IDEAS home Printed from https://ideas.repec.org/a/pal/palcom/v11y2024i1d10.1057_s41599-024-04041-x.html
   My bibliography  Save this article

Equity in public decision-making: a dynamic comparative study of urban–rural elderly care institution resource allocation in China

Author

Listed:
  • Mingyang Li

    (Chengdu University of Technology)

  • Panyu Peng

    (Chengdu University of Technology)

  • Yibin Ao

    (Chengdu University of Technology
    Chengdu University of Technology)

  • Zhongli Zhou

    (Chengdu University of Technology)

  • Jian Zuo

    (The University of Adelaide)

  • Igor Martek

    (Deakin University)

Abstract

As the aging population creates mounting pressures on society, the economy, and public health systems, the rational and equitable distribution of elderly care resources becomes increasingly essential. This study applies various methods, such as kernel density estimation, spatial autocorrelation analysis, and Gini coefficient decomposition, to examine provincial panel data on elderly care institutions in both urban and rural regions in China covering the period from 2008 to 2021. This research seeks to assess and improve the accessibility and equity of elderly care resources. The results indicate that the degree of population aging in China has significantly intensified, with urban elderly care institutions’ resource allocation increasing annually and surpassing that of rural institutions. However, inequalities in the allocation of elderly care resources between urban and rural areas, as well as among different regions, still exist. The uneven distribution of resources in rural elderly care institutions, the overall enhancement of resource allocation in urban areas, and the clustering of elderly care resources are the key features observed. Drawing on these insights, the study offers a set of policy recommendations to address the disparities and inconsistencies in the allocation of elderly care resources between urban and rural regions.

