Integrating Community-Based and Smart Care Models: Strategies for Advancing China's Elderly Care Industry Amid Demographic Challenges
Main Article Content
Keywords
Aging population, Community-based care, Smart care technologies, Cross-country comparative analysis
Abstract
China’s rapidly aging population presents significant challenges to its elderly care system. By 2021, 18.1% of the population was aged 65 years or above, with those over 80 years and exceeding 30 million. Traditional caregiving models, including family-based and institutional care, are increasingly inadequate due to urbanization, reduced family sizes, and economic constraints. This paper explores innovative solutions by examining the integration of community-based networks and smart care technologies. Drawing lessons from successful international models in Japan, Sweden, and Singapore, as well as advancements in smart care technologies in the United States, Germany, and South Korea, this study highlights strategies for developing sustainable and culturally adapted elderly care systems in China. These include building localized care hubs, enhancing independent living through smart home systems, fostering public‒private partnerships to offset financial burdens, and aligning modern innovations with traditional caregiving practices to ensure acceptance. The findings emphasize the importance of balancing accessibility, affordability, and cultural relevance to meet the evolving needs of China’s aging society.
References
- AIbase. (2024, September 24). Tencent robotics X Lab launches home environment robot 'Xiao Wu' capable of delivering packages and assisting the elderly. https://www.aibase.com/news/11957
- Cho, J. (2024, January 30). Seoul to provide more low-cost housing to older residents. Korea JoongAng Daily. https://koreajoongangdaily.joins.com/news/2024-01-30/national/socialAffairs/Seoul-to-provide-more-lowcost-housing-to-older-residents/1970424
- European Commission. (2017, August 23). Smart technology tested in Germany allows older people to live independently. https://ec.europa.eu/regional_policy/en/projects/germany/smart-technology-tested-in-germany-allows-older-people-to-live-independently
- Federal Ministry of Health. (n.d.). Digital healthcare act (DVG). https://www.bundesgesundheitsministerium.de/en/digital-healthcare-act
- Guizhou Provincial Development and Reform Commission. (2022, 2022). The 14th Five-Year Plan for public services of Guizhou province. https://fgw.guizhou.gov.cn/ztzl/sswgh_5643328/202212/P020221230388451822943.pdf
- Hu, M. (2023, October 30). “Elderly care time bank” scheme to be promoted citywide. Shine. https://www.shine.cn/news/metro/2310303052/
- Kim, S. J., & Shin, J. (2018). Smart silver towns: Prospects and challenges. In P. Rajagopalan & M. M. Andamon (Eds.), Engaging architectural science: Meeting the challenges of higher density: Proceedings of the 52nd international conference of the architectural science association 2018 (pp. 339-346). Architectural Science Association and RMIT University. https://archscience.org/wp-content/uploads/2019/01/40-Smart-Silver-Towns-Prospects-and-Challenges
- Luo, Y., Wu, X., Liao, L., Zou, H., & Zhang, L. (2022). Children’s filial piety changes life satisfaction of the left-behind elderly in rural areas in China? International Journal of Environmental Research and Public Health, 19(8), Article 4658. https://doi.org/10.3390/ijerph19084658
- Ministry of Health Singapore. (2018, February 19). Integration of health and social services to support seniors. https://www.moh.gov.sg/newsroom/integration-of-health-and-social-services-to-support-seniors
- Ministry of Health Singapore. (2021, October 5). Manpower and infrastructure plans to ensure sufficient healthcare support for elderly. https://www.moh.gov.sg/newsroom/manpower-and-infrastructure-plans-to-ensure-sufficient-healthcare-support-for-elderly
- Nanjing Municipal People's Congress. (2021, March 17). Investigation and reflections on elderly care services in Nanjing. https://www.njrd.gov.cn/hyzl_66742/cwhhy/njsdsljrmdbdhcwwyhdsqchy/202103/t20210317_2851388.html
- National Bureau of Statistics. (2021, Jnue 28). Bulletin of the seventh national population census. http://www.stats.gov.cn/tjsj/tjgb/rkpcgb/qgrkpcgb/202106/t20210628_1818824.html
- Rural Health Information Hub. (n.d.). Telehealth and health IT. https://www.ruralhealthinfo.org/topics/telehealth-health-it
- Shanghai Municipal Government. (2019). Guidelines on promoting community-embedded elderly care services. https://www.shanghai.gov.cn/nw12344/20200813/0001-12344_63121.html
- Swedish Institute. (n.d.). Elderly care in Sweden. https://sweden.se/life/society/elderly-care-in-sweden
- Tamiya, N., Noguchi, H., Nishi, A., Reich, M. R., Ikegami, N., Hashimoto, H., Shibuya, K., Kawachi, I., & Campbell, J. C. (2011). Japan: Universal health care at 50 years 4: Population ageing and wellbeing: Lessons from Japan's long-term care insurance policy. The Lancet, 378(9797), 1183-1192. https://www.proquest.com/scholarly-journals/japan-universal-health-care-at-50-years-4/docview/894843481/se-2
- Wang, K., Ke, Y., & Sankaran, S. (2024). How socially sustainable is the institutional care environment in China: A content analysis of media reporting. Buildings, 14(9), Article 2953. https://doi.org/10.3390/buildings14092953
- Xie, W., & Fan, R. (2020). Towards ethically and medically sustainable care for the elderly: The case of China. HEC Forum, 32(1), 1-12. https://doi.org/10.1007/s10730-019-09391-7