Multi-Dimensional Accessibility Barriers in Care Services for the Rural Elderly with Disabilities: A Qualitative Study in China.

Yuan Wang,Caiyun Qi

doi:10.3390/ijerph18126373

Abstract

This research covers a multi-dimensional investigation into accessibility barriers in care services for older people with disabilities in rural China. In-depth interviews with 13 rural disabled older people in China were conducted using qualitative methods. Based on a welfare pluralism approach, the results showed that in comparison with urban areas, care services for disabled older populations in rural areas are more subject to social barriers. This can be seen in the limited state (lack of resources, rigorous eligibility qualifications, uneven distribution, and irregular implementation); the absent market (low levels of consumption, high cost pressures, self-exclusion, and traditional cultural constraints); absent NGOs and volunteers (difficulties in access for NGOs and volunteers outside the area and formation difficulties of local NGOs and volunteers); as well as low-quality care in households and communities (unprofessional care from the spouse, unsustainable care from children, and unavailable community-based care). A multi-subject support network should be established to remove accessibility barriers to care services for older people with disabilities in rural areas through active intervention and interaction. The results of the research provide insights that will aid in the formulation of future social care service plans and health policies for rural older people with disabilities.

Highlights

IntroductionPublisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations
Using the perspective of welfare pluralism, we divided the factors of accessibility barriers to care services into four themes: the limited state, absent markets, absent non-governmental organizations (NGOs) and volunteers, and low-quality household and community care
As we noted in the introduction, nearly 90% of disabled elderly people have care needs that are basically met by informal care services provided by family members

Summary

Introduction

Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. One of the most important and visible social problems today is the increase in the aging global population. The number of older people with disabilities at risk of chronic illness or injury inevitably increases, bringing significant societal challenges. Physical dysfunction and chronic illness reduce the quality of life of vulnerable older populations, leading to extensive demand for medical and care services [1]

Methods

Results

Discussion

Conclusion