Suggested Citation

  • Mingyang Li & Panyu Peng & Yibin Ao & Zhongli Zhou & Jian Zuo & Igor Martek, 2024. "Equity in public decision-making: a dynamic comparative study of urban–rural elderly care institution resource allocation in China," Palgrave Communications, Palgrave Macmillan, vol. 11(1), pages 1-16, December.
    • Handle: RePEc:pal:palcom:v:11:y:2024:i:1:d:10.1057_s41599-024-04041-x
    DOI: 10.1057/s41599-024-04041-x
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1057/s41599-024-04041-x
    File Function: Abstract
    Download Restriction: Access to full text is restricted to subscribers.
    File URL: https://libkey.io/10.1057/s41599-024-04041-x?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Mei Sang & Jing Jiang & Xin Huang & Feifei Zhu & Qian Wang, 2024. "Spatial and temporal changes in population distribution and population projection at county level in China," Palgrave Communications, Palgrave Macmillan, vol. 11(1), pages 1-13, December.
    2. Linda J. Waite, 2009. "The Changing Family and Aging Populations," Population and Development Review, The Population Council, Inc., vol. 35(2), pages 341-346, June.
    3. Schulz, Erika & Leidl, Reiner & Konig, Hans-Helmut, 2004. "The impact of ageing on hospital care and long-term care--the example of Germany," Health Policy, Elsevier, vol. 67(1), pages 57-74, January.
    4. Peng, Panyu & Li, Mingyang & Ao, Yibin & Deng, Shulin & Martek, Igor, 2024. "Spatial-temporal evolution of driving mechanisms of city resilience: A Sichuan-based case study," Land Use Policy, Elsevier, vol. 143(C).
    5. Changyong Yang & Jianyuan Huang & Jiahao Yu, 2023. "Inequalities in Resource Distribution and Healthcare Service Utilization of Long-Term Care in China," IJERPH, MDPI, vol. 20(4), pages 1-17, February.
    6. Han, Xuehui & Cheng, Yuan, 2020. "Consumption- and productivity-adjusted dependency ratio with household structure heterogeneity in China," The Journal of the Economics of Ageing, Elsevier, vol. 17(C).
    7. Xiujian Peng, 2008. "Demographic Shift, Population Ageing And Economic Growth In China: A Computable General Equilibrium Analysis," Pacific Economic Review, Wiley Blackwell, vol. 13(5), pages 680-697, December.
    8. Shuyu Li & Qiang Wang & Rongrong Li, 2024. "How aging impacts environmental sustainability—insights from the effects of social consumption and labor supply," Palgrave Communications, Palgrave Macmillan, vol. 11(1), pages 1-16, December.
    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. Taoyuan Wei & Qin Zhu & Solveig Glomsrød, 2018. "Ageing Impact on the Economy and Emissions in China: A Global Computable General Equilibrium Analysis," Energies, MDPI, vol. 11(4), pages 1-13, April.
    2. repec:ces:ifodic:v:8:y:2010:i:2:p:14566976 is not listed on IDEAS
    3. Stefan Felder, 2006. "Lebenserwartung, medizinischer Fortschritt und Gesundheitsausgaben: Theorie und Empirie," Perspektiven der Wirtschaftspolitik, Verein für Socialpolitik, vol. 7(s1), pages 49-73, May.
    4. Ardi Novra & Adriani & Fatati, 2021. "Farming Household Readiness for Smallholder Palm Oil Replanting (SPR) Program in Jambi Province, Indonesia: Is there a need for empowerment?â€," International Journal of Research and Innovation in Social Science, International Journal of Research and Innovation in Social Science (IJRISS), vol. 5(08), pages 292-302, August.
    5. Byaro, Mwoya & Kinyondo, Abel & Michello, Charles & Musonda, Patrick, 2018. "Determinants of Public Health Expenditure Growth in Tanzania: An Application of Bayesian Model," African Journal of Economic Review, African Journal of Economic Review, vol. 6(1), January.
    6. Vogt, Tobias C. & Kluge, Fanny A., 2015. "Can public spending reduce mortality disparities? Findings from East Germany after reunification," The Journal of the Economics of Ageing, Elsevier, vol. 5(C), pages 7-13.
    7. K.B. Oh & Xuebin Chen & Jianmei Wang & Geoffrey R. Durden & Nicole El-Haber, 2011. "China’s Changing Demographics and their Influence on Financial Markets," Chapters, in: Lilai Xu (ed.), China’s Economy in the Post-WTO Environment, chapter 3, Edward Elgar Publishing.
    8. Fanny A. Kluge & Emilio Zagheni & Elke Loichinger & Tobias C. Vogt, 2014. "The advantages of demographic change after the wave: fewer and older, but healthier, greener, and more productive?," MPIDR Working Papers WP-2014-003, Max Planck Institute for Demographic Research, Rostock, Germany.
    9. Murphy, Michael & Martikainen, Pekka, 2013. "Use of hospital and long-term institutional care services in relation to proximity to death among older people in Finland," Social Science & Medicine, Elsevier, vol. 88(C), pages 39-47.
    10. Guonan Ma & Haiwen Zhou, 2009. "China's Large and Rising Net Foreign Asset Position," China & World Economy, Institute of World Economics and Politics, Chinese Academy of Social Sciences, vol. 17(5), pages 1-21, September.
    11. Melanie Arntz & Stephan L. Thomsen, 2010. "The Social Long-term Care Insurance: A Frail Pillar of the German Social Insurance System," ifo DICE Report, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, vol. 8(02), pages 29-34, July.
    12. Guonan Ma & Zhou Haiwen, 2009. "China’s evolving external wealth and rising creditor position," BIS Working Papers 286, Bank for International Settlements.
    13. Joan Costa-Font & Raphael Wittenberg & Concepció Patxot & Adelina Comas-Herrera & Cristiano Gori & Alessandra di Maio & Linda Pickard & Alessandro Pozzi & Heinz Rothgang, 2008. "Projecting Long-Term Care Expenditure in Four European Union Member States: The Influence of Demographic Scenarios," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 86(2), pages 303-321, April.
    14. Nuscheler, Robert & Roeder, Kerstin, 2013. "The political economy of long-term care," European Economic Review, Elsevier, vol. 62(C), pages 154-173.
    15. Arntz Melanie & Thomsen Stephan L., 2010. "Are Personal Budgets a Financially Sound Reform Option for the German Long-Term Care Insurance?," Journal of Economics and Statistics (Jahrbuecher fuer Nationaloekonomie und Statistik), De Gruyter, vol. 230(4), pages 378-402, August.
    16. Jiang, Min & Kim, Euijune, 2024. "Measuring the impacts of the two-child policy on industrial structure and economic growth in china using a CGE model," Journal of Asian Economics, Elsevier, vol. 92(C).
    17. Yinyin Cai & Yew-Kwang Ng, 2014. "Part-Peasants: Incomplete Rural–Urban Labour Migration in China," Pacific Economic Review, Wiley Blackwell, vol. 19(4), pages 401-422, October.
    18. Yue Li & Chengmeng Zhang & Yan Tong & Yalu Zhang & Gong Chen, 2022. "Prediction of the Old-Age Dependency Ratio in Chinese Cities Using DMSP/OLS Nighttime Light Data," IJERPH, MDPI, vol. 19(12), pages 1-23, June.
    19. Zheng Guo & Linchen Liu & Xuan Liu, 2016. "Population Aging, Marginal Propensity to Consume, and Economic Growth," Asian Economic and Financial Review, Asian Economic and Social Society, vol. 6(9), pages 534-546, September.
    20. Paolo Malighetti & Stefano Paleari & Renato Redondi, 2005. "Financing and Managing Health Expenditure: Evaluation of Aging and Capitation Criteria in the Italian Healthcare System," Working Papers 0504, Department of Management, Information and Production Engineering, University of Bergamo.
    21. Arntz, Melanie & Thomsen, Stephan L., 2008. "Reforming Home Care Provision in Germany: Evidence from a Social Experiment," ZEW Discussion Papers 08-114, ZEW - Leibniz Centre for European Economic Research.

    More about this item

    Statistics

    Access and download statistics

    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:pal:palcom:v:11:y:2024:i:1:d:10.1057_s41599-024-04041-x. 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: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: https://www.nature.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.