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1 – 10 of 108Ce Shen and John B. Williamson
This paper aims to describe China's need for old‐age pension coverage in its rural areas, to highlight the strengths and weaknesses of the new rural pension system currently being…
Abstract
Purpose
This paper aims to describe China's need for old‐age pension coverage in its rural areas, to highlight the strengths and weaknesses of the new rural pension system currently being implemented, and to suggest some needed reforms.
Design/methodology/approach
This paper's analysis is based largely on evidence from Chinese government documents, newspaper reports, and research reports including those discussing related programs in rural areas of other developing countries. This evidence is supplemented with a small number of interviews with government officials, Chinese academics, and farmers living in rural China.
Findings
China has recently started a major effort to bring old‐age pension coverage to rural China. While it is too early to know how successful this effort will be, there are some structural issues that should be addressed. The paper's major conclusion is that the current funded accounts component needs to be supplemented with a modest social pension scheme.
Originality/value
To date next to nothing has been published for an academic audience about this major new and first ever countrywide old‐age pension program for rural China. If successful, this program has the potential to stimulate efforts in many other developing nations around the world to provide pension coverage in rural areas. The paper analyzes the program, uncovers some serious limitations, and proposes changes to deal with those limitations.
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Lyn M. Holley, Christopher M. Kelly, Jerome Deichert, Silvester Juanes and Loretta Wolf
The purpose of this paper is to disseminate a new model that addresses the urgent social challenge of providing adequate long-term care in rural circumstances through innovative…
Abstract
Purpose
The purpose of this paper is to disseminate a new model that addresses the urgent social challenge of providing adequate long-term care in rural circumstances through innovative use of existing resources, and to suggest future research.
Design/methodology/approach
This paper is exploratory in and is based upon the analysis of qualitative observations (interviews and site visits) framed in the financial and operational records of the facility studied, macro- and micro-level demographics, and the scholarly and practice literatures.
Findings
Significant cost savings upon implementation, improvements in quality of care and both worker and client satisfaction were observed.
Research limitations/implications
The model has been in operation only one year; the trend has been positive, however, more research is needed to identify its stability and develop a more refined description of its components: while essential features of this innovative model can be applied in any residential long-term care situation, replicating its success is obviously linked with the skill and authority of the director. Evaluation research is currently in progress.
Practical implications
The paper suggests budget-neutral solutions to persistent challenges of caring for older adults in rural circumstances.
Social implications
Quality and financing of long-term residential care for elders is insufficient and worsening. This model addresses problems central to financing and quality of care by connecting existing resources in new ways. It does not require additional funding or changes in qualifications required for jobs.
Originality/value
The model is the original creation of a residential long-term care facility director working with a network of partnerships that he discovered and developed: partnerships include a broad range of organizations in the public and non-profit sectors, and the state university.
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The purpose of this paper is to examine how older people who are almost entirely housebound use a view from their window to make sense of the world and stay connected to the…
Abstract
Purpose
The purpose of this paper is to examine how older people who are almost entirely housebound use a view from their window to make sense of the world and stay connected to the outside space that they cannot physically inhabit.
Design/methodology/approach
Semi-structured interviews with 42 individuals were carried out who were living at home, were relatively immobile and had an interesting view outside they liked from one or more of their windows.
Findings
The findings suggest that immobile older people enjoy watching a motion-full, changing, world going on outside of their own mobility and interact and create meaning and sense, relating themselves to the outside world.
Practical implications
Findings suggest that those working in health and social care must realise the importance of older people observing the outdoors and create situations where that is enabled and maintained through improving vantage points and potentially using technology.
Originality/value
This study builds and updates work by Rowles (1981) showing that preference for views from the window involves the immediate surveillance zone but also further afield. The view can be rural or urban but should include a human element from which older people can interact through storytelling. The view often contains different flows, between mundane and mystery and intrigue, and between expected and random.
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Manxiu Ning, Weiping Liu, Jinquan Gong and Xudong Liu
The purpose of this paper is to examine the effect of New Rural Pension Scheme (NRPS) on the private transfer behavior of the non-co-resident adult children to their elderly…
Abstract
Purpose
The purpose of this paper is to examine the effect of New Rural Pension Scheme (NRPS) on the private transfer behavior of the non-co-resident adult children to their elderly parents in rural China, and hence address the income redistribution effectiveness of public program for the elderly in rural China.
Design/methodology/approach
Pooled data from two waves of the China Health and Retirement Longitudinal Study and the combination of regression discontinuity design and difference in difference method are used to perform the analysis.
