wellbeing of elderly care centres, hence, it could help the care services providers to act as a rising star for Malaysian’s social life comfort.



2021 ◽  
Vol 4 (4) ◽  
pp. 139-145
Author(s):  
Mengna Li ◽  
Liyun Wu

In order to solve the problem of imbalance resource allocation and service income in the elderly care service industry, this article establishes three service income models in different situations for a single provider and a single integrator while considering the quality as well as government subsidies. The results showed that government subsidies can significantly improve quality efforts and service income with a mutual restriction between quality and service income. Government subsidies would have an impact on the quality, and they are more conducive to the service income of providers. When government subsidies are less than 80% of the service income, the incentive effect is better.



Sensors ◽  
2021 ◽  
Vol 21 (18) ◽  
pp. 6051
Author(s):  
Daniel Fuentes ◽  
Luís Correia ◽  
Nuno Costa ◽  
Arsénio Reis ◽  
José Ribeiro ◽  
...  

The Portuguese population is aging at an increasing rate, which introduces new problems, particularly in rural areas, where the population is small and widely spread throughout the territory. These people, mostly elderly, have low income and are often isolated and socially excluded. This work researches and proposes an affordable Ambient Assisted Living (AAL)-based solution to monitor the activities of elderly individuals, inside their homes, in a pervasive and non-intrusive way, while preserving their privacy. The solution uses a set of low-cost IoT sensor devices, computer vision algorithms and reasoning rules, to acquire data and recognize the activities performed by a subject inside a home. A conceptual architecture and a functional prototype were developed, the prototype being successfully tested in an environment similar to a real case scenario. The system and the underlying concept can be used as a building block for remote and distributed elderly care services, in which the elderly live autonomously in their homes, but have the attention of a caregiver when needed.



Author(s):  
Susann Porter ◽  
Tuija Muhonen

The aims of this qualitative grounded theory study were to explore how politicians accountable for Swedish elderly care viewed their assignment, their beliefs and knowledge regarding the psychosocial work environment for elderly care employees, the factors affecting their work environment, and how these politicians regarded elderly care during the COVID-19 pandemic. This study consisted of 41 interviews with politicians in municipalities across Sweden. Three categories emerged from the analysis: (1) interpretation of the assignment directs the focus; (2) recognizing shortfalls in the employees’ work environment; and (3) exposing deficiencies due to the COVID-19 pandemic. The strongest category was identified as interpretation of the assignment directs the focus and was described as the delivery of good and quality care. Nevertheless, this study highlights shortfalls in the delivery of care services where the employees’ work environment, especially in the home care sector, was frequently described as stressful. The COVID-19 pandemic adversely affected the work situation for staff in elderly care. In that setting, staff shortage and lack of competency were common. Nurses were particularly affected by high workload and responsibility. Further research should explore civil servant roles in the elderly care sector and how these actors view their collaboration with municipality politicians.



2021 ◽  
Vol 9 ◽  
Author(s):  
Yan Wu ◽  
Yanran Ding ◽  
Cong Hu ◽  
Lei Wang

This study uses the logit model through questionnaire data of Beijing in 2019 to investigate the participation willingness of online timebank elderly care, especially to discover different influencing factors on the participation willingness between the youth group and the elderly group. We find that: First, the health status of elderly people and the number of elder families of young people have significant positive impacts on their willingness to participate in online timebank. Second, the experience of participating in voluntary activities has a significant positive effect and it has a far greater impact in the young group than that in the elderly group. Third, the more the free time, the higher the participation willingness in the young group, but it is the opposite in the elderly group. Fourth, the years of education and party member have significant promoting effects on the participation willingness in both groups. Such heterogeneous influencing factors can help develop online timebank nursing for dealing with the increasingly serious population aging problem in China and also other developing countries.



2021 ◽  
Vol 233 ◽  
pp. 01168
Author(s):  
Aijia Song ◽  
Zhaoqi Peng

2020-2050 is a period of rapid development of China's population aging, and it is also a critical period for the country to actively respond to population aging. Under the background of the combination of medical care and nursing, institutional elderly care services, as an important branch of the multi-level elderly care service system, have become the main battlefield of the integrated medical and elderly care policy. Therefore, institutional care talents for the aged have also become a key link in improving the quality of life of the elderly population. This paper using trend extrapolation model to predict the needs of elderly care talents in institutions in Beijing, including nursing staff who provide basic living care and professional medical staff who provide services such as rehabilitation, medical treatment, nutrition, and psychological consultation. The results show that, in 2050, the demand for institutional elderly nursing staff in Beijing will exceed 150,000, and the demand for institutional elderly medical staff will reach about 20,000.



2013 ◽  
Vol 6 (1) ◽  
pp. 31-60 ◽  
Author(s):  
Iwona Sobis

Abstract Reforms of the public sector, conducted in the spirit of NPM since the 1990s, are frequently studied by Western and Eastern scholars. The research shows national variations in how the NPM idea was translated and adapted into a country’s context and regulations. Care for the elderly is an interesting example of reforms conducted in the spirit of NPM, because it relates to welfare and health care and to the competences of provincial and local authorities in most European countries. This paper addresses the following questions: What do we know about the reforms conducted in the spirit of NPM and its practical implication within the field of care for the elderly during 1990 - 2010? What kind of knowledge about care for the elderly is still missing and should be developed in the future ? Th is paper conducts comparative research on what is known about the effects of the Swedish and the Polish reforms regarding care for the elderly. It argues that most literature points to negative effects, but also to the fact that there are still gaps in our knowledge about the effects of reforms concerning elderly care, especially regarding its organization. Hence, despite all the research done, we do not know what kind of social and health-care services for seniors represent the best practices for the future.



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