Treffer: Identifying Accessibility and Equity Defects of Elderly Care Services in Developing Countries: Insights From Xiamen City.

Title:
Identifying Accessibility and Equity Defects of Elderly Care Services in Developing Countries: Insights From Xiamen City.
Authors:
Wei L; State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics School of Public Health Xiamen University, Xiamen, China.; Key Laboratory of Health Technology Assessment of Fujian Province School of Public Health Xiamen University, Xiamen, China.; State Key Laboratory of Vaccines for Infectious Diseases Xiang An Biomedicine Laboratory Xiamen University, Xiamen, China., Fang Y; State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics School of Public Health Xiamen University, Xiamen, China.; Key Laboratory of Health Technology Assessment of Fujian Province School of Public Health Xiamen University, Xiamen, China.; State Key Laboratory of Vaccines for Infectious Diseases Xiang An Biomedicine Laboratory Xiamen University, Xiamen, China., Zhang L; State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics School of Public Health Xiamen University, Xiamen, China.; Key Laboratory of Health Technology Assessment of Fujian Province School of Public Health Xiamen University, Xiamen, China.; State Key Laboratory of Vaccines for Infectious Diseases Xiang An Biomedicine Laboratory Xiamen University, Xiamen, China.
Source:
Journal of nursing management [J Nurs Manag] 2024 Sep 23; Vol. 2024, pp. 9340456. Date of Electronic Publication: 2024 Sep 23 (Print Publication: 2024).
Publication Type:
Journal Article
Language:
English
Journal Info:
Publisher: Blackwell Scientific Publications Country of Publication: England NLM ID: 9306050 Publication Model: eCollection Cited Medium: Internet ISSN: 1365-2834 (Electronic) Linking ISSN: 09660429 NLM ISO Abbreviation: J Nurs Manag Subsets: MEDLINE
Imprint Name(s):
Original Publication: Oxford : Blackwell Scientific Publications, c1993-
MeSH Terms:
Health Services Accessibility*/standards , Health Services Accessibility*/statistics & numerical data , Health Services for the Aged*/standards , Health Services for the Aged*/statistics & numerical data , Health Equity*/standards , Health Equity*/statistics & numerical data, Humans ; China ; Developing Countries/statistics & numerical data ; Aged ; Nursing Homes/statistics & numerical data
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Contributed Indexing:
Keywords: elderly care service facilities; health equity; nursing; older adults; spatial accessibility
Entry Date(s):
Date Created: 20250414 Date Completed: 20250414 Latest Revision: 20250415
Update Code:
20250415
PubMed Central ID:
PMC11919240
DOI:
10.1155/2024/9340456
PMID:
40224830
Database:
MEDLINE

Weitere Informationen

Background: The global aging population has raised concerns about the fair distribution of elderly care resources. China, as the largest developing country, has made efforts to address population aging challenges. However, equitable distribution of elderly care resources remains a concern. This study analyzed the spatial layout and accessibility of elderly care service facilities (ECSFs) in Xiamen City to improve resource allocation and enhance the elderly care system in China. The findings provide valuable insights for other developing countries and regions seeking to improve their own elderly care resource allocation. Methods: Xiamen City was chosen as the research area due to its unique geographical location and advanced information technology infrastructure. The study examined the spatial distribution, accessibility, and equity of ECSFs. Using Python, point of interest (POI) data were collected and evaluated using the kernel density method and two-step floating catchment area method. Spatial autocorrelation analysis identified areas of aggregation and dispersion in ECSF accessibility. Results: Xiamen currently has 660 ECSFs, including nursing homes, adult day care centers, home care agencies, and rural elderly care homes. The analysis revealed spatial disparities, with ECSFs clustering primarily in the central area of Xiamen Island. Significant differences in accessibility were found among the four types of ECSFs. Spatial autocorrelation analysis identified cold and hot spot areas, indicating variations in accessibility across regions. Conclusion: Xiamen City has made progress in allocating elderly care resources and constructing service facilities. However, equity in resource allocation remains a concern. Areas with limited accessibility were identified, leading to unequal access to elderly care resources and timely physical care. To address these challenges, decision-making departments should consider increasing facilities, improving transportation, enhancing macro planning, and improving facility service quality and accessibility. These measures will optimize ECSF accessibility and promote equitable distribution of elderly care resources.
(Copyright © 2024 Linjiang Wei et al.)

The authors declare no conflicts of interest.