scholarly journals China’s “Embedded Neoliberal” Home-Based Elderly Care? A State-Organised System of Neighbourhood Governance

2021 ◽  
Vol 13 (24) ◽  
pp. 13568
Author(s):  
Tianke Zhu ◽  
Jian Jin ◽  
Xigang Zhu
Keyword(s):  
Care Service ◽  
Elderly Care ◽  
The State ◽  
Community Based ◽  
Governance Capacity ◽  
Reciprocal Relationships ◽  
Home Based ◽  
State And Market ◽  
Social Capitals

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.

scholarly journals A Study on Supply–Demand Satisfaction of Community-Based Senior Care Combined with the Psychological Perception of the Elderly

Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 643
Author(s):  
Jiangang Shi ◽  
Wenwen Hua ◽  
Daizhong Tang ◽  
Ke Xu ◽  
Quanwei Xu
Keyword(s):  
Latent Variables ◽  
Structural Equation ◽  
Care Service ◽  
Elderly Care ◽  
The Elderly ◽  
Living Environment ◽  
Equation Modeling ◽  
Strategic Decisions ◽  
Community Based ◽  
The Government

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.

Conclusion

2020 ◽  
pp. 159-178
Author(s):  
Mike Allen ◽  
Lars Benjaminsen ◽  
Eoin O’Sullivan ◽  
Nicholas Pleace
Keyword(s):  
Social Services ◽  
The State ◽  
European Countries ◽  
The Political ◽  
Administrative Culture ◽  
Role Of The State ◽  
State And Market ◽  
The Individual

Chapter 7 draws together some of the lessons that can be learned from the experiences of three small European countries in responding to homelessness. It is clear that responses to homelessness are embedded and enmeshed in the political and administrative culture of the individual countries, particularly the role of the state, both centrally and locally, in the provision of housing, welfare, and social services. Homelessness cannot be responded to as a separate issue from this broader context, and this is particularly the case in Finland and Ireland, where the roles of the state and market are understood very differently.

scholarly journals O Turismo de Base Comunitária em uma comunidade ribeirinha da Amazônia: O Caso de Anã na Reserva Extrativista Tapajós-Arapiuns, Santarém (PA)

2017 ◽  
Vol 10 (3) ◽  
Author(s):  
Elcivânia de Oliveira Barreto ◽  
Maria Goretti da Costa Tavares
Keyword(s):  
Third Sector ◽  
Field Work ◽  
The State ◽  
Production Of Space ◽  
Community Based ◽  
Extractive Reserve ◽  
Role Of The State ◽  
Relationship Of ◽  
Tourism Community

EstEste artigo visou analisar a relação do turismo de base comunitária e o uso do território na comunidade ribeirinha de Anã no município de Santarém, estado do Pará. Sendo assim, neste artigo, trazemos uma breve análise do turismo de base comunitária desenvolvido em Anã, uma comunidade ribeirinha situada em uma unidade de conservação localizada no município de Santarém, denominada de Reserva Extrativista Tapajós-Arapiuns. Neste estudo, ainda levamos em consideração o papel do Estado e da ONG Projeto Saúde e Alegria na produção do espaço para o TBC. Desta forma, realizamos uma revisão bibliográfica sobre TBC, Estado e Terceiro Setor, fundamental para subsidiar a realização do trabalho de campo. Destarte, partimos da premissa que o turismo de base comunitária é uma contraponto ao turismo convencional, por assim dizer uma contra-racionalidade hegemônica. E é dentro dessa abordagem, que identificamos que o turismo de base comunitária desenvolvido em Anã, ainda não se configura como uma contra-racionalidade, uma vez que a ONG PSA atua com hegemonia frente ao turismo de base comunitária, e isso se perpetua principalmente pelas ações e inações do Estado na comunidade ribeirinha de Anã. The Tourism Community Based on a riverside community of the Amazon: The Case of Anã in Extractive Reserve Tapajos-Arapiuns, Santarém (PA, Brazil) ABSTRACT This article aimed to analyze the relationship of community-based tourism and the use of land in the riverside community of Anã in the municipality of Santarém, state of Pará (Brazil). So in this article we bring brief analysis of community-based tourism developed in Anã, a riverside community located in a protected area in the municipality of Santarém, called Extractive Reserve Tapajos-Arapiuns. This study also took into account the role of the state and the NGO Projeto Saúde e Alegria – PSA in the production of space for TBC. Thus, we conducted a literature review of TBC, State and Third Sector, critical to support the preparation of field work. Thus, we assume that the community-based tourism is a counterpoint to conventional tourism, so to speak a hegemonic counter-rationality. And it is within this approach, we identified that the community-based tourism developed in Anã, is not yet configured as a counter-rationality, since the PSA NGO operates with front hegemony to community-based tourism, and this is mainly perpetuated by actions and inactions of the State in the riverside community Anã. KEYWORDS: Community Based Tourism; Riverside Community of Anã; State; NGO Projeto Saúde e Alegria.

