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Access to residential care in Beijing, China: making the decision to relocate to a residential care facility

Published online by Cambridge University Press:  17 November 2011

YANG CHENG*
Affiliation:
School of Geography, Beijing Normal University, Beijing, China.
MARK W. ROSENBERG
Affiliation:
Department of Geography, Queen's University, Kingston, Ontario, Canada.
WUYI WANG
Affiliation:
Institute of Geographic Sciences and Natural Resources Research, Chinese Academy of Sciences, Beijing, China.
LINSHENG YANG
Affiliation:
Institute of Geographic Sciences and Natural Resources Research, Chinese Academy of Sciences, Beijing, China.
HAIRONG LI
Affiliation:
Institute of Geographic Sciences and Natural Resources Research, Chinese Academy of Sciences, Beijing, China.
*
Address for correspondence: Yang Cheng, School of Geography, Beijing Normal University, 19 Xiejiekouwai Avenue, Beijing, 100875, China. E-mail: [email protected]

Abstract

The demand for residential care by older people is increasing in Beijing as a result of dramatic demographic and socio-economic transformations. Little is known about the way older people access residential care in the context of Beijing. In this research, qualitative data collected from 46 in-depth semi-structured interviews with residential care facility (RCF) managers, older residents, and their family members in six RCFs in Beijing were transcribed and analysed using the constant comparative method. The findings included the following themes: access to residential care as geographical access, information access, economic access, socio-cultural access, and the socio-managerial environment. Geographical access is influenced by location, distance, and the micro-physical environment and amenities of RCFs. Information access refers to the capability to acquire related information on available resources. Economic access is the financial affordability for the resources. Socio-cultural access is affected by individual attitudes and aggregative cultural values on ageing and care of older people. Additionally, the social-managerial environment such as reputations of RCFs, quality of services, and management mechanisms are also important to the decision-making process. All these factors influence older people and their family members’ decision-making process of which RCF to choose. The research provides a multi-perspective analysis of access to residential care and suggestions on improving the accessibility of residential care for older people in Beijing.

