Research on the “NIMBY” Dilemma of Embedded Elderly Care Service in Community: Take the elderly care institutions in the M community as an example

2021 ◽  
Vol 1 (1) ◽  
pp. 14-23
Author(s):  
Daijun Ren
Keyword(s):  
Care Service ◽  
Elderly Care ◽  
The Elderly

HOME CARE IN OUTPATIENT CARE – STATE AND DEVELOPMENT IN BULGARIA

2018 ◽  
Vol 28 (2) ◽  
pp. 571-574
Author(s):  
Ivanka Stambolova ◽  
Stefan Stambolov
Keyword(s):  
Home Care ◽  
Outpatient Care ◽  
Care Service ◽  
Elderly Care ◽  
Care Center ◽  
Elderly Person ◽  
Chronically Ill ◽  
The Elderly ◽  
Legal Regulation ◽  
Health And Social Care

In outpatient care the home care, including hospices, is recognized as a model for providing quality, cost-effective and charitable care. The focus is mainly on the care that helps everyday lifeof the patient as well as the relatives, rather than on treatment, and in most cases it takes place in the patients' home. In Europe, in recent years there has been a real "boom" in home care due to demographic processes linked to increased needs for elderly care and chronically ill under the conditions of limited financial resources.In outpatient medical care in our country by means of a national framework contract there are regulated visits to the patient's home by a doctor, as well as visits by medical staff employed by him - nurse, midwife, medical assistant / paramedic / for manipulation, counseling and monitoring. At the same time there is no regulated legal activity in the Republic of Bulgaria, which is essentially the subject of home care.Since 1994 „Caritas“ has carried out the "Home Care" service, which provides a complex - health and social care for over 360 sick adults in a place where the elderly person feels the most comfortable - in their own home. „Caritas Home Care“ is provided by mobile teams of nurses and social assistants who visit the elderly at home and provide them with the necessary care according to their health and social needs.With the establishment of the first „Home Care Center“ in Lozenets region, Sofia, with the support of the PHARE ACCESS program in 2003, the Bulgarian Red Cross introduces in Bulgaria an integrated model for provision of health care and social services in the home of adults, chronically ill and people with permanent disabilities. To date, there are a number of problems in home care related to the realization of home care for patients in need in out-of-hospital settings: lack of legal regulation for home care, lack of qualified staff in outpatient care; lack of organization and structures for care; unsettled funding and the inability of the part of the population that is most in need of care to pay for it, there is no regulation to control the activity. Although home care began over 20 years ago, our country is yet to make its way to the European program called „Home care in Europe“.

Development of a Mobile Time Banking system on Blockchain (MTBB) for Community Elderly Care (Preprint)

2019 ◽  
Author(s):  
Hungyi Chen ◽  
Yuan-Chia Chu ◽  
Feipei Lai
Keyword(s):  
Care Service ◽  
Elderly Care ◽  
Banking System ◽  
The Elderly ◽  
Community Services ◽  
The Other ◽  
Smartphone App ◽  
Smartphone Apps ◽  
Member Service ◽  
Blockchain Technology

BACKGROUND Time banking is a good mechanism to provide elderly care in community services with members having mutual benefits, besides social welfare and out-of-pocket fee payment mechanisms. With further integration with off-line works, mobile time banking may provide a better way, compared to traditional web access. On the other hand, blockchain technology has been long encountering difficulty in integrating with real-world economies or activities. Development of a mobile time banking system on blockchain (MTBB) may provide a realistic solution for community elderly care. Besides, the tracking mechanism from blockchain technology itself may also help track the elderly care service transaction records in order to measure better Sustainable Development Goals (SDGs) set by United Nations (UN). OBJECTIVE The aim of this study was to develop the MTBB, which enables tracking service transaction records in community elderly care through mutual helps. METHODS The MTBB was developed to empower organizations, either Corporate Social Responsibility (CSR) organizations, or Non-Profit Organizations (NPOs), to issue time tokens of their proprietary token types to the members who participate in the volunteer activities organized by the organizations respectively. In the service activities, members sign in and sign out before and after the services by using a smartphone app, and then get the time tokens afterwards. Members with time tokens can then exchange time tokens for elderly care services using the same smartphone app. MultiChain is used as the blockchain technology stack, as one of its features to support multiple token types is critical. RESULTS Database applications with smartphone apps integrated with MultiChain were developed. The whole set of the database schema was integrated with two smartphone apps, one for members, and the other for organizations, in addition to the two backend operations modules, one for organizations, and the other for managing all organizations and members. The MultiChain wallet was also integrated into the member app, as well as the organization backend modules for keeping track of the service transactions and time tokens. Metadata with the service transaction information is stored in the MultiChain blocks so that the transaction records are immutable and can thus be analyzed in the future. CONCLUSIONS The twelve characteristics of Cahn’s time banking are the guidelines of developing this MTBB with integration of MultiChain blockchain technology for tracking service transaction records. The study also combines the 1-to-1 member service exchange with organizations holding volunteer activities and issuing proprietary time tokens. With the blockchain transaction tracking mechanism, all of the elderly care service records through or within organizations can be tracked and analyzed to align with UN’s five SDGs.

