scholarly journals Research on the Problem of Urban Community-based Elderly Care Service under the Background of Aging Population - The Case Study of G City

Author(s):  
Ruo-qian Shen ◽  
Jian Zhou
Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 643
Author(s):  
Jiangang Shi ◽  
Wenwen Hua ◽  
Daizhong Tang ◽  
Ke Xu ◽  
Quanwei Xu

Based on Maslow’s hierarchy of needs theory and customer satisfaction theory, we constructed a satisfaction model for supply–demand satisfaction for community-based senior care (SSCSC) combined with the psychological perspective of the elderly, and four dimensions of basic living needs (BLNs), living environment (LE), personal traits (PTs), and livability for the aged (LA) were selected to construct the model. The data were obtained from 296 questionnaires from seniors over 50 years old (or completed by relatives on their behalf, according to their actual situation). Twenty-two observed variables were selected for the five latent variables, and their interactions were explored using structural equation modeling. The results showed that LA was the most significant factor influencing SSCSC, and it was followed by BLNs and LE. PTs did not show a direct effect on LA, but they could have an indirect effect on SSCSC through influencing BLNs and LE. Based on the current state of community aging satisfaction, we propose to establish a community elderly care service system based on the basic needs of the elderly population, providing differentiated and refined elderly care services and improving the level of aging-friendly communities. This study provides references for the government to formulate relevant policies and other supply entities to make strategic decisions and has important implications for further enhancing community elderly services to become an important part of the social security system for the elderly.


2021 ◽  
Vol 7 (5) ◽  
pp. 1469-1479
Author(s):  
Zhang Zehao ◽  
Wang Xinting ◽  
Xie Linling

Objectives: Studies show that the harm of smoking is much higher in the elderly than in the young and middle-aged. Therefore, smoke-free communities are more suitable for the elderly. China’s ministry of civil affairs pointed out that, the development of community elderly care services conforms to the wishes of over 90% of the elderly in China, which is the focus of the construction of China’s elderly care service system. Meanwhile, China’s existing smoke-free community elderly care service models are diverse, service efficiency and sustainability remains uneven. Methods: This study constructed a conceptual framework for smoke-free community elderly care service based on the theory of welfare pluralism. To find the sustainability of smoking control in smoke-free communities and the efficiency of elderly care service supply under different supply modes. According to the geographical location, 9somke-free communities in Beijing, Nanjing and Xi’an were selected for investigation. Results: Three supply modes of community-based elderly care services are summarized, including Multiactor Participation Model (MPM), Government and Social organization Cooperation Model (GSCM), and Government-led Participation Model (GPM). The case analysis method is used to analyze the characteristics of the supply actors, supply content, and supply methods of these three models. Conclusion: Three supply modes of community-based elderly care services are summarized, including Multiactor Participation Model (MPM), Government and Social organization Cooperation Model (GSCM), and Government-led Participation Model (GPM). The MPM for smoke-free community elderly care, which includes the participation of multiple subjects and is more diversified in terms of supply content and methods, is found to have better smoking control efficiency and higher sustainability.


2021 ◽  
Vol 13 (24) ◽  
pp. 13568
Author(s):  
Tianke Zhu ◽  
Jian Jin ◽  
Xigang Zhu

Embedding the program of elderly care into community-based service system seems to imply that China is reorganising capacities of neighbourhood governance. The program, created by transformation of neighbourhood governance, represented the state government’s frustration with the institutional embodiment of neoliberalism. However, stimulating neighbourhood organisations in elderly care service through involvement of market instruments demonstrated the neoliberal approach. In this study, we provided a research framework in the context of embedded neoliberalism to explore the dilemma of neighbourhood governance in China. By interviewing 100 elderly people in five neighbourhoods in Nanjing, China, we examined the home-based elderly care (HEC) model to analyse the changes in socio-spatial relationships of neighbourhoods. We argued that the state-organised system of market instruments as a form of neighbourhood system weaken the spontaneity of elderly residents in developing social capitals. Moreover, the emerging program is struggling to operate because the devolution of conservative governance capacity from the state to the neighbourhood does not provide resources, leading to the restrained market provision. Thus, this transformation of neighbourhood governance can only be effective if there is a clear complementarity relationship between the role of state and market instruments. The attention of further studies on neighbourhood governance needs to re-examine the reciprocal relationships in the context of declining neoliberalism.


2019 ◽  
Vol 10 (5) ◽  
pp. 479-487
Author(s):  
Sawpheeyah Nima ◽  
◽  
Yupa Somboon

There are several medical drug addict treatment methods used by physicians and other health professionals worldwide. The community-based treatment and care for drug use and dependence have increased in popularity. However, little is known about whether or how Islamic spirituality model could be incorporated into formal treatment in the Muslim community. This study aimed to explore the Islamic integrated model for drug addict treatment and rehabilitation on Kratom use among Muslim adolescents in Krabi Province, Thailand. The focus group discussion and in-depth interview were carried out in chief officer, the staff of treatment service volunteers, program leaders, and families and friends of addicts during October 2017-December 2018. The results revealed that the implementation of integrated Islamic religious learning in the drug therapy session to grow the spiritual religiosity and lower relapse among Muslim youth who were previous kratom addicts. The Islamic faith-based treatment model could be declared the evidence of kratom recovery in community level.


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