Type
Articles
Copyright
Copyright © Cambridge University Press 2011

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References

Aminzadeh, F., Dalziel, W. B., Molnar, F. J. and Alie, J. 2004. An examination of the health profile, service use and care needs of older adults in residential care facilities. Canadian Journal on Ageing, 23, 3, 281–94.Google Scholar
Andersen, R. M. 1995. Revising the Behavioral Model and access to medical care: does it matter? Journal of Health and Social Behavior, 36, 3, 110.Google Scholar
Andrews, G. J. 2005. Residential homes: from distributions in spaces to the elements of place. In Andrews, G. J. and Phillips, D. R. (eds), Ageing and Place. Routledge, New York, 6178.Google ScholarPubMed
Arnsberger, P., Fox, P., Zhang, X. and Gui, S. 2000. Population ageing and the need for long term care: a comparision of the United States and the People's Republic of China. Journal of Cross-cultural Gerontology, 15, 3, 207–27.Google Scholar
Bartlett, H. and Phillips, D. R. 1997. Ageing and aged care in the People's Republic of China: national and local issues and perspectives. Health & Place, 3, 3, 149–59.Google Scholar
Beijing Civil Affairs Bureau 2009. Social Welfare Information of Beijing. Available online at http://bjfl.bjmzj.gov.cn/index.do?websitId=900&netTypeId=2 [Accessed 25 May 2011]. (In Chinese)Google Scholar
Beijing Civil Affairs Bureau, Beijing Municipal Commission of Development and Reform, Beijing Municipal Commission of Urban Planning, Beijing Municipal Bureau of Finance and Beijing Municipal Bureau of Land and Resources 2008. Notice on Accelerating the Development of Residential Care Facilities. Available online at http://bjfl.bjmzj.gov.cn/showBulltetin.do?id=100000682&dictionid=70100&websitId=900&netTypeId=2&subwebsitid= [Accessed 25 May 2011]. (In Chinese)Google Scholar
Beijing Municipal Bureau of Statistics 2000. The Future 50 Years of Beijing Municipality. Electronics Press, Beijing. (In Chinese)Google Scholar
Beijing Municipal Bureau of Statistics 2007. One Percent Population Sample Survey of Beijing Municipality (2005). Statistics of China, Beijing. (In Chinese)Google Scholar
Chan, H. M. and Pang, S. 2007. Long-term care: dignity, autonomy, family integrity, and social sustainability: the Hong Kong experience. Journal of Medicine and Philosophy, 32, 5, 401–24.Google Scholar
Chen, S. Y. 1996. Social Policy of the Economic State and Community Care in Chinese Culture: Ageing, Family, Urban Change, and the Socialist Welfare Pluralism. Brookfield, Avebury, UK.Google Scholar
Cheng, Y. 2010. Residential Care for Elderly People in Beijing, China: A study of the relationship between health and place. Doctoral dissertation, Queen's University, Kingston, Canada.Google Scholar
China National Committee on Ageing 2010. Statistic Report on the Development of China's Undertakings for the Aged 2009. Available online at http://www.gov.cn/jrzg/2010-07/13/content_1652935.htm [Accessed 25 May 2011]. (In Chinese)Google Scholar
Cloutier-Fisher, D. and Joseph, A. E. 2000. Long-term care restructuring in rural Ontario: retrieving community service user and provider narratives. Social Science & Medicine, 50, 7–8, 1037–45.CrossRefGoogle ScholarPubMed
Committee on Ageing of Beijing 20 10. Report on Elderly Population Information and Development of Elder Care of Beijing in 2009. Available online at http://zhengwu.beijing.gov.cn/tjxx/tjgb/P020101014469100020619.pdf [Accessed 25 May 2011]. (In Chinese)Google Scholar
Corden, A. and Wright, K. 1993. Going into a home: where can an elderly person choose? In Champion, T. (ed.), Population Matters. Paul Chapman Publishing, London, 119–35.Google Scholar
Cromley, E. K. and Shannon, G. W. 1986. Locating ambulatory medical care facilities for the elderly. Health Services Research, 21, 4, 499514.Google Scholar
Davis-Friedmann, D. 1991. Long Lives: Chinese Elderly and the Cultural Revolution. Expanded edition, Stanford University Press, Stanford, California.CrossRefGoogle Scholar
Gatrell, A. and Loytonen, M. (eds) 1998. GIS and health. Taylor & Francis, London.Google Scholar
Glaser, B. G. and Strauss, A. L. 1967. The Discovery of Grounded Theory. Aldine, Chicago.Google Scholar
Gu, D., Dupre, M. E. and Liu, G. 2007. Characteristics of the institutionalized and community-residing oldest-old in China. Social Science & Medicine, 64, 4, 871–83.CrossRefGoogle ScholarPubMed
Hodge, G. 2008. The Geography of Ageing. McGill-Queen's University Press, Montreal.CrossRefGoogle Scholar
Huang, J. 2003. Economic restructuring, social safety net, and old-age pension reform in China. American Asian Review, 21, 2, 171–89.Google Scholar
Jiang, L. 1995. Changing kinship structure and its implications for old age support in urban and rural China. Population Studies, 49, 1, 127–45.CrossRefGoogle Scholar
Joseph, A. E. and Bantock, P. R. 1982. Measuring potential physical accessibility to general practitioners in rural areas: a method and case study. Social Science & Medicine, 16, 1, 8590.Google Scholar
Joseph, A. E. and Cloutier, D. S. 1990. A framework for modeling the consumption of health services by the rural elderly. Social Science & Medicine, 30, 1, 4552.Google Scholar
Joseph, A. E. and Cloutier, D. S. 1991. Elderly migration and its implications for service provision in rural communities: an Ontario perspective. Journal of Rural Studies, 7, 4, 433–44.Google Scholar
Joseph, A. E. and Phillips, D. 1984. Accessibility and Utilization: Geographical Perspectives on Health Care Delivery. Harper & Row, New York.Google Scholar
Joseph, A. E. and Phillips, D. R. 1999. Ageing in rural China: impacts of increasing diversity in family and community resources. Journal of Cross-cultural Gerontology, 14, 2, 153–68.Google Scholar
Kao, H. and Stuifbergen, A. K. 1999. Family experiences related to the decision to institutionalize an elderly member in Taiwan: an exploratory study. Social Science & Medicine, 49, 8, 1115–23.Google Scholar