scholarly journals Activity Recognition Method for Home-Based Elderly Care Service Based on Random Forest and Activity Similarity

IEEE Access ◽  
2019 ◽  
Vol 7 ◽  
pp. 16217-16225 ◽  
Author(s):  
Hanchuan Xu ◽  
Yuxin Pan ◽  
Jingxuan Li ◽  
Lanshun Nie ◽  
Xiaofei Xu
Keyword(s):  
Random Forest ◽  
Activity Recognition ◽  
Care Service ◽  
Elderly Care ◽  
Recognition Method ◽  
Home Based

A Survey on the Sustainability of China’s Smoke-free Community Elderly Care Service Models from the Perspective of Welfare Pluralism

2021 ◽  
Vol 7 (5) ◽  
pp. 1469-1479
Author(s):  
Zhang Zehao ◽  
Wang Xinting ◽  
Xie Linling
Keyword(s):  
Social Organization ◽  
Care Service ◽  
Elderly Care ◽  
The Elderly ◽  
Community Based ◽  
Care Services ◽  
Service Models ◽  
Cooperation Model ◽  
Welfare Pluralism ◽  
Smoking Control

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.

scholarly journals Understanding the Role of Outsiders in Community-Based Development Interventions: A Framework with Findings from Iran

2021 ◽  
Author(s):  
Alireza Naficy ◽  
Sylvia I. Bergh ◽  
Seyyed Hossain Akhavan Alavi ◽  
Ali Maleki ◽  
Mohammad Mirehei
Keyword(s):  
Qualitative Data ◽  
Local Community ◽  
Community Based ◽  
Indigenous Development ◽  
Community Based Organizations ◽  
Development Interventions ◽  
Participatory Institutions ◽  
Development Processes ◽  
State And Market

AbstractThis article analyzes various roles of development practitioners (called outsiders) in five different cases of community-based development (CBD) in rural Iran. It provides a review of the literature on CBD and identifies three main types of roles fulfilled by outsiders to support indigenous development processes. These include preparing the ground, activating community-based organizations as participatory institutions, and taking on the role of brokers who bridge the gap between the local community and outside institutions—especially the state and market. From the analysis of empirical qualitative data collected during fieldwork in Iran, the article concludes that while the roles played by the outsiders in CBD interventions there correspond mostly to those identified in the literature, there are differences in their strategies of intervention and activities under each role which correspond with their contextual contingencies. Recognizing this variation is needed to deepen the understanding of CBD practices and help practitioners think about alternative perspectives and approaches.

scholarly journals A SBM-DEA based performance evaluation and optimization for social organizations participating in community and home-based elderly care services

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248474
Author(s):  
Qiuhu Shao ◽  
Jingfeng Yuan ◽  
Jin Lin ◽  
Wei Huang ◽  
Junwei Ma ◽  
...  
Keyword(s):  
Sensitivity Analysis ◽  
Performance Evaluation ◽  
Empirical Study ◽  
Care Service ◽  
Elderly Care ◽  
The Elderly ◽  
Management Service ◽  
Social Organizations ◽  
Home Based ◽  
Systematic Framework

The community and home-based elderly care service system has been proved an effective pattern to mitigate the elderly care dilemma under the background of accelerating aging in China. In particular, the participation of social organizations in community and home-based elderly care service has powerfully fueled the multi-supply of elderly care. As the industry of the elderly care service is in the ascendant, the management lags behind, resulting in the waste of significant social resources. Therefore, performance evaluation is proposed to resolve this problem. However, a systematic framework for evaluating performance of community and home-based elderly care service centers (CECSCs) is absent. To overcome this limitation, the SBM-DEA model is introduced in this paper to evaluate the performance of CECSCs. 186 social organizations in Nanjing were employed as an empirical study to develop the systematic framework for performance evaluation. Through holistic analysis of previous studies and interviews with experts, a systematic framework with 33 indicators of six dimensions (i.e., financial management, hardware facilities, team building, service management, service object and organization construction) was developed. Then, Sensitivity Analysis is used to screen the direction of performance optimization and specific suggestions were put forward for government, industrial associations and CECSCs to implement. The empirical study shows the proposed framework using SBM-DEA and sensitivity analysis is viable for conducting performance evaluation and improvement of CECSCs, which is conducive to the sustainable development of CECSCs.

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