Background: Community-based care services refers to the professional services provided at home to the elderly with formally assessed demands. The growth of the elderly population has increased the demand for these services, and this issue is even worse in the affordable housing community (AHC) of China. Understanding of elderly's demands for different types of community-based care services and its determinations would enable the implementation of appropriate incentive schemes to promote utilization of community-based care services in the AHCs of China. Methods: Guided by previous studies, a conceptual framework was developed. Then, a questionnaire was designed and a community based survey was conducted from May 10-20, 2018 in Daishan AHC of Nanjing City, China. Four hundred eight participants from 25,650 elderly people were selected by systematic random sampling technique. Binary logistic regression was applied to the data about the elderly' primary demands for community-based care services in the AHC, to quantify the elderly's demands and explore related individual-level factors. Results: The finding indicates that more than 50% of respondents had the demand for an elderly care hotline, building health archives, on-call nursing and doctor visits, medical lectures, regular medical examinations and sporting fitness. The binary logistic regression models revealed that the primary demands of the elderly for community-based care services were influenced by distinct factors. Conclusions: Our findings help clarify different types of community-based care services and provide fresh information about the demand for community-based care among the elderly in AHCs. Several policy implications are discussed to enhance the efficiency of community-based care service provision.
Smart city (SC) and resilient city (RC) have been studied and practiced over the years in terms of the increasing urban problems and disasters. However, there is a large overlap between their meanings and relationships. With an increasing concern for both SC and RC in urban development and hazard mitigation, a review was conducted to explore the differences and connections between SC and RC with scientometric analysis. There are far more literatures about SC than RC, and very few papers discuss SC and RC together. The research trend, category, and hotspots from research clusters are illustrated and compared. Major differences are discussed from their objectives, driving force, current research focus, and criticism. The literatures both related to SC and RC are used to explore their connections, which are very limited. The results revealed that the RC's impact on SC are positive from physical, social, and environmental aspects, while SC's impacts on RC could be both positive and negative from the above three aspects. It is indicated that SC and RC are both important for urban planning and can be complementary to each other through proper design and governance, which implies the need for building a resilient smart city (RSC).
With the rapid development of urbanization worldwide, there is a large volume of neighborhoods that need to be renewed with various problems such as poor building performance, few public facilities, congested road traffic, unequal living standards, disappearing community culture, and deprived environments. Performance evaluations are considered to be useful tools for ensuring the outcomes of sustainable renewal. Although many research works have assessed the performances of urban renewal projects, evaluations, especially for neighborhood renewal projects, are often overlooked. Besides, it is also hard to find a general standard that is suitable for evaluating the performance of any neighborhood renewal project with a lack of related regulations or codes. Thus, this paper intends to build a framework to assess the relative performances of multiple neighborhood renewal projects through a hybrid AHP-TOPSIS method. A case study in Nanjing, China, is used to show how this framework could be applied to decision-making in order to pursue sustainable neighborhood renewal. The results are expected to provide references for sustainable renewal in each neighborhood. Suggestions related to the findings are proposed to further improve the performances of neighborhood renewal projects, such as establishing a multiple principle–agent framework, providing a sustainable funding system from both the public and private sector, and implementing multiprogram management measures.
BackgroundAs the proportion of elderly residents living in large-scale affordable housing communities (LAHCs) increases in China, serious problems have become apparent related to the spatial allocation of elderly healthcare facilities (EHFs), e.g., insufficient provision and inaccessibility. To address these issues, this study developed a location allocation model for EHFs to ensure equitable and efficient access to healthcare services for the elderly in LAHCs.MethodsBased on discrete location theory, this paper develops a two-stage optimization model for the spatial allocation of EHFs in LAHCs. In the first stage, the candidate locations of EHFs are specified using geographic information system (GIS) techniques. In the second stage, the optimal location and size of each EHF are determined based on the greedy algorithm (GA). Finally, the proposed two-stage optimization model is tested using the Daishan LAHC in Nanjing, Eastern China.ResultsThe demand of the elderly for accessibility to EHFs is in line with Nanjing’s planning standards. Deep insights into spatial data are revealed by GIS techniques that enable candidate locations of EHFs to be obtained. In addition, the model helps EHF planners achieve equity and efficiency simultaneously. Two optimal locations for EHFs in the Daishan LAHC are identified, which in turn verifies the validity of the model.ConclusionsAs a strategy for allocating EHFs, this two-stage model improves the equity and efficiency of access to healthcare services for the elderly by optimizing the potential sites for EHFs. It can also be used to assist policymakers in providing adequate healthcare services for the low-income elderly. Furthermore, the model can be extended to the allocation of other public-service facilities in different countries or regions.
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