China’s elderly mutual aid model: an active ageing perspective

Abstract

Purpose China’s rural elderly care system faces significant challenges in addressing the needs of an ageing population, particularly in resource-limited areas. This study aims to critically examine the rural mutual aid elderly care model in China through the lens of active ageing principles. It explores how this model tackles elder care challenges in rural areas by emphasising health, participation and security, aiming to assess its effectiveness in reducing care costs while fostering self-reliance and mutual assistance. Design/methodology/approach A qualitative research methodology was used, focusing on document analysis to explore the rural mutual aid elderly care model within an active ageing framework. The study reviewed policy documents, academic literature and organisational records, using thematic analysis to understand the historical context, policy evolution and institutional support for this model. Findings The research identifies a significant shift from traditional passive care models to those grounded in active ageing principles. The rural mutual aid model, centring on health, participation and security, enables elderly individuals to engage in self-help and mutual assistance, thereby enhancing autonomy and reducing dependency. Key success factors include strong community networks and culturally resonant support systems. However, challenges such as resource limitations and regional disparities suggest areas for further improvement. Research limitations/implications The reliance on document analysis may not fully capture the experiences of elderly participants or account for regional variations in the model’s implementation. Future research could incorporate mixed methods, including interviews or case studies, for a more nuanced understanding of elderly care in rural China. The findings emphasise the need for scalable and adaptable policies to enhance the model’s effectiveness and support culturally appropriate care strategies. Practical implications The research presents significant implications for policymakers and practitioners regarding the rural mutual aid elderly care model. It emphasises the need for scalable policies that address resource limitations and enhance community engagement to improve care effectiveness. Key implications include promoting financial and social sustainability by fostering self-reliance among older adults, prioritising active ageing initiatives to enhance quality of life and community cohesion and adopting localised strategies that consider regional disparities. Moreover, these findings offer a blueprint for other countries facing similar ageing challenges, advocating for a culturally sensitive and community-driven approach to elderly care across East Asia. Social implications The study’s findings significantly impact how ageing is perceived and managed in rural Chinese communities. The shift from traditional, passive elderly care models to those grounded in active ageing principles reflects a societal transformation in valuing and supporting older adults. By promoting health, participation and security, the rural mutual aid elderly care model creates inclusive environments where the elderly actively contribute to their well-being and that of others. This approach challenges perceptions of ageing as a decline, fostering autonomy and meaningful engagement, ultimately reducing social isolation and enhancing cohesion through strengthened intergenerational relationships and shared responsibilities. Originality/value This study contributes to the literature by focusing on the rural mutual aid elderly care model in China through active ageing principles, addressing a notable gap in the non-Western application of these concepts. The findings offer valuable recommendations for policymakers and practitioners, emphasising community-driven approaches to ageing challenges in rural areas.