How Socially Sustainable Is the Institutional Care Environment in China: A Content Analysis of Media Reporting
Abstract
:1. Introduction
2. Literature Review
2.1. The Development of Institutional Care in China
2.2. Quality of Life in China’s Institutional Care Environment
2.2.1. Elderly Residents’ Quality of Life
2.2.2. Employees’ Quality of Life
2.3. Social Sustainability in a Chinese Context
3. Research Method
3.1. Theoretical Base
3.2. Sample Selection
3.3. Coding and Grouping
3.4. Reliability Assessment
4. Results
4.1. Problems Faced by Elderly Care Institutions
- (1)
- Professional related problems
- (2)
- Finance related problems
- (3)
- Resistance related problems
- (4)
- Policy related problems
4.2. Problems Encountered by the Employees
- (1)
- Compensation related problems
- (2)
- Status related problems
- (3)
- Development related problems
- (4)
- Pressure related problems
4.3. Problems Experienced by the Elderly and Their Relatives
- (1)
- Service related problems
- (2)
- Charge related problems
- (3)
- Admission related problems
- (4)
- Location related problems
5. Discussion
5.1. Social Sustainability of the Employees
- (1)
- Threatened health and safety
- (2)
- Limited education and training
- (3)
- Unequal treatment
5.2. Social Sustainability of the Elderly and Their Relatives
- (1)
- Unsatisfied health and safety needs
- (2)
- Unequal access
- (3)
- Inaccessibility
6. Conclusions and Limitations
Supplementary Materials
Author Contributions
Funding
Data Availability Statement
Conflicts of Interest
References
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References | Methodology | Main Findings |
---|---|---|
[32] | Questionnaire survey and statistical analysis | Elderly residents are physically frail. |
[22] | Elderly residents feel lonely and fearful. | |
[26] | The autonomy of elderly residents is restricted, and their dignity is trampled. | |
[2] | The health condition of elderly residents is poor. | |
[19] | The health condition of elderly residents is poor. | |
[20] | The elderly residents have a higher prevalence of dementia. | |
[27] | Field survey and statistical analysis | The safety of elderly residents is under threat. |
[25] | Field survey, accessibility analysis, spatial autocorrelation analysis | The accessibility of care services is unequal. |
[28] | case study | Elderly care institutions are inaccessible. |
[15] | Delphi method | Employees have a low professional image, heavy workloads, and low salary. |
[30] | Cluster randomized controlled trial | Employees lack education and training. |
[33] | Interviews | Employees experience high physical and psychological pressure. |
No. | Website | Rank in Alexa List |
---|---|---|
1 | Qq.com | 3 |
2 | Sohu.com | 4 |
3 | Sina.com.cn | 9 |
4 | Xinhuanet.com | 10 |
5 | Huanqiu.com | 17 |
6 | 17ok.com | 20 |
7 | 163.com | 22 |
8 | Rednet.cn | 33 |
No. | Category (Total Frequency) | Specific Problems | Frequency |
---|---|---|---|
(1) | Professionals (80) | Shortage of professionals | 44 |
Low quality of professionals | 36 | ||
(2) | Finance (41) | Low return rate | 30 |
Difficulty in financing | 11 | ||
(3) | Resistance (29) | Resistance of the elderly and their relatives to institutional care | 20 |
Resistance of the community to institutional care | 9 | ||
(4) | Policies (25) | Lack of preferential policies | 14 |
Imperfect combined healthcare and elderly care policies | 11 |
No. | Category | Specific Problems | Frequency |
---|---|---|---|
(1) | Compensation | Low income with heavy workloads | 31 |
(2) | Status | Low social status | 21 |
(3) | Development | Limited education and training | 19 |
(4) | Pressure | High psychological pressure | 10 |
No. | Category | Specific Problems | Frequency |
---|---|---|---|
(1) | Services | Neglected psychological needs and monotonous life | 24 |
Imperfect combined healthcare and elderly care | 22 | ||
Unguaranteed safety | 9 | ||
(2) | Charge | High charges | 20 |
(3) | Admission | Discrimination against some elderly | 9 |
(4) | Location | Remote location of elderly care institutions | 6 |
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Wang, K.; Ke, Y.; Sankaran, S. How Socially Sustainable Is the Institutional Care Environment in China: A Content Analysis of Media Reporting. Buildings 2024, 14, 2953. https://doi.org/10.3390/buildings14092953
Wang K, Ke Y, Sankaran S. How Socially Sustainable Is the Institutional Care Environment in China: A Content Analysis of Media Reporting. Buildings. 2024; 14(9):2953. https://doi.org/10.3390/buildings14092953
Chicago/Turabian StyleWang, Kun, Yongjian Ke, and Shankar Sankaran. 2024. "How Socially Sustainable Is the Institutional Care Environment in China: A Content Analysis of Media Reporting" Buildings 14, no. 9: 2953. https://doi.org/10.3390/buildings14092953