IDEAS home Printed from https://ideas.repec.org/a/spr/syspar/v29y2016i1d10.1007_s11213-015-9353-4.html
   My bibliography  Save this article

Soft Systems Methodologies in Action: Environment, Health & Shanghai’s Elderly

Author

Listed:
  • Katie Kish

    (University of Waterloo)

  • Martin J. Bunch

    (York University)

  • Beiyuan J. Xu

Abstract

This research explored the perception of elderly citizens in Shanghai about negative health impacts of environmental issues. A soft systems methodology (SSM) framework was employed with methodological tools including rich pictures, workshops, social system model building and comparison of models. We found that among our elderly participants, recent government and media campaigns have created the perception that environmental conditions have improved due to government initiatives. The exception to this view is among the educated participants of the study. This suggests that powers of nested social hierarchies and governmental media control still have a dominant influence on public opinion in Shanghai, creating barriers for citizen recognition and understanding of environmental health issues. Education and open access to information are potential areas for intervention to improve understanding and empowerment in this area.

Suggested Citation

  • Katie Kish & Martin J. Bunch & Beiyuan J. Xu, 2016. "Soft Systems Methodologies in Action: Environment, Health & Shanghai’s Elderly," Systemic Practice and Action Research, Springer, vol. 29(1), pages 61-77, February.
  • Handle: RePEc:spr:syspar:v:29:y:2016:i:1:d:10.1007_s11213-015-9353-4
    DOI: 10.1007/s11213-015-9353-4
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s11213-015-9353-4
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.

    File URL: https://libkey.io/10.1007/s11213-015-9353-4?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. Liu, Gordon G. & Zhao, Zhongyun & Cai, Renhua & Yamada, Tetsuji & Yamada, Tadashi, 2002. "Equity in health care access to: assessing the urban health insurance reform in China," Social Science & Medicine, Elsevier, vol. 55(10), pages 1779-1794, November.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Alexandre de A. Gomes Júnior & Vanessa B. Schramm, 2022. "Problem Structuring Methods: A Review of Advances Over the Last Decade," Systemic Practice and Action Research, Springer, vol. 35(1), pages 55-88, February.
    2. Daniel E. Ufua & Angie O. I. Adebayo, 2019. "Exploring the Potency of Rich Pictures in a Systemic Lean Intervention Process," Systemic Practice and Action Research, Springer, vol. 32(6), pages 615-627, December.
    3. Hsin-Chang Tsai & Ruo-Lan Liu, 2020. "Action Study of Community-Based Aesthetic Education Course Design and Practice for Senior Citizens," Systemic Practice and Action Research, Springer, vol. 33(2), pages 137-147, April.