Lee, D. T. F. 1999. Transition to residential care: experiences of elderly Chinese people in Hong Kong. Journal of Advanced Nursing, 30, 5, 1118–26.Google Scholar
Leung, J. C. B. 1997. Family support for the elderly in China: issues and challenges. Journal of Ageing and Social Policy, 9, 3, 87101.Google Scholar
Li, C. 2007. Survey on elderly population in rural and urban areas of Beijing. Science Times, 31 January. (In Chinese)Google Scholar
Liu, L. F. and Tinker, A. 2001. Factors associated with nursing home entry for older people in Taiwan, Republic of China. Journal of Interprofessional Care, 15, 3, 245–55.Google Scholar
Liu, L. F. and Tinker, A. 2003. Admission to nursing home in Taiwan. Social Policy & Administration, 37, 4, 376–94.Google Scholar
Love, D. and Lindquist, P. 1995. Geographical accessibility of hospitals to the aged: a geographic information systems analysis within Illinois. Health Services Research, 29, 6, 629–51.Google Scholar
Meade, M., Florin, J. and Gesler, W. 1988. Medical Geography. The Guilford, New York.Google Scholar
Ministry of Labour and Social Security of China. 2007. Business Guide – Pension Insurance. Available online at http://www.molss.gov.cn/gb/ywzn/ylbx.htm [Accessed 25 May 2011]. (In Chinese)Google Scholar
Morrison, D., Alexander, D., Fisk, J. and McGuire, J. 1999. Improving delivery of health and community services to welfare recipients, Columbia, SC, 1997. Journal of Public Health Management and Practice, 5, 2, 4950.Google Scholar
National Advisory Council on Ageing, Canada 1989. Understanding Seniors’ Independence: The Barriers and Suggestions for Action. National Advisory Council on Ageing, Ottawa.Google Scholar
Ng, A. C. Y., Phillips, D. R. and Lee, W. K. 2002. Persistence and challenges to filial piety and informal support of older persons in a modern Chinese society: a case study in Tuen Mun, Hong Kong. Journal of Ageing Studies, 16, 2, 135–53.Google Scholar
Ontario Ministry of Health and Long-term Care, Canada 2009. Seniors’ Care: Who Do I Contact for Information? Available online at http://www.health.gov.on.ca/english/public/program/ltc/6_ccac.html [Accessed 25 May 2011].Google Scholar
Penchansky, R. and Thomas, J. W. 1981. The concept of access: definition and relationship to consumer satisfaction. Medical Care, 19, 2, 127–40.Google Scholar
Reed, J., Payton, V. R. and Bond, S. 1998. The importance of place for older people moving into care homes. Social Science & Medicine, 46, 7, 859–67.Google Scholar
Rosen, T. and Kostic, A. 1957. Separation and adjustment problems in a home for the aged. Social Work, 2, 1, 3641.Google Scholar
Rosenberg, M. W. 1983. Accessibility to health care: a North American perspective. Progress in Human Geography, 7, 1, 7887.Google Scholar
Shang, X. 2001. Moving toward a multi-level and multi-pilar system: changes in institutional care in two Chinese cities. Journal of Social Policy, 30, 2, 259–81.Google Scholar
State Council Information Office of China 2004. China's Social Security Situation and Policy. Available online at http://news.xinhuanet.com/zhengfu/2004-09/07/content_1952488.htm [Accessed 25 May 2011]. (In Chinese)Google Scholar
Strauss, A. and Corbin, J. 1990. Basics of Qualitative Research: Grounded Theory Procedures and Techniques. Sage, Newbury Park, California.Google Scholar
Strauss, A. and Corbin, J. 1998. Basic of Qualitative Research: Techniques and Procedures for Developing Grounded Theory. Sage, Thousand Oaks, California.Google Scholar
Streib, G. F. 1987. Old age in sociocultural context: China and the United States. Journal of Aging Studies, 1, 2, 95112.Google Scholar
Wei, X. 2007. Research on the development of elder care service in Beijing. Online Journal on Civil Administration. Available online at http://www.bjmzj.gov.cn/mzqk/showBulltetin.do?id=2240&dictionid=42005&websitId=400&netTypeId=2&subwebsitid=10 [Accessed 25 May 2011]. (In Chinese)Google Scholar
Wu, A. M. S., Tang, C. S. and Yan, E. C. 2004. Psychosocial factors associated with acceptance of old age home placement: a study of elderly Chinese in Hong Kong. Journal of Applied Gerontology, 23, 4, 487504.Google Scholar
Yuan, T. and Yang, X. 2006, The survey on ‘elder care on housing’. Worker Daily, 30 October. Available online at http://news.xinhuanet.com/legal/2006-10/30/content_5265942.htm [Accessed 25 May 2011]. (In Chinese)Google Scholar
Zhan, H. J. 2000. The Inverted Pyramid: the effect of the one-child policy and economic reforms in China. Doctoral dissertation, University of Kansas, Lawrence, Kansas.Google Scholar
Zhan, H. J. 2002. Chinese caregiving burden and the future burden of elder care in life-course perspective. International Journal of Ageing and Human Development, 54, 4, 267–90.Google Scholar
Zhan, H. J., Feng, X. and Luo, B. 2008. Placing elderly parents in institutions in urban China: a reinterpretation of filial piety. Research on Ageing, 30, 5, 543–71.Google Scholar
Zhan, H. J., Liu, G. and Bai, H. 2005. Recent developments in Chinese elder homes: a reconciliation of traditional culture. Ageing International, 30, 2, 167–87.Google Scholar
Zhan, H. J., Liu, G. and Guan, X. 2006. Willingness and availability: explaining new attitude towards institutional elder care among Chinese elderly parents and their adult children. Journal of Ageing Studies, 20, 3, 279–90.Google Scholar
Zhan, H. J., Liu, G., Guan, X. and Bai, H. 2006. Recent developments in institutional elder care in China: changing concepts and attitudes. Journal on Ageing & Social Policy, 18, 2, 85108.Google Scholar
Zhan, H. J. and Montgomery, R. J. V. 2003. Gender and elder care in China: the influence of filial piety and structural constraints. Gender and Society, 17, 2, 209–29.Google Scholar
Zhang, Y. and Goza, F. W. 2006. Who will care for the elderly in China? A review of the problems caused by China's one-child policy and their potential solutions. Journal of Ageing Studies, 20, 2, 151–64.Google Scholar