The Discrepancies in Access to Community Elderly Care Service:An Empirical Analysis Based on an Integrated Framework of Institutions Networks and Culture
Why are there significant disparities in the access to community elderly care services among different populations when the provision is adequate?This article explores the collective impact of service delivery system,social networks,and culture on the access to community elderly care services.We find both the quantity of community elderly care services and the alignment between supply and demand positively influence access.Interestingly,among elderly individuals with higher social interaction needs,social networks weaken the impact of supply-demand matching on access due to co-production within these networks substituting for the social interaction function of community elderly care services.Culture shapes welfare attitudes related to responsibility allocation and provision modes,enhancing the effect of supply quantity on access,but not moderating the relationship between supply-demand matching and access.
community elderly care servicesdiscrepancies in accessinstitutionalismsocial networksculture