Spatio-temporal evolution of the coordinated development of Eldercare resources and utilization in China: Based on a hierarchical analysis framework.

Corresponding author: Rao keqin, uab12345@qq.com

DOI: 10.12201/bmr.202209.00014

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  Abstract: Objective To evaluate the spatio-temporal evolution of the coordinated development of eldercare resource and utilization in China, and to provide reference for the decision making of eldercare resource allocation. Methods Based on the hierarchical analysis framework, the health resource density index, entropy method, and coupling coordination evaluation model were used to analyze the data of eldercare institutions, community eldercare institutions and facilities in 31 provinces, municipalities and autonomous regions in China from 2015 to 2020. Results The resource allocation of eldercare institutions and community eldercare institutions and facilities in China showed an upward trend, but the comprehensive development level index was not high, and there were relatively large differences between provinces. The coupling coordination degree of the two types of institutions was in a spatial distribution pattern of high in the east and low in the west, and the overall trend was decreasing. The total coupling coordination level of eldercare institutions was slightly higher than that of community eldercare institutions and facilities, but the latter had a better average condition across provinces than the former, and the improvement was more obvious. The relative development degrees of two types of institutions has developed from a resource-allocation-lag type to a service-utilization-lag type. Conclusion In the future, in the process of making eldercare resource allocation decisions, attention should be paid to the number and distribution of the regional elderly population to improve the accuracy of resource allocation. Furthermore, it is necessary to focus on the regional fairness of eldercare resource allocation. Based on the relative development of regional eldercare resource and service utilization, the resource allocation strategy should be dynamically adjusted.

  Key words: eldercare resource allocation; eldercare service utilization; coupling coordinative

  Submit time: 19 September 2022

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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