IDEAS home Printed from https://ideas.repec.org/a/gam/jsusta/v13y2021i24p13568-d697561.html
   My bibliography  Save this article

China’s “Embedded Neoliberal” Home-Based Elderly Care? A State-Organised System of Neighbourhood Governance

Author

Listed:
  • Tianke Zhu

    (School of Architecture and Urban Planning, Nanjing University, Nanjing 210093, China
    These authors contributed equally to this work and share the first author position.)

  • Jian Jin

    (Law School of Nanjing University, Nanjing University, Nanjing 210093, China
    These authors contributed equally to this work and share the first author position.)

  • Xigang Zhu

    (School of Architecture and Urban Planning, Nanjing University, Nanjing 210093, China)

Abstract

Embedding the program of elderly care into community-based service system seems to imply that China is reorganising capacities of neighbourhood governance. The program, created by transformation of neighbourhood governance, represented the state government’s frustration with the institutional embodiment of neoliberalism. However, stimulating neighbourhood organisations in elderly care service through involvement of market instruments demonstrated the neoliberal approach. In this study, we provided a research framework in the context of embedded neoliberalism to explore the dilemma of neighbourhood governance in China. By interviewing 100 elderly people in five neighbourhoods in Nanjing, China, we examined the home-based elderly care (HEC) model to analyse the changes in socio-spatial relationships of neighbourhoods. We argued that the state-organised system of market instruments as a form of neighbourhood system weaken the spontaneity of elderly residents in developing social capitals. Moreover, the emerging program is struggling to operate because the devolution of conservative governance capacity from the state to the neighbourhood does not provide resources, leading to the restrained market provision. Thus, this transformation of neighbourhood governance can only be effective if there is a clear complementarity relationship between the role of state and market instruments. The attention of further studies on neighbourhood governance needs to re-examine the reciprocal relationships in the context of declining neoliberalism.

