The productivity impact of the voice link between elderly and nurses: an assisted living facility pilot

Spatio-Temporal Characteristics of the Supply and Demand Coupling Coordination of Elderly Care Service Resources in China

The current situation and future development of the supply and demand coupling coordination of elderly care service resources reflect the level of elderly care service resource allocation. Whether factors affecting its development can be found is the key to promote the accurate allocation of elderly care service. Based on the coupling coordination model, the supply and demand of elderly care service resources, the development circumstance and the spatio-temporal evolution of supply and demand coupling coordination are analyzed in this paper by using the data of the elderly care service resources in 31 regions and autonomous regions in China from 2010 to 2019. The result shows that there are regional differences in the development of supply and demand coupling coordination of elderly care service resources. The degree of supply and demand coupling coordination of elderly care service resources in the western and northern regions is lower than that in the eastern and southern regions. Although the level in most areas of supply and demand coupling coordination of elderly care service resources will improve in the future, there is still a gap from good coordination. In order to strengthen the supply of elderly care service resources, and promote the upgrade of the supply and demand of elderly care service resources, the government should start from the demand of the elderly to increase investment in infrastructure construction, investment in elderly care services resources, talent training and other aspects.

Research on Supply and Demand of Aged Services Resource Allocation in China: A System Dynamics Model

With the rapid growth of the elderly population of China in recent years, the service demands of older Chinese people continue to increase. The increasingly severe situation with respect to the elderly population is an important social problem that China will face for a long time into the future. It is urgent to solve the problem of how to scientifically carry out allocation planning of service resources for the aged and guide the effective supply of service resources. This paper analyzes the factors affecting service resources for the aged, divides China’s service resource supply and demand system into a supply subsystem, a demand subsystem, and a population and economy subsystem. Using system dynamics methods to analyze the causal relationship between variables and the state space method to build a mathematical model and perform simulation analysis, we research the the current situation of China’s service resources supply and demand balance for the aged. In addition, we put forward resource configuration optimization measures for the future allocation of service resources for the aged, providing a practical basis for future decision-making.

Differentiating innovation priorities among stakeholder in hospital care

BACKGROUND

Decisions to adopt a particular innovation may vary between stakeholders because individual stakeholders may disagree on the costs and benefits involved. This may translate to disagreement between stakeholders on priorities in the implementation process, possibly explaining the slow diffusion of innovations in health care. In this study, we explore the differences in stakeholder preferences for innovations, and quantify the difference in stakeholder priorities regarding costs and benefits.

METHODS

The decision support technique called the analytic hierarchy process was used to quantify the preferences of stakeholders for nine information technology (IT) innovations in hospital care. The selection of the innovations was based on a literature review and expert judgments. Decision criteria related to the costs and benefits of the innovations were defined. These criteria were improvement in efficiency, health gains, satisfaction with care process, and investments required. Stakeholders judged the importance of the decision criteria and subsequently prioritized the selected IT innovations according to their expectations of how well the innovations would perform for these decision criteria.

RESULTS

The stakeholder groups (patients, nurses, physicians, managers, health care insurers, and policy makers) had different preference structures for the innovations selected. For instance, self-tests were one of the innovations most preferred by health care insurers and managers, owing to their expected positive impacts on efficiency and health gains. However, physicians, nurses and patients strongly doubted the health gains of self-tests, and accordingly ranked self-tests as the least-preferred innovation.

CONCLUSIONS

The various stakeholder groups had different expectations of the value of the nine IT innovations. The differences are likely due to perceived stakeholder benefits of each innovation, and less to the costs to individual stakeholder groups. This study provides a first exploratory quantitative insight into stakeholder positions concerning innovation in health care, and presents a novel way to study differences in stakeholder preferences. The results may be taken into account by decision makers involved in the implementation of innovations.

Quality level assessment model for senior housing

Purpose

Senior buildings have been designed as purposeful space programs. Therefore the elderly need coherent information about different senior housing concepts. The study seeks to set out a method for measuring the quality level of senior housing.

Design/methodology/approach

The method includes measuring four different factors: local services, building and yard, apartment, and on‐site services. Measuring the quality level of two separate residential areas and senior housing facilities demonstrates the use of the quality level measurement system.

Findings

The overall quality level of Facility 1 was significantly lower than that of Facility 2. The lower quality level measurement for Facility 1 was primarily the result of the lack of premises for lease to commercial or other tenants and the lack of on‐site services. The quality level measurement system is a successful tool for assessing the functioning and quality standard of residential areas and housing facilities in the point of view of elderly people.

Originality/value

This study has developed a unique application for measuring the quality level of residential areas and senior housing facilities. The measurement system is useful for estimating the quality level of a facility and also for analyzing different quality level factors to identify possible problems. While the intention is to provide a method primarily for expert assessments, seniors and their relatives could also use the method as an aid in weighing up the suitability of different senior housing facilities.