IDEAS home Printed from https://ideas.repec.org/a/gam/jsusta/v14y2022i15p9661-d881373.html
   My bibliography  Save this article

Research on Urban Community Elderly Care Facility Based on Quality of Life by SEM: Cases Study of Three Types of Communities in Shenzhen, China

Author

Listed:
  • Longduoqi A

    (Department of Architecture, Harbin Institute of Technology, Shenzhen 518055, China)

  • Hang Ma

    (Department of Architecture, Harbin Institute of Technology, Shenzhen 518055, China)

  • Mohan Wang

    (Department of Architecture, Harbin Institute of Technology, Shenzhen 518055, China)

  • Biao Yang

    (Department of Architecture, Harbin Institute of Technology, Shenzhen 518055, China)

Abstract

Aging in place has been proposed in response to increasing aging worldwide. Recently, many community elderly care facilities (CECFs) in China have been built to meet the desire of the elderly to age in place and help them live better in familiar environments. This study instituted a correlation evaluation system between the elderly’s quality of life (QOL) and their satisfaction with CECFs. It assessed the QOL of the elderly in urban communities in Shenzhen and identified the issues of CECFs that led to the elderly’s low QOL. Firstly, a hypothesis of the relationship between QOL and CECF satisfaction was proposed on the basis of previous studies. The QOL–CECF model was verified and tested by structural equation modeling (SEM). It was found that the functional setting, planning layout, and operational management affect the QOL of the elderly. Secondly, this study investigated the issue of CECFs in three types of communities, namely, urbanized village communities, affordable housing communities, and commercial housing communities. A factor-based analysis revealed the intrinsic linkages between and extracted the composite factors of CECF indicators in the three types of communities, revealing the CECF issues that led to low QOL using a QOL–CECF satisfaction analysis. Lastly, this study proposed differentiated strategies for CECFs in urbanized village communities and affordable and commercial housing communities. This study can provide differentiated strategies for CECFs in various types of communities to effectively improve the QOL of the elderly and promote the sustainability of CECFs.