Findings
No evidence is found that pension payment from NRPS program does significantly crowd out the economic support from the adult children to their elder parents. The heterogeneous effects at different income percentile indicate that pension payment significantly increases the probability of receiving gross transfers and likelihood of the net transfer being positive for those elderly individuals with low income; in particular, the distinctive “family binding” arrangement may dramatically contribute to increasing the probability of receiving private transfers for the pension recipients.
Originality/value
The empirical findings would have far-reaching implications for the efficacy of public transfer or re-distributive programs such as NRPS; for the rural elderly, in particular, the unique “family binding” mechanism under the NRPS program may have positive welfare effects on the intended beneficiaries. Furthermore, an understanding of the inter-linkage between informal arrangements of elderly support and social re-distributive program provides further insight into the design of social security systems targeted to the vulnerable group in developing countries.
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Yihan Wang, Angela Abbott and Catherine Butcher
United Kingdom and China face both similar and dissimilar challenges in managing eldercare. These challenges are centred around demographic change, caregiving roles and care…
Abstract
United Kingdom and China face both similar and dissimilar challenges in managing eldercare. These challenges are centred around demographic change, caregiving roles and care facilities, work–family conflict and work flexibilities, employment rights, culture norms in caring for the elders and the welfare state. This chapter demonstrates the status quo of each of these challenges in managing eldercare, from both the East and West perspectives. Aside from the challenges, opportunities also emerge. More support services are needed for elders with activities of daily living (ADL) or instrumental activities of daily living. Institutional care is in great demand in China, despite the traditional value of caring for elders at home. Caring for elders with cognitive disabilities has also won attention. In the United Kingdom, elder caregiving issues are focused on older workforce, grandparent caregivers and long-term consequences of combining employment and care in the workplace. Compared to Hong Kong and United Kingdom, mainland China has more space to improve on adapting flexible work hours and promoting employment rights of workers. ‘Sandwich’ carers and women caregivers were given special attention in our discussion. At the end of the chapter, results from a survey studying older employees who are also caregivers were also presented.
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Dongxiang Zhao, Qiping Zhang and Feicheng Ma
The purpose of this paper is to investigate eldercare issues in China through exploring what was discussed about eldercare in a Chinese online community for older adults (OCOA).
Abstract
Purpose
The purpose of this paper is to investigate eldercare issues in China through exploring what was discussed about eldercare in a Chinese online community for older adults (OCOA).
Design/methodology/approach
Netnography was used to explore eldercare-related online discussion in a Chinese OCOA – LaoYouBang. After a two-month-long online observation, 275 microblogs and 594 comments were collected and analysed qualitatively and quantitatively.
Findings
The main findings include as follows: the users involved in an online discussion about eldercare were consist of four categories, namely, elderly user, non-elderly user, advertiser and community administrator. Non-elderly user include the elderly’s caregivers and families, young and middle-aged people concerning about eldercare. From 2012 to 2017, eldercare issues gradually became refined and differentiated in China and elderly users’ contribution proportion and activeness increased yearly. According to the results of thematic analysis, users’ information needs for eldercare included opinion, news, practice, emotion, knowledge and others. In China, some changes have taken place in the public’s conceptions of eldercare, embodied in the changes in the public’s attention, attitudes and cognition. Changes in user structure and communication patterns in OCOA have also been noted. OCOA plays an important role in eldercare information dissemination and social support exchange and helps to meet the eldercare challenges.
Originality/value
This study explored an online community for older adults. This is the first netnography study in the information field on Chinese OCOA. This paper provides new perspectives to explore eldercare issues and OCOA in other regions and cultures and it also provides some suggestions to improve OCOA.
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Huiping Xian, Carol Atkinson and Yue Meng-Lewis
China's controversial one-child policy has been blamed for creating an ageing population, a generation of employees without siblings and a 4-2-1 family structure that places…
Abstract
Purpose
China's controversial one-child policy has been blamed for creating an ageing population, a generation of employees without siblings and a 4-2-1 family structure that places eldercare responsibility, primarily on women. Current understanding of how this affects contemporary employees' work–life interface is lacking. This study examined the moderating roles of family structure and gender in the relationships between work–life conflict (WLC), job satisfaction and career aspiration for university academics.
Design/methodology/approach
Online and self-administered surveys were used to collect data, which involved 420 academic staff in three Chinese research universities.
Findings
Our results revealed that WLC is positively related to career aspiration, and this relationship is stronger for academics with siblings and, within the only-children group, significantly stronger for women than for men. WLC is also negatively related to job satisfaction, and this relationship is stronger for only-children academics.
Research limitations/implications
Results were limited by a cross-sectional sample of modest size. Nevertheless, this study contributes to the understanding of gender roles and changing family structure in the work–life interface of Chinese academics.
