A SBM-DEA based performance evaluation and optimization for social organizations participating in community and home-based elderly care services

Abstract

The community and home-based elderly care service system has been proved an effective pattern to mitigate the elderly care dilemma under the background of accelerating aging in China. In particular, the participation of social organizations in community and home-based elderly care service has powerfully fueled the multi-supply of elderly care. As the industry of the elderly care service is in the ascendant, the management lags behind, resulting in the waste of significant social resources. Therefore, performance evaluation is proposed to resolve this problem. However, a systematic framework for evaluating performance of community and home-based elderly care service centers (CECSCs) is absent. To overcome this limitation, the SBM-DEA model is introduced in this paper to evaluate the performance of CECSCs. 186 social organizations in Nanjing were employed as an empirical study to develop the systematic framework for performance evaluation. Through holistic analysis of previous studies and interviews with experts, a systematic framework with 33 indicators of six dimensions (i.e., financial management, hardware facilities, team building, service management, service object and organization construction) was developed. Then, Sensitivity Analysis is used to screen the direction of performance optimization and specific suggestions were put forward for government, industrial associations and CECSCs to implement. The empirical study shows the proposed framework using SBM-DEA and sensitivity analysis is viable for conducting performance evaluation and improvement of CECSCs, which is conducive to the sustainable development of CECSCs.

Pension Service Institution Selection by a Personalized Quantifier-Based Macont Method

“…According to the evaluation information of these six pension service institutions under fourteen criteria provided by the demander, the decision matrix is formed as: The maximum monthly fee for the elderly in the pension service institution -Environment Floorage (C 3 ) The total horizontal area of each floor of various buildings in the pension service institution Wang, 2020;Shao et al, 2020Shao et al, , 2021 Green coverage rate (C 4 )…”

“…Including life care services, catering services, medical care services, cultural and entertainment services, rehabilitation services, cleaning services, washing services, spiritual support services, hospice services, commissioned services, education services, and home-based services Zhao and Fang, 2016;Xu and Zhou, 2019;Liang and Wang, 2020;Shao et al, 2020Shao et al, , 2021 Service level (C 11 )…”

“…The level of quality of various services provided by the institution, involving the supply capacity and response speed of service personnel to various service demands Xu and Zhou, 2019;Ji et al, 2020;Wang, 2020;Liang and Wang, 2020;Shao et al, 2020Shao et al, , 2021 Operation management…”

“…As reported by the World Health Organization, the proportion of the world's population over the age of 60 is expected to increase from 12% to 22% in 2015-2050 1 . With the rapid growth of the global aging population, the demand for pension services has become increasingly prominent (Shao et al, 2021). This phenomenon is obvious in China, which has the largest aging population in the world.…”

“…The above MCDM problem involves the evaluations of multiple institutions under various criteria. At present, the research on the evaluation criteria of pension service institutions has been developed (Wang, 2020;Shao et al, 2020Shao et al, , 2021, but these studies involve a large number of evaluation criteria, which may be complex for pension service demanders. In this term, this study identifies key evaluation criteria of pension service institutions through the analysis of the relevant literature.…”