IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i19p7168-d421975.html
   My bibliography  Save this article

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

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/19/7168/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/19/7168/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    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.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. 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.
    2. 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.
    3. 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.
    4. 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.
    5. 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.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Cristina García-Bravo & Domingo Palacios-Ceña & Sara García-Bravo & Jorge Pérez-Corrales & Marta Pérez-de-Heredia-Torres & Rosa Mª Martínez-Piédrola, 2022. "Social and Family Challenges of Having a Child Diagnosed with Phelan-McDermid Syndrome: A Qualitative Study of Parents’ Experiences," IJERPH, MDPI, vol. 19(17), pages 1-12, August.
    2. Boqin Xie & Chenjuan Ma & Junqiao Wang, 2020. "Independent and Combined Relationships of Perceived Neighborhood Social Cohesion and Physical Frailty on Functional Disability in Community-Dwelling Older Adults," IJERPH, MDPI, vol. 17(16), pages 1-12, August.
    3. Wenjian Zhou & Jianming Hou & Meng Sun & Chang Wang, 2022. "The Impact of Family Socioeconomic Status on Elderly Health in China: Based on the Frailty Index," IJERPH, MDPI, vol. 19(2), pages 1-14, January.
    4. Cornelia Melinda Adi Santoso & Taufan Bramantoro & Minh Chau Nguyen & Zsuzsa Bagoly & Attila Nagy, 2020. "Factors Affecting Dental Service Utilisation in Indonesia: A Population-Based Multilevel Analysis," IJERPH, MDPI, vol. 17(15), pages 1-11, July.
    5. Liangwen Zhang & Sijia Fu & Ya Fang, 2020. "Prediction the Contribution Rate of Long-Term Care Insurance for the Aged in China Based on the Balance of Supply and Demand," Sustainability, MDPI, vol. 12(8), pages 1-12, April.
    6. Kan Wang & Jianjun Bai & Xing Dang, 2020. "Spatial Difference and Equity Analysis for Accessibility to Three-Level Medical Services Based on Actual Medical Behavior in Shaanxi, China," IJERPH, MDPI, vol. 18(1), pages 1-20, December.
    7. Gerardo Santoyo-Sánchez & César Merino-Soto & Sergio Flores-Hernández & Blanca Estela Pelcastre-Villafuerte & Hortensia Reyes-Morales, 2022. "Content Validity of a Scale Designed to Measure the Access of Older Adults to Outpatient Health Services," IJERPH, MDPI, vol. 19(16), pages 1-16, August.
    8. Linhong Chen & Yue Zhuo & Zhiming Xu & Xiaocang Xu & Xin Gao, 2019. "Is Carbon Dioxide (CO 2 ) Emission an Important Factor Affecting Healthcare Expenditure? Evidence from China, 2005–2016," IJERPH, MDPI, vol. 16(20), pages 1-14, October.
    9. Weite Lu & Chunqin Zhang & Xunyou Ni & Haiqiang Liu, 2020. "Do the Elderly Need Wider Parking Spaces? Evidence from Experimental and Questionnaire Surveys," Sustainability, MDPI, vol. 12(9), pages 1-15, May.
    10. Hossein Moayedi & Amir Mosavi, 2021. "Electrical Power Prediction through a Combination of Multilayer Perceptron with Water Cycle Ant Lion and Satin Bowerbird Searching Optimizers," Sustainability, MDPI, vol. 13(4), pages 1-18, February.
    11. Tsuyoshi Hamano & Yoshiya Shiotani & Miwako Takeda & Takafumi Abe & Kristina Sundquist & Toru Nabika, 2017. "Is the Effect of Body Mass Index on Hypertension Modified by the Elevation? A Cross-Sectional Study of Rural Areas in Japan," IJERPH, MDPI, vol. 14(9), pages 1-6, September.
    12. Lee, Jong Youl & Rajan, Balaraman & (Avi) Seidmann, Abraham, 2024. "Optimal location of remote dental units," European Journal of Operational Research, Elsevier, vol. 312(3), pages 969-977.
    13. Wang, Qun & Abiiro, Gilbert Abotisem & Yang, Jin & Li, Peng & De Allegri, Manuela, 2021. "Preferences for long-term care insurance in China: Results from a discrete choice experiment," Social Science & Medicine, Elsevier, vol. 281(C).
    14. Xiuquan Huang & Xiaocang Xu & Qingqing Wang & Lu Zhang & Xin Gao & Linhong Chen, 2019. "Assessment of Agricultural Carbon Emissions and Their Spatiotemporal Changes in China, 1997–2016," IJERPH, MDPI, vol. 16(17), pages 1-15, August.
    15. Zhigui Guan & Yuanjun Zhao & Guojing Geng, 2022. "The Risk Early-Warning Model of Financial Operation in Family Farms Based on Back Propagation Neural Network Methods," Computational Economics, Springer;Society for Computational Economics, vol. 60(4), pages 1221-1244, December.
    16. Michela Tiboni & Silvia Rossetti & David Vetturi & Vincenza Torrisi & Francesco Botticini & Marco Domenico Schaefer, 2021. "Urban Policies and Planning Approaches for a Safer and Climate Friendlier Mobility in Cities: Strategies, Initiatives and Some Analysis," Sustainability, MDPI, vol. 13(4), pages 1-21, February.
    17. Shenghua Zhou & S. Thomas Ng & Dezhi Li & Jiankun Zhang & Jie Fan & Yifan Yang, 2019. "Characterizing Stakeholders of Aging-in-Place through Social Network Analysis: A Study of Nanjing, China," Sustainability, MDPI, vol. 11(23), pages 1-19, November.
    18. Han Hu & Zhao Zhang, 2022. "Long-Term Care Services and Insurance System in China: An Evolutionary Game Analysis," Sustainability, MDPI, vol. 15(1), pages 1-22, December.
    19. Christine A. Yee & Kyle Barr & Taeko Minegishi & Austin Frakt & Steven D. Pizer, 2022. "Provider supply and access to primary care," Health Economics, John Wiley & Sons, Ltd., vol. 31(7), pages 1296-1316, July.
    20. Bahare Moradi & Rojin Akbari & Seyedeh Reyhaneh Taghavi & Farnaz Fardad & Abdulsalam Esmailzadeh & Mohammad Zia Ahmadi & Sina Attarroshan & Fatemeh Nickravesh & Jamal Jokar Arsanjani & Mehdi Amirkhani, 2023. "A Scenario-Based Spatial Multi-Criteria Decision-Making System for Urban Environment Quality Assessment: Case Study of Tehran," Land, MDPI, vol. 12(9), pages 1-24, August.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:19:p:7168-:d:421975. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.