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Social care for disabled elderly women in urban China: The roles of the community

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  • Li, Yan

Abstract

This article analyses the provision of community care for urban disabled elderly women. With the emergence of an aging society in China and the empty nest syndrome in Chinese families, the number of elderly people who cannot take care of themselves is increasing. With the reduction in family size and the weakening of the home care function, traditional family care in China is facing immense challenges. On the one hand, a growing number of disabled elderly women are in urgent need of care; they encounter many difficulties in daily life, including poor health status, the loss of their spouse and living alone, an inability to support themselves economically, the lack of a spiritual life, and a significant reliance on their children to take care of them. On the other hand, the family's function of providing for the elderly has been weakened, and the traditional way of care is affected by the changes in modern society. Based on a qualitative study in Beijing, this article examines the demand for care from disabled elderly women and the current supply of community care. It puts forward a community-centred and targeted assistance model and social work intervention. This study argues that the community care system for disabled elderly women in urban areas should focus on four aspects, namely living care, medical care, spiritual consolation, and emergency assistance; and the protection mechanism should be improved to support disabled elderly women from three aspects: a protection system, a fund guarantee and services from health and social cafe staff and social workers.

Suggested Citation

  • Li, Yan, 2022. "Social care for disabled elderly women in urban China: The roles of the community," Social Science & Medicine, Elsevier, vol. 314(C).
  • Handle: RePEc:eee:socmed:v:314:y:2022:i:c:s0277953622007791
    DOI: 10.1016/j.socscimed.2022.115473
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    References listed on IDEAS

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    1. repec:aph:ajpbhl:10.2105/ajph.2017.303985_5 is not listed on IDEAS
    2. K. Bolin & B. Lindgren & P. Lundborg, 2008. "Informal and formal care among single‐living elderly in Europe," Health Economics, John Wiley & Sons, Ltd., vol. 17(3), pages 393-409, March.
    3. Clemens Tesch-Römer & Hans-Werner Wahl, 2017. "Toward a More Comprehensive Concept of Successful Aging: Disability and Care Needs," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 72(2), pages 310-318.
    4. Humphries, Richard, 2015. "Integrated health and social care in England – Progress and prospects," Health Policy, Elsevier, vol. 119(7), pages 856-859.
    5. Fengyue Li & Junko Otani, 2018. "Financing elderly people's long‐term care needs: Evidence from China," International Journal of Health Planning and Management, Wiley Blackwell, vol. 33(2), pages 479-488, April.
    6. Kim, K. & Choi, J.S. & Choi, E. & Nieman, C.L. & Joo, J.H. & Lin, F.R. & Gitlin, L.N. & Han, H.-R., 2016. "Effects of community-based health worker interventions to improve chronic disease management and care among vulnerable populations: A systematic review," American Journal of Public Health, American Public Health Association, vol. 106(4), pages 3-28.
    7. Gao, Jun & Raven, Joanna H. & Tang, Shenglan, 2007. "Hospitalisation among the elderly in urban China," Health Policy, Elsevier, vol. 84(2-3), pages 210-219, December.
    8. Philip H. Brown & Caroline Theoharides, 2009. "Health‐seeking behavior and hospital choice in China's New Cooperative Medical System," Health Economics, John Wiley & Sons, Ltd., vol. 18(S2), pages 47-64, July.
    9. Kangovi, S. & Mitra, N. & Grande, D. & Huo, H. & Smith, R.A. & Long, J.A., 2017. "Community health worker support for disadvantaged patients with multiple chronic diseases: A randomized clinical trial," American Journal of Public Health, American Public Health Association, vol. 107(10), pages 1660-1667.
    10. Fen Li & Xinye Fang & Jiechun Gao & Hansheng Ding & Changying Wang & Chunyan Xie & Yitong Yang & Chunlin Jin, 2017. "Determinants of formal care use and expenses among in-home elderly in Jing’an district, Shanghai, China," PLOS ONE, Public Library of Science, vol. 12(4), pages 1-10, April.
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