A System Dynamics Approach for Evaluating the Synergy Degree of Social Organizations Participating in Community and Home-Based Elderly Care Services

Abstract

As the number of elderly continues to increase in China, anxiety about related problems has encouraged special care for the elderly. Social organizations participating in community and home-based elderly care services (SO-CHECS) seem to be a promising way to address these problems, but it also raises new challenges, such as uncoordinated cooperation among stakeholders, which would lead to low elderly care service quality and hinder the active participation of social organizations. However, synergetic development can be introduced to enhance the participation of social organizations and to improve social welfare. Thus, this study utilizes system dynamics (SD) to investigate how the overall synergy degree of the SO-CHECS system is affected by the dynamic interactions of main elements/subsystems of this system. It also provides a practical tool through which the effectiveness of various management measures in improving the synergy degree of SO-CHECS could be simulated in advance so that the key factors that restrict the development of SO-CHECS can be analyzed and potential effective policies can be designed. In this way, knowledge of the synergic development of the SO-CHECS system will help managers or policy makers to form optimal cooperative relationships among collaborative stakeholders, improve satisfaction for the elderly, and achieve high-efficient resource utilization for the whole city.

An improved multi-attribute group decision-making method for selecting the green supplier of community elderly healthcare service

“…Community elderly healthcare service originated from the concept of community care, which first appeared in Britain in the 1950s (Walker, 1987). Initially, scholars proposed three types of community care: care in the community, care by the community, and care for the community (Zhang and Yang, 2019;Li, 2020;Shao et al, 2022). Care in the community refers to a former elderly care service supplied by a specialized institution in the community.…”

A social network analysis model approach to understand continuing care retirement community policies in China

“…As shown in Table 2, only eleven departments were involved in the formulation of CCRC policies between 2000 and 2013. The Ministry of Civil Affairs (MCA) issued the most documents (9), followed by the SC (7). It is important to note that the number of policies issued by all departments is small.…”

“…Meanwhile, those in need of intense health care, who constitute a small percentage of the older population, are housed in such institutions as nursing homes [6]. Downsized family structures and relevant societal developments, however, have relentlessly pressured care, shaking customary local patterns of home and institutional care [7].…”

Numerical Study on Static and Dynamic Load Response of Temporary Support System for Group Tunnels Excavation

“…For underground structures, it is widely believed that the displacement and amplitude produced by underground structures under earthquake action are relatively smaller than those of surface structures due to the restraint of the surrounding soil, and the seismic action on underground structures will be smaller than that on surface structures, so people pay less attention to the seismic resistance of underground structures. Most of the existing studies have focused on the seismic resistance of surface structures [16][17][18][19][20]. However, the large earthquakes that have occurred in recent years have shown that underground structures can also be severely damaged when subjected to strong ground motions, and many studies have investigated the damage patterns of tunnel structures during seismic events [21][22][23][24][25], and the issue of seismic damage to underground building structures is gradually gaining attention.…”