Practical implications
Our findings have implications for both universities seeking to improve staff well-being and for wider society. A number of support mechanisms are proposed to enhance the ability of only children, especially women, to operate as effective members of the labour market.
Originality/value
Our results showed that only-children academics face a unique set of difficulties across career and family domains, which have been previously neglected in literature.
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The purpose of this paper is to explore the limitations of specific statutory support for the long‐term survival of rural based Irish work integration social enterprises (WISEs).
Abstract
Purpose
The purpose of this paper is to explore the limitations of specific statutory support for the long‐term survival of rural based Irish work integration social enterprises (WISEs).
Design/methodology/approach
The paper is based on empirical research derived from a combination of qualitative and qualitative research methods which entailed a national survey of Irish social enterprises, a series of in depth interviews with the management of 13‐rural based WISES and a survey of a sample of employees across these 13 WISEs.
Findings
Empirical evidence is used to provide a profile of the characteristics of the workforce of a sample of 13 rural WISEs. The paper argues that the rural location of these WISEs along with the prescriptive nature of the statutory support they receive have combined to both create and compound these challenges which in turn are argued to restrict the long‐term survival potential of these organisations.
Originality/value
As there is a lack of information on Irish WISEs in general and rural‐based WISEs in particular, this paper is of value in addressing the deficit.
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David Feltenius and Jessika Wide
Since 2009 Swedish municipalities may apply the Act on System of Choice (LOV) in, among other things, eldercare. About half of the 290 Swedish municipalities have chosen this…
Abstract
Purpose
Since 2009 Swedish municipalities may apply the Act on System of Choice (LOV) in, among other things, eldercare. About half of the 290 Swedish municipalities have chosen this within home-care services for older citizens, thus creating conditions for a welfare mix where private and public providers compete. Some of these municipalities later made decisions to abolish LOV. This article aims to analyse the arguments put forward by municipal politicians to abolish LOV and discusses if the case of abandoning LOV represents a case of re-municipalization.
Design/methodology/approach
Qualitative method was used to analyse decision protocols and media materials from 20 Swedish municipalities that had abolished LOV in home-care services.
Findings
The article shows that politics and ideology seem to have only a limited significance in abolishing LOV. The most important arguments found in the empirical materials were instead pragmatic and related to the transaction costs: in smaller municipalities about the weak position of private providers and in larger municipalities about reported cases of welfare crime and extensive needs to control and review. In smaller municipalities, LOV was replaced by public monopoly and in larger municipalities by other types of procurements.
Originality/value
With its focus on eldercare in party-dominated municipalities, the article adds knowledge to the literature on drivers of re-municipalization but also discusses possible delimitations of the concept of re-municipalization.
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Terence Y.M. Lam and Junjie Yan
Shanghai is currently faced with a rapid increase in the ageing population and demand for elderly homes. Continuing care retirement community (CCRC) has been emerging as a…
Abstract
Purpose
Shanghai is currently faced with a rapid increase in the ageing population and demand for elderly homes. Continuing care retirement community (CCRC) has been emerging as a high-end alternative to offer specialised accommodation to the elderly in major cities. Since the first development in 2008, the industry is now still at the infancy stage. This study aims to examine the investment barriers hindering the supply and demand of CCRCs with an aim to recommend practical and senior housing policy measures to facilitate CCRC developments.
Design/methodology/approach
Multiple-case study method was used to confirm whether the literature findings on investment barriers apply to the context of Shanghai. Four representative CCRC development cases in Shanghai were examined, in which qualitative data were collected from interviews with experienced CCRC development managers and quantitative data from a questionnaire survey of the CCRC residents.
Findings
Operation management experience, financial risks and government support policy were found to be the main supply barriers. Chinese traditional family-oriented culture and affordability were not the main demand barriers of CCRCs in Shanghai. Poor quality of services and living environment were identified as the main barriers suppressing the demand for CCRC.
Research limitations/implications
Although common trends and views can be drawn from the representative cases in Shanghai to provide valid results, further research should be conducted on other major cities in China so that the results can be widely applied.
Practical implications
Successful CCRC investment strategy should focus on partnering with experienced professional eldercare management companies, provisions of high-quality medical professionals and trained care personnel and delivery of flexible care service, along with intensive capital flows for land, construction and operating costs.
Social implications
Additional senior housing policy support should be established to promote the CCRC supply to address the ageing needs, particularly granting lands for CCRC developments at Tiers 1 and 2 major cities where the land cost is high.
Originality/value
This research’s practical and policy measures can be applied to enable and promote CCRC developments in Shanghai, thus benefitting both housing investors and the government. The findings also form a baseline for CCRC developments in other major cities.
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