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Pathways to Improve Provision of Home and Community-Based Services-A Configurational Approach Based on a Fuzzy-Set
Yunyun Huang1, Rujia Zhang1, Qianru Zhao1
1School of Public Health and Management, Wenzhou Medical University, Wenzhou, China.
Summary
This study identifies key factors influencing home and community-based services (HCBS) for older adults in China. Understanding these configurations can improve HCBS provision and promote active, healthy aging.
Area of Science:
- Gerontology
- Public Health
- Social Policy
Background:
- Home and Community-Based Services (HCBS) are vital for active and healthy aging.
- Unclear factors affecting HCBS in China limit its impact on older adults' quality of life.
- Regional disparities in HCBS provision need to be addressed.
Purpose of the Study:
- To examine configurations that lead to variations in HCBS provision in China.
- To identify multiple pathways for enhancing HCBS and reducing regional inequalities.
- To inform policy for improving HCBS and supporting healthy aging.
Main Methods:
- Utilized fuzzy-set qualitative comparative analysis (fsQCA).
- Analyzed data from 23 cases across multiple datasets.
- Employed configuration analysis to identify causal pathways.
Main Results:
- Identified four distinct pathways leading to high HCBS provision.
- Identified three distinct pathways leading to low HCBS provision.
- Found that combinations of aging population, economic development, institutional support, financial support, and stakeholder engagement influence HCBS.
Conclusions:
- Specific configurations of factors significantly impact HCBS provision levels.
- Tailored interventions based on regional characteristics are necessary for improving HCBS.
- Addressing these factors can enhance HCBS, improve older adults' quality of life, and promote healthy aging in China.
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