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.

scholarly journals Design of New Elderly Care Service Acquisition Mode from the Perspective of Internet Economic Innovation

2021 ◽  
Vol 275 ◽  
pp. 03003
Author(s):  
Yi Ding ◽  
Zhe Zhang ◽  
Meiyun Yang ◽  
Fengqi Sun
Keyword(s):  
Empirical Study ◽  
Care Service ◽  
Elderly Care ◽  
Active Role ◽  
The Elderly ◽  
Kano Model ◽  
Care Services ◽  
Internet Economy ◽  
Acquisition Mode ◽  
Economic Innovation

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.

scholarly journals Impact of Quality and Government Subsidies on Elderly Care Services

2021 ◽  
Vol 4 (4) ◽  
pp. 139-145
Author(s):  
Mengna Li ◽  
Liyun Wu
Keyword(s):  
Resource Allocation ◽  
Service Industry ◽  
Care Service ◽  
Elderly Care ◽  
The Elderly ◽  
Improve Quality ◽  
Incentive Effect ◽  
Government Subsidies ◽  
Care Services

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.

scholarly journals Using Trend Extrapolation Model to Predict the Needs of Elderly Care Talents in Beijing Institutions

2021 ◽  
Vol 233 ◽  
pp. 01168
Author(s):  
Aijia Song ◽  
Zhaoqi Peng
Keyword(s):  
Nursing Staff ◽  
Medical Staff ◽  
Population Aging ◽  
Care Service ◽  
Rapid Development ◽  
Elderly Care ◽  
Institutional Care ◽  
The Elderly ◽  
Care Services ◽  
Extrapolation Model

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.

scholarly journals Development of an IoT-Based Health Promotion System for Seniors

2020 ◽  
Vol 12 (21) ◽  
pp. 8946
Author(s):  
Chia-Hui Liu ◽  
Jih-Fu Tu
Keyword(s):  
Health Promotion ◽  
Health Management ◽  
Care Service ◽  
Elderly Care ◽  
Health Care Service ◽  
Measurement Techniques ◽  
The Elderly ◽  
Physiological Measurement ◽  
Promotion System ◽  
Elderly Nutrition

With a reducing fertility rate and the increase in life expectancy in Taiwan, the changing structure of the population has pushed Taiwan into an aged society. The demand for elderly care environments is rapidly increasing. However, to prevent an illness for the elderly is better than to treat it. Monitoring of an individual’s health is required as a periodic activity. Using wireless technology combined with physiological measurement techniques and home care equipment can assist elderly individuals to promote health and the health care service at home. In this research, a wireless sensor network has been adopted to develop context aware health promotion for an elderly-care system. The system is divided into three subsystems: the IoT-based physiological information subsystem, the context awareness-based service subsystem, and the elderly nutrition diet and health promotion subsystem. In this system, users also can select an Aging Diet Module or an Aging Exercise Module in our app. After the user selects the Aging Diet Module, the system will record and give suggestions. Moreover, the system can integrate long-term elderly diet and exercise records, and then, assist elderly to complete personal nutrition assessment and health management. The research goal is to construct a health promotion system utilizing IoT technology. In this paper, the system’s functions and implementation approaches are introduced.

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 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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