THE CONNOTATION AND FUNCTIONAL ANALYSIS OF OLDER ADULT CARE SERVICE MODELS: AN INTERPRETATIVE FRAMEWORK BASED ON GOVERNANCE MECHANISMS
Volume 6, Issue 6, Pp 11-17, 2024
DOI: https://doi.org/10.61784/ejst3041
Author(s)
ShiYu Xie, YanRunYu Liang*
Affiliation(s)
School of Elderly Care Services and Management, Nanjing University of Chinese Medicine, Nanjing 210023, Jiangsu, China.
Corresponding Author
YanRunYu Liang
ABSTRACT
Amid the ongoing restructuring of the older adult care service system, this study explores the general elements of governance mechanisms within the context of China’s institutional environment. It proposes an analytical framework for older adult care service models, following the stages of initial form, institution, behavior, and post-intervention state. By clarifying the initial roles of public service agencies, families, social organizations, and enterprises within various service models, the study outlines their functional boundaries, strengths, and limitations. Additionally, using national strategies and current policies as practical foundations, and following the intervention path from institution to behavior, the study constructs a preliminary framework for the ideal network structure and form of older adult care services. This provides a reference for the subsequent development of a multi-tiered older adult care service system.
KEYWORDS
Older adult care models; Governance mechanisms; Instruments; Actors; Networks
CITE THIS PAPER
ShiYu Xie, YanRunYu Liang. THE CONNOTATION AND FUNCTIONAL ANALYSIS OF OLDER ADULT CARE SERVICE MODELS: AN INTERPRETATIVE FRAMEWORK BASED ON GOVERNANCE MECHANISMS. Eurasia Journal of Science and Technology. 2024, 6(6): 11-17. DOI: https://doi.org/10.61784/ejst3041
REFERENCES
[1] Su S W, Wang D. Health-related quality of life and related factors among elderly persons under different aged care models in Guangzhou, China: a cross-sectional study. Quality of Life Research, 2019, 28(5): 1293-1303. DOI: https://doi.org/10.1007/s11136-019-02107-x.
[2] Xu Q W, Chow J C. Exploring the community-based service delivery model: Elderly care in China. International Social Work, 2011, 54(3), 374-387. DOI: https://doi.org/10.1177/0020872810396260.
[3] Li X, Li C, Huang Y. Spatial-temporal analysis of urban-rural differences in the development of elderly care institutions in China. Frontiers in Public Health, 2022, 10: 1086388. DOI: https://doi.org/10.3389/fpubh.2022.1086388.
[4] Wu Z D, Xu C, Zhang L Y, et al. Volunteering and Depression among Older Adults: An Empirical Analysis Based on CLASS 2018. International Journal of Mental Health Promotion, 2023, 25(3): 403-419. DOI: https://doi.org/10.32604/ijmhp.2023.024638.
[5] Xie F J, Wen S, Deng A W, et al. Evaluation of a community-based integrated care model (CIE) for frail older people in rural Foshan, China: study protocol for a stepped-wedge cluster randomized controlled trial {1}. Trials, 2023, 24(1): 315. DOI: https://doi.org/10.1186/s13063-023-07328-7.
[6] Williamson O E. The Mechanisms of Governance. China Social Sciences Press, 2001.
[7] Coase, R H, North D C, Williamson O E. Institutions, Contracts and Organizations: Perspectives from New Institutional Economics. Economic Science Press, 2023.
[8] Williamson O E. Markets and Hierarchies. Shanghai University of Finance & Economics Press, 2011.
[9] Scholte J A. Beyond institutionalism: toward a transformed global governance theory. International Theory, 2021, 13(1): 179-191. DOI: https://doi.org/10.1017/S1752971920000421.
[10] Breslin D, Wood G. Rule breaking in social care: hierarchy, contentiousness and informal rules. Work Employment and Society, 2016, 30(5): 750-765. DOI: https://doi.org/10.1177/0950017015595956.
[11] Williamson O E. The Logic of Economic Organization. Journal of Law, Economics and Organization, 1988, 65(4): 7-30. DOI: https://doi.org/10.1007/978-3-8349-9924-5_2.
[12] Zhang H F, Li S Y, Dai W W, et al. The effect of reverse intergenerational support on the happiness of Chinese older adults: A moderating effect analysis based on role conflict. Frontiers in Psychology, 2023, 13: 1080772. DOI: https://doi.org/10.3389/fpsyg.2022.1080772.
[13] Bonsang E. Does informal care from children to their elderly parents substitute for formal care in Europe? Journal of Health Economics, 2003, 28(1): 143-154. DOI: https://doi.org/10.1016/j.jhealeco.2008.09.002.
[14] Chen Y, Ji H X, Shen Y, et al. Chronic disease and multimorbidity in the Chinese older adults' population and their impact on daily living ability: a cross-sectional study of the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Archives of Public Health, 2024, 82(1): 17. DOI: https://doi.org/10.1186/s13690-024-01243-2.
[15] Rong X, Zhou Z P, Su Y H. Factors Affecting the Job Satisfaction of Caregivers in a Home-Based Elderly Care Program. International Journal of Environmental Research and Public Health, 2022, 19(15): 9332. DOI: https://doi.org/10.3390/ijerph19159332.
[16] Xia Y, Xu L Z, Sun L, et al. Rural-urban differences in home-based care willingness among older adults: A cross-sectional study in Shandong, China. International Journal for Quality in Health Care, 2022, 32(2): 126-134. DOI: https://doi.org/10.1093/intqhc/mzz132.
[17] Burns, S P, Bradbury M D. President Lincoln, the Civil War, and the Dawn of Gender Representation in the U.S. Federal Bureaucracy. Public Administration Review, 2013, 73(1): 188-190. DOI: https://doi.org/10.1111/puar.12010.
[18] Ma Q Y N, Sun F, Mi H. Long-Term Care Preferences Among Chinese Older Adults: The Role of Sociocultural Factors. Journal of Aging & Social Policy, 2023: 2265770. DOI: https://doi.org/10.1080/08959420.2023.2265770.