    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. Chen, Zhuo & Eastwood, David B. & Yen, Steven T., 2005. "Childhood Malnutrition In China: Change Of Inequality In A Decade," 2005 Annual meeting, July 24-27, Providence, RI 19205, American Agricultural Economics Association (New Name 2008: Agricultural and Applied Economics Association).
    2. Wouters, Olivier J. & Cylus, Jonathan & Yang, Wei & Thomson, Sarah & McKee, Martin, 2016. "Medical savings accounts: assessing their impact on efficiency, equity, and financial protection in health care," LSE Research Online Documents on Economics 65448, London School of Economics and Political Science, LSE Library.
    3. Jay Pan & Xiaoyan Lei & Gordon G. Liu, 2016. "Health Insurance and Health Status: Exploring the Causal Effect from a Policy Intervention," Health Economics, John Wiley & Sons, Ltd., vol. 25(11), pages 1389-1402, November.
    4. Zhang, Hui & Yuen, Peter P., 2016. "Medical Savings Account balance and outpatient utilization: Evidence from Guangzhou, China," Social Science & Medicine, Elsevier, vol. 151(C), pages 1-10.
    5. Zhang, Anwen & Nikoloski, Zlatko & Mossialos, Elias, 2017. "Does health insurance reduce out-of-pocket expenditure? Heterogeneity among China's middle-aged and elderly," Social Science & Medicine, Elsevier, vol. 190(C), pages 11-19.
    6. Xilong Pan & Hassan H. Dib & Minmin Zhu & Ying Zhang & Yang Fan, 2009. "Absence of appropriate hospitalization cost control for patients with medical insurance: a comparative analysis study," Health Economics, John Wiley & Sons, Ltd., vol. 18(10), pages 1146-1162, October.
    7. Tianxu Chen, 2019. "Can Health Savings Account Reduce Health Spending?: Evidence from China," Working papers 2019-08, University of Connecticut, Department of Economics.
    8. Feng Huang & Li Gan`, 2017. "The Impacts of China's Urban Employee Basic Medical Insurance on Healthcare Expenditures and Health Outcomes," Health Economics, John Wiley & Sons, Ltd., vol. 26(2), pages 149-163, February.
    9. Jianmei Zhao & Hai Zhong, 2015. "Medical expenditure in urban China: a quantile regression analysis," International Journal of Health Economics and Management, Springer, vol. 15(4), pages 387-406, December.
    10. JunQiang Liu & Tao Chen, 2013. "Sleeping money: investigating the huge surpluses of social health insurance in China," International Journal of Health Economics and Management, Springer, vol. 13(3), pages 319-331, December.
    11. Maoyong Fan & Zhen Lei & Gordon Liu, 2016. "Discounting of Medical Savings Accounts," American Journal of Health Economics, MIT Press, vol. 2(2), pages 161-183, Spring.
    12. J. Guan & JdD Tena, 2018. "Do Social Medical Insurance Schemes Improve Children's Health in China?," Working Paper CRENoS 201807, Centre for North South Economic Research, University of Cagliari and Sassari, Sardinia.
    13. Xin Xie & Qunhong Wu & Yanhua Hao & Hui Yin & Wenqi Fu & Ning Ning & Ling Xu & Chaojie Liu & Ye Li & Zheng Kang & Changzhi He & Guoxiang Liu, 2014. "Identifying Determinants of Socioeconomic Inequality in Health Service Utilization among Patients with Chronic Non-Communicable Diseases in China," PLOS ONE, Public Library of Science, vol. 9(6), pages 1-14, June.
    14. Ying Liang & Minglei Guo, 2015. "Utilization of Health Services and Health-Related Quality of Life Research of Rural-to-Urban Migrants in China: A Cross-Sectional Analysis," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 120(1), pages 277-295, January.
    15. Guan Gong & Hongmei Wang & Lingli Xu, 2015. "The Impact of Individual Health Account Scheme on Lifetime Income Redistribution: Evidence from China," Review of Development Economics, Wiley Blackwell, vol. 19(4), pages 925-940, November.
    16. Kim, Sujin & Kwon, Soonman, 2015. "Impact of the policy of expanding benefit coverage for cancer patients on catastrophic health expenditure across different income groups in South Korea," Social Science & Medicine, Elsevier, vol. 138(C), pages 241-247.
    17. Qin Zhou & Gordon G. Liu & Sam Krumholz, 2017. "Is Chinese National Health Insurance Effective in the Face of Severe Illness? A Perspective from Health Service Utilization and Economic Burden," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 132(3), pages 1307-1329, July.
    18. Jing Guana & J.D. Tena, 2018. "Estimating the Impact of Social Medical Insurance Schemes on Children’s Health and Hospital Use: The Chinese Case," Working Papers 20188, University of Liverpool, Department of Economics.
    19. Chen, Zhuo & Eastwood, David B. & Yen, Steven T., 2007. "A decade's story of childhood malnutrition inequality in China: Where you live does matter," China Economic Review, Elsevier, vol. 18(2), pages 139-154.
    20. Wen He, 2022. "Effects of establishing a financing scheme for outpatient care on inpatient services: empirical evidence from a quasi-experiment in China," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 23(1), pages 7-22, February.

    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:spr:syspar:v:29:y:2016:i:1:d:10.1007_s11213-015-9353-4. 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: http://www.springer.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.