Suggested Citation

  • Longduoqi A & Hang Ma & Mohan Wang & Biao Yang, 2022. "Research on Urban Community Elderly Care Facility Based on Quality of Life by SEM: Cases Study of Three Types of Communities in Shenzhen, China," Sustainability, MDPI, vol. 14(15), pages 1-23, August.
  • Handle: RePEc:gam:jsusta:v:14:y:2022:i:15:p:9661-:d:881373
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/2071-1050/14/15/9661/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/2071-1050/14/15/9661/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Danni Wang & Changjian Qiao & Sijie Liu & Chongyang Wang & Ji Yang & Yong Li & Peng Huang, 2020. "Assessment of Spatial Accessibility to Residential Care Facilities in 2020 in Guangzhou by Small-Scale Residential Community Data," Sustainability, MDPI, vol. 12(8), pages 1-23, April.
    2. Zhiping Zhong & Lin Lin & Ying Yang, 2020. "Study on the Health Status and Health Service Utilization for the Rural Elderly in the Metropolitan Suburb During the Urbanization Process: A Case for Mingxing Village, Guangzhou," Sustainability, MDPI, vol. 12(9), pages 1-14, April.
    3. Qiushi Feng & Paulin Tay Straughan, 2017. "What Does Successful Aging Mean? Lay Perception of Successful Aging Among Elderly Singaporeans," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 72(2), pages 204-213.
    4. Yang Yu & Yijin Wu & Xin Xu & Yun Chen & Xiaobo Tian & Li Wang & Siyun Chen, 2021. "Spatial Disparities and Correlated Variables of Community Care Facility Accessibility in Rural Areas of China," Sustainability, MDPI, vol. 13(23), pages 1-14, December.
    5. Loi Tan Nguyen & Phouthakannha Nantharath & Eungoo Kang, 2022. "The Sustainable Care Model for an Ageing Population in Vietnam: Evidence from a Systematic Review," Sustainability, MDPI, vol. 14(5), pages 1-17, February.
    6. Marco Grasso & Luciano Canova, 2008. "An Assessment of the Quality of Life in the European Union Based on the Social Indicators Approach," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 87(1), pages 1-25, May.
    7. Paula Elosua, 2011. "Subjective Values of Quality of Life Dimensions in Elderly People. A SEM Preference Model Approach," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 104(3), pages 427-437, December.
    8. Sprangers, Mirjam A. G. & Schwartz, Carolyn E., 1999. "Integrating response shift into health-related quality of life research: a theoretical model," Social Science & Medicine, Elsevier, vol. 48(11), pages 1507-1515, June.
    9. Melanie Davern & Rachel Winterton & Kathleen Brasher & Geoff Woolcock, 2020. "How Can the Lived Environment Support Healthy Ageing? A Spatial Indicators Framework for the Assessment of Age-Friendly Communities," IJERPH, MDPI, vol. 17(20), pages 1-20, October.
    10. Veerle Van Holle & Sarah A. McNaughton & Megan Teychenne & Anna Timperio & Delfien Van Dyck & Ilse De Bourdeaudhuij & Jo Salmon, 2014. "Social and Physical Environmental Correlates of Adults’ Weekend Sitting Time and Moderating Effects of Retirement Status and Physical Health," IJERPH, MDPI, vol. 11(9), pages 1-21, September.
    11. 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.
    12. Kalayanee Senasu & Anusorn Singhapakdi, 2018. "Quality-of-Life Determinants of Happiness in Thailand: the Moderating Roles of Mental and Moral Capacities," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 13(1), pages 59-87, March.
    13. Asthana, Sheena & Gibson, Alex & Moon, Graham & Dicker, John & Brigham, Philip, 2004. "The pursuit of equity in NHS resource allocation: should morbidity replace utilisation as the basis for setting health care capitations?," Social Science & Medicine, Elsevier, vol. 58(3), pages 539-551, February.
    14. Sohn, Minsung & O'Campo, Patricia & Muntaner, Carles & Chung, Haejoo & Choi, Mankyu, 2020. "Has the long-term care insurance resolved disparities in mortality for older Koreans? examination of service type and income level," Social Science & Medicine, Elsevier, vol. 247(C).
    15. Letícia Pechnicki dos Santos & Alice Tatiane da Silva & Cassiano Ricardo Rech & Rogério César Fermino, 2021. "Physical Activity Counseling among Adults in Primary Health Care Centers in Brazil," IJERPH, MDPI, vol. 18(10), pages 1-13, May.
    Full references (including those not matched with items on IDEAS)

