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Assessing the Accessibility of Home-Based Healthcare Services for the Elderly: A Case from Shaanxi Province, China

Author

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  • Xiaodong Di

    (School of Public Policy and Administration, Xi’an Jiaotong University, No 28 Xianning West Road, Xi’an 710049, Shaanxi, China)

  • Lijian Wang

    (School of Public Policy and Administration, Xi’an Jiaotong University, No 28 Xianning West Road, Xi’an 710049, Shaanxi, China)

  • Xiuliang Dai

    (School of Public Policy and Administration, Xi’an Jiaotong University, No 28 Xianning West Road, Xi’an 710049, Shaanxi, China)

  • Liu Yang

    (School of Public Policy and Administration, Xi’an Jiaotong University, No 28 Xianning West Road, Xi’an 710049, Shaanxi, China)

Abstract

With the rapid increase of the elderly population in China, healthcare services for the elderly have gradually become an important welfare resource. However, the healthcare service for the elderly still has problems such as mismatched supply and demand and unbalanced resources. In order to effectively eliminate the path barriers to match supply and demand, and improve the accessibility of healthcare services, this paper introduces the sustainability of the healthcare service based on the accessibility theory, and constructs an index system from the three dimensions of potential accessibility, realized accessibility, and sustainable accessibility of healthcare services for the elderly. Then, the paper makes a practice application of the index system based on survey data of healthcare services from Shaanxi province, China. Finally, the paper finds that the total accessibility and sustainable accessibility of healthcare services for the elderly in Shaanxi Province are at an average level. The score of potential accessibility is high, indicating that elderly people have greater opportunities to use healthcare services. The realized accessibility score is low, which indicates that the actual use of healthcare services for the elderly presents low satisfaction.

Suggested Citation

  • Xiaodong Di & Lijian Wang & Xiuliang Dai & Liu Yang, 2020. "Assessing the Accessibility of Home-Based Healthcare Services for the Elderly: A Case from Shaanxi Province, China," IJERPH, MDPI, vol. 17(19), pages 1-16, September.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:19:p:7168-:d:421975
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    References listed on IDEAS

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    1. Christine A. Yee & Aaron Legler & Michael Davies & Julia Prentice & Steven Pizer, 2020. "Priority access to health care: Evidence from an exogenous policy shock," Health Economics, John Wiley & Sons, Ltd., vol. 29(3), pages 306-323, March.
    2. Javier Güeita-Rodriguez & Pilar Famoso-Pérez & Jaime Salom-Moreno & Pilar Carrasco-Garrido & Jorge Pérez-Corrales & Domingo Palacios-Ceña, 2020. "Challenges Affecting Access to Health and Social Care Resources and Time Management among Parents of Children with Rett Syndrome: A Qualitative Case Study," IJERPH, MDPI, vol. 17(12), pages 1-16, June.
    3. Gerardo Carpentieri & Carmen Guida & Houshmand E. Masoumi, 2020. "Multimodal Accessibility to Primary Health Services for the Elderly: A Case Study of Naples, Italy," Sustainability, MDPI, vol. 12(3), pages 1-15, January.
    4. Fanlei Kong & Lingzhong Xu & Mei Kong & Shixue Li & Chengchao Zhou & Jianghua Zhang & Bin Ai, 2019. "Association between Socioeconomic Status, Physical Health and Need for Long-Term Care among the Chinese Elderly," IJERPH, MDPI, vol. 16(12), pages 1-19, June.
    5. Janice Ying‐Chui Lau & Eliza Lai‐Yi Wong & Roger Y. Chung & Stephen C.K. Law & Diane Threapleton & Nicole Kiang & Patsy Chau & Samuel Y.S. Wong & Jean Woo & Eng‐Kiong Yeoh, 2018. "Collaborate across silos: Perceived barriers to integration of care for the elderly from the perspectives of service providers," International Journal of Health Planning and Management, Wiley Blackwell, vol. 33(3), pages 768-780, July.
    6. Xiaocang Xu & Linhong Chen, 2019. "Projection of Long-Term Care Costs in China, 2020–2050: Based on the Bayesian Quantile Regression Method," Sustainability, MDPI, vol. 11(13), pages 1-13, June.
    7. Tsuyoshi Hamano & Miwako Takeda & Kazumichi Tominaga & Kristina Sundquist & Toru Nabika, 2017. "Is Accessibility to Dental Care Facilities in Rural Areas Associated with Number of Teeth in Elderly Residents?," IJERPH, MDPI, vol. 14(3), pages 1-6, March.
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    Cited by:

    1. Hao Zhu, 2022. "Spatial Matching and Policy-Planning Evaluation of Urban Elderly Care Facilities Based on Multi-Agent Simulation: Evidence from Shanghai, China," Sustainability, MDPI, vol. 14(23), pages 1-20, December.
    2. Zhenyu Sun & Ying Sun & Xueyi Liu & Yixue Tu & Shaofan Chen & Dongfu Qian, 2022. "A Refined Evaluation Analysis of Global Healthcare Accessibility Based on the Healthcare Accessibility Index Model and Coupling Coordination Degree Model," Sustainability, MDPI, vol. 14(16), pages 1-16, August.
    3. Zhao Yu & Lijian Wang & Tolulope Ariyo, 2020. "Supply and Demand-Related Decisive Factors in the Utilization of Non-Medical Community Healthcare Services among Elderly Chinese," IJERPH, MDPI, vol. 18(1), pages 1-15, December.
    4. Bangyu Liu & Ning Qiu & Tianjie Zhang, 2023. "Accessibility of Elderly Care Facilities Based on Social Stratification: A Case Study in Tianjin, China," Sustainability, MDPI, vol. 15(2), pages 1-12, January.
    5. Zhenwei Wang & Xiaochun Wang & Zijin Dong & Lisan Li & Wangjun Li & Shicheng Li, 2023. "More Urban Elderly Care Facilities Should Be Placed in Densely Populated Areas for an Aging Wuhan of China," Land, MDPI, vol. 12(1), pages 1-13, January.

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