Suggested Citation

  • Tianke Zhu & Jian Jin & Xigang Zhu, 2021. "China’s “Embedded Neoliberal” Home-Based Elderly Care? A State-Organised System of Neighbourhood Governance," Sustainability, MDPI, vol. 13(24), pages 1-24, December.
  • Handle: RePEc:gam:jsusta:v:13:y:2021:i:24:p:13568-:d:697561
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/2071-1050/13/24/13568/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/2071-1050/13/24/13568/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Tianke Zhu & Xigang Zhu & Jian Jin, 2021. "Grid Governance in China under the COVID-19 Outbreak: Changing Neighborhood Governance," Sustainability, MDPI, vol. 13(13), pages 1-18, June.
    2. Paul W. Posner, 2012. "Targeted Assistance and Social Capital: Housing Policy in Chile's Neoliberal Democracy," International Journal of Urban and Regional Research, Wiley Blackwell, vol. 36(1), pages 49-70, January.
    3. Ruggie, John Gerard, 1982. "International regimes, transactions, and change: embedded liberalism in the postwar economic order," International Organization, Cambridge University Press, vol. 36(2), pages 379-415, April.
    4. Koike, Soichi & Furui, Yuji, 2013. "Long-term care-service use and increases in care-need level among home-based elderly people in a Japanese urban area," Health Policy, Elsevier, vol. 110(1), pages 94-100.
    5. Stephen Wilks, 2013. "The Political Power of the Business Corporation," Books, Edward Elgar Publishing, number 14186.
    6. Allen, Pauline, 2006. "New localism in the English National Health Service: What is it for?," Health Policy, Elsevier, vol. 79(2-3), pages 244-252, December.
    7. Victor Pestoff, 2006. "Citizens and co-production of welfare services," Public Management Review, Taylor & Francis Journals, vol. 8(4), pages 503-519, December.
    8. Alfredo Saad-Filho, 2015. "Social Policy for Neoliberalism: The Bolsa Família Programme in Brazil," Development and Change, International Institute of Social Studies, vol. 46(6), pages 1227-1252, November.
    9. Van Houtven, Courtney Harold & Norton, Edward C., 2004. "Informal care and health care use of older adults," Journal of Health Economics, Elsevier, vol. 23(6), pages 1159-1180, November.
    10. Charles, Kerwin Kofi & Sevak, Purvi, 2005. "Can family caregiving substitute for nursing home care?," Journal of Health Economics, Elsevier, vol. 24(6), pages 1174-1190, November.
    11. Elena Glinskaya & Zhanlian Feng, 2018. "Options for Aged Care in China," World Bank Publications - Books, The World Bank Group, number 29807.
    12. Mark Hyde & John Dixon, 2008. "A comparative analysis of mandated private pension arrangements," International Journal of Social Economics, Emerald Group Publishing Limited, vol. 35(1/2), pages 49-62, January.
    13. Coburn, David, 2000. "Income inequality, social cohesion and the health status of populations: the role of neo-liberalism," Social Science & Medicine, Elsevier, vol. 51(1), pages 135-146, July.
    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. M. Martin Boyer & Philippe De Donder & Claude Denys Fluet & Marie-Louise Leroux & Pierre-Carl Michaud, 2018. "A Canadian Parlor Room-Type Approach to the Long-Term Care Insurance Puzzle," CIRANO Working Papers 2018s-13, CIRANO.
    2. Tsai, Yuping, 2015. "Social security income and the utilization of home care: Evidence from the social security notch," Journal of Health Economics, Elsevier, vol. 43(C), pages 45-55.
    3. Marianne Tenand, 2018. "Being dependent rather than handicapped in France: Does the institutional barrier at 60 affect care arrangements?," Working Papers halshs-01889452, HAL.
    4. Barigozzi, Francesca & Cremer, Helmuth & Roeder, Kerstin, 2020. "Caregivers in the family: Daughters, sons and social norms," European Economic Review, Elsevier, vol. 130(C).
    5. Philippe De Donder & Marie-Louise Leroux, 2015. "The Political Economy of (in)formal Long Term Care Transfers," Cahiers de recherche 1508, Chaire de recherche Industrielle Alliance sur les enjeux économiques des changements démographiques.
    6. Feifei Bu & Alasdair Rutherford, 2019. "Dementia, home care and institutionalisation from hospitals in older people," European Journal of Ageing, Springer, vol. 16(3), pages 283-291, September.
    7. Edward C. Norton & Courtney Harold Van Houtven, 2006. "Inter‐vivos Transfers and Exchange," Southern Economic Journal, John Wiley & Sons, vol. 73(1), pages 157-172, July.
    8. Matthias Firgo & Klaus Nowotny & Alexander Braun, 2020. "Informal, formal, or both? Assessing the drivers of home care utilization in Austria using a simultaneous decision framework," Applied Economics, Taylor & Francis Journals, vol. 52(40), pages 4440-4456, August.
    9. Maurizio Bussolo & Johannes Koettl & Emily Sinnott, 2015. "Golden Aging," World Bank Publications - Books, The World Bank Group, number 22018.
    10. Lee, M-J & Kim, Y-S, 2011. "Effects of Informal Family Care on Formal Health Care: Zero-Inflated Endogenous Count for Censored Response," Health, Econometrics and Data Group (HEDG) Working Papers 11/10, HEDG, c/o Department of Economics, University of York.
    11. Mommaerts, Corina & Truskinovsky, Yulya, 2020. "The cyclicality of informal care," Journal of Health Economics, Elsevier, vol. 71(C).
    12. 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).
    13. Yoko Niimi, 2016. "The “Costs” of informal care: an analysis of the impact of elderly care on caregivers’ subjective well-being in Japan," Review of Economics of the Household, Springer, vol. 14(4), pages 779-810, December.
    14. Nuscheler, Robert & Roeder, Kerstin, 2013. "The political economy of long-term care," European Economic Review, Elsevier, vol. 62(C), pages 154-173.
    15. Emmanouil Mentzakis & Paul McNamee & Mandy Ryan, 2009. "Who cares and how much: exploring the determinants of co-residential informal care," Review of Economics of the Household, Springer, vol. 7(3), pages 283-303, September.
    16. Louis Arnault & Andreas Goltz, 2017. "Can formal home care reduce the burden of informal care for elderly dependents? Evidence from France," Working Papers hal-01458362, HAL.
    17. Shinya Sugawara, 2017. "Firm‐Driven Management of Longevity Risk: Analysis of Lump‐Sum Forward Payments in Japanese Nursing Homes," Journal of Economics & Management Strategy, Wiley Blackwell, vol. 26(1), pages 169-204, February.
    18. Norma B. Coe & Courtney Harold Van Houtven, 2009. "Caring for mom and neglecting yourself? The health effects of caring for an elderly parent," Health Economics, John Wiley & Sons, Ltd., vol. 18(9), pages 991-1010, September.
    19. Jing Guo & R. Tamara Konetzka & Willard G. Manning, 2015. "The Causal Effects of Home Care Use on Institutional Long‐Term Care Utilization and Expenditures," Health Economics, John Wiley & Sons, Ltd., vol. 24(S1), pages 4-17, March.
    20. Herbert J A Rolden & David van Bodegom & Rudi G J Westendorp, 2014. "Changes in Health Care Expenditure after the Loss of a Spouse: Data on 6,487 Older Widows and Widowers in the Netherlands," PLOS ONE, Public Library of Science, vol. 9(12), pages 1-17, 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:13:y:2021:i:24:p:13568-:d:697561. 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.