    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. Chen Li & Jiaji Wu & Yi Huang, 2023. "Spatial–Temporal Patterns and Coupling Characteristics of Rural Elderly Care Institutions in China: Sustainable Human Settlements Perspective," Sustainability, MDPI, vol. 15(4), pages 1-27, February.
    2. 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.
    3. Agnieszka Wojewódzka-Wiewiórska & Anna Kłoczko-Gajewska & Piotr Sulewski, 2019. "Between the Social and Economic Dimensions of Sustainability in Rural Areas—In Search of Farmers’ Quality of Life," Sustainability, MDPI, vol. 12(1), pages 1-26, December.
    4. Svenja M. Spuling & Oliver Huxhold & Susanne Wurm, 2017. "Predictors of Self-Rated Health: Does Education Play a Role Above and Beyond Age?," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 72(3), pages 415-424.
    5. Man Liang & Shuwen Niu & Zhen Li & Wenli Qiang, 2019. "International Comparison of Human Development Index Corrected by Greenness and Fairness Indicators and Policy Implications for China," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 142(1), pages 1-24, February.
    6. Jo-Ying Huang & Hui-Chuan Hsu & Yu-Ling Hsiao & Feng-Yin Chen & Shu-Ying Lo & Tzu-Yun Chou & Megan F. Liu, 2022. "Developing Indicators of Age-Friendliness in Taiwanese Communities through a Modified Delphi Method," IJERPH, MDPI, vol. 19(21), pages 1-17, November.
    7. Damschroder, Laura J. & Zikmund-Fisher, Brian J. & Ubel, Peter A., 2005. "The impact of considering adaptation in health state valuation," Social Science & Medicine, Elsevier, vol. 61(2), pages 267-277, July.
    8. Julie Yun Chen & Eric Yuk Fai Wan & Edmond Pui Hang Choi & Anca Ka Chun Chan & Karina Hiu Yen Chan & Joyce Pui Yan Tsang & Cindy Lo Kuen Lam, 2017. "The Health-Related Quality of Life of Chinese Patients on Hemodialysis and Peritoneal Dialysis," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 10(6), pages 799-808, December.
    9. Markus Wettstein & Hans-Werner Wahl & Anna Schlomann, 2022. "The Impact of the COVID-19 Pandemic on Trajectories of Well-Being of Middle-Aged and older Adults: A Multidimensional and Multidirectional Perspective," Journal of Happiness Studies, Springer, vol. 23(7), pages 3577-3604, October.
    10. Mohammad Rezvani & Hossain Mansourian & Mohammad Sattari, 2013. "Evaluating Quality of Life in Urban Areas (Case Study: Noorabad City, Iran)," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 112(1), pages 203-220, May.
    11. Joseph T. King Jr. & Joel Tsevat & Judith R. Lave & Mark S. Roberts, 2005. "Willingness to Pay for a Quality-Adjusted Life Year: Implications for Societal Health Care Resource Allocation," Medical Decision Making, , vol. 25(6), pages 667-677, November.
    12. Mohamed Boucekine & Laurent Boyer & Karine Baumstarck & Aurelie Millier & Badih Ghattas & Pascal Auquier & Mondher Toumi, 2015. "Exploring the Response Shift Effect on the Quality of Life of Patients with Schizophrenia," Medical Decision Making, , vol. 35(3), pages 388-397, April.
    13. Tuochen Li & Siran Wang, 2021. "How to Improve the Public Trust of the Intelligent Aging Community: An Empirical Study Based on the ACSI Model," IJERPH, MDPI, vol. 18(4), pages 1-14, February.
    14. Hollingsworth, Bruce & Ohinata, Asako & Picchio, Matteo & Walker, Ian, 2022. "Does It Matter Who Cares for You? The Effect of Substituting Informal with Formal Personal Care on the Care Recipients' Health," IZA Discussion Papers 15457, Institute of Labor Economics (IZA).
    15. de Hond, Anne & Bakx, Pieter & Versteegh, Matthijs, 2019. "Can time heal all wounds? An empirical assessment of adaptation to functional limitations in an older population," Social Science & Medicine, Elsevier, vol. 222(C), pages 180-187.
    16. Chia-Huei Wu, 2009. "Enhancing quality of life by shifting importance perception among life domains," Journal of Happiness Studies, Springer, vol. 10(1), pages 37-47, March.
    17. Fereshteh Ghahramani & Jingguo Wang, 2020. "Impact of Smartphones on Quality of Life: A Health Information Behavior Perspective," Information Systems Frontiers, Springer, vol. 22(6), pages 1275-1290, December.
    18. Giorgio Eduardo Montanari & Marco Doretti & Maria Francesca Marino, 2022. "Model-based two-way clustering of second-level units in ordinal multilevel latent Markov models," Advances in Data Analysis and Classification, Springer;German Classification Society - Gesellschaft für Klassifikation (GfKl);Japanese Classification Society (JCS);Classification and Data Analysis Group of the Italian Statistical Society (CLADAG);International Federation of Classification Societies (IFCS), vol. 16(2), pages 457-485, June.
    19. Vicente Fruet & Daniel Campos & Lorena Caridad, 2023. "Itaipu Binational Dam: A Quantitative Analysis of the Economic and Social Impacts in Paraguay. Successful or not?," SAGE Open, , vol. 13(4), pages 21582440231, December.
    20. Yang Yu & Yijin Wu & Xin Xu & Yun Chen & Xiaobo Tian & Li Wang & Siyun Chen, 2021. "Spatial Disparities and Correlated Variables of Community Care Facility Accessibility in Rural Areas of China," Sustainability, MDPI, vol. 13(23), pages 1-14, December.

    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:jsusta:v:14:y:2022:i:15:p:9661-:d:881373. 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.