Locating Community-Based Comprehensive Service Facilities for Older Adults Using the GIS-NEMA Method in Harbin, China
Publication: Journal of Urban Planning and Development
Volume 147, Issue 2
Abstract
Local governments and scholars in China have recently proposed and developed community-based comprehensive service facilities for older adults in response to population aging and greater service needs of older adults in urban areas. This study proposes a method to identify the ideal distribution of such facilities by combining the nested ecological model of aging in place as the theoretical foundation with a geographic information system as the methodological tool. The findings indicate that many essential services, particularly health care and places for socialization, are lacking in urban areas when walkability and accessibility to public services are considered. The findings also indicate that the downtown and main factory areas with higher population density have a higher need for developing community-based comprehensive services facilities for older adults. The proposed method shows strong potential for locating service networks and provides useful information for policy development, urban planning, and architectural programming.
Get full access to this article
View all available purchase options and get full access to this article.
Acknowledgments
The authors would like to acknowledge Harbin Civil Affairs Bureau for providing the Statistics of Pension Institutions. The study was generously funded by the Graduate School of Harbin Institute of Technology (Cultivation of innovative talents for postgraduates, funding #AUDQ9802200116), which made the first author's visiting scholarship to the University of Wisconsin-Madison possible.
References
2016 heilongjiang province administrative divisions. 2016. [In Chinese.] Accessed June 26, 2019. http://www.xzqh.org/html/show/hl/37722.html.
Al-Sahili, K., and M. Aboul-Ella. 1992. “Accessibility of public services in Irbid, Jordan.” J. Urban Plann. Dev. 118 (1): 1–12. https://doi.org/10.1061/(ASCE)0733-9488(1992)118:1(1).
Ball, M. S. 2012. Livable communities for aging populations: Urban design for longevity. Hoboken, NJ: Wiley.
Bowling, A. 2008. “Enhancing later life: How older people perceive active ageing?” Aging Mental Health 12 (3): 293–301. https://doi.org/10.1080/13607860802120979.
Bronfenbrenner, U. 1999. “Environments in developmental perspective: Theoretical and operational models.” In Measuring environment across the life span: Emerging methods and concepts, edited by S. L. Friedman, and T. D. Wachs, 3–28. Washington, DC: American Psychological Association.
Cao, M. J., X. L. Guo, H. Yu, L. Y. Chen, and T. A. McDonald. 2014. “Chinese community-dwelling elders” needs: Promoting ageing in place.” Int. Nurs. Rev. 61 (3): 327–335. https://doi.org/10.1111/inr.12119.
Chen, Y., A. Bouferguene, M. Shirgaokar, and M. Al-Hussein. 2020. “Spatial analysis framework for age-restricted communities integrating spatial distribution and accessibility evaluation.” J. Urban Plann. Dev. 146 (1): 04019021. https://doi.org/10.1061/(ASCE)UP.1943-5444.0000537.
Chen, Z., J. Yu, Y. Song, and D. Chui. 2010. “Aging Beijing: Challenges and strategies of health care for the elderly.” Ageing Res. Rev. 9: S2–S5. https://doi.org/10.1016/j.arr.2010.07.001.
Coleman, J. S. 1988. “Social capital in the creation of human capital.” Am. J. Sociol. 94: S95–S120. https://doi.org/10.1086/228943.
Elder, G. H., M. K. Johnson, and R. Crosnoe. 2003. “The emergence and development of life course theory.” In Handbook of the life course, edited by J. T. Mortimer and M. J. Shanahan, 3–19. Boston: Springer.
Ford, A., S. Barr, R. Dawson, and P. James. 2015. “Transport accessibility analysis using GIS: Assessing sustainable transport in London.” ISPRS Int. J. Geo-Inf. 4 (1): 124–149. https://doi.org/10.3390/ijgi4010124.
Forsyth, A. 2015. “What is a walkable place? The walkability debate in urban design.” Urban Des. Int. 20 (4): 274–292. https://doi.org/10.1057/udi.2015.22.
Harbin Municipal People’s Government. 2018. “Opinions of Harbin Municipal People’s Government on the formulation and implementation of care and service projects for the elderly.” [In Chinese.] Accessed February 17, 2021. http://www.harbin.gov.cn/art/2018/11/27/art_13790_15391.html.
Hays, J. C. 2002. “Living arrangements and health status in later life: A review of recent literature.” Public Health Nurs. 19 (2): 136–151. https://doi.org/10.1046/j.1525-1446.2002.00209.x.
Jiang, N., V. W. N. Lou, and N. Lu. 2018. “Does social capital influence preferences for aging in place? evidence from urban China.” Aging Mental Health 22 (3): 405–411. https://doi.org/10.1080/13607863.2016.1249455.
Jin, Z., M. E. Northridge, and S. S. Metcalf. 2018. “Modeling the influence of social ties and transportation choice on access to oral healthcare for older adults.” Appl. Geogr. 96: 66–76. https://doi.org/10.1016/j.apgeog.2018.05.005.
Johnson, M. P., W. L. Gorr, and S. Roehrig. 2005. “Location of service facilities for the elderly.” Ann. Oper. Res. 136 (1): 329–349. https://doi.org/10.1007/s10479-005-2062-0.
Jun, H. J., and M. Hur. 2015. “The relationship between walkability and neighborhood social environment: The importance of physical and perceived walkability.” Appl. Geogr. 62: 115–124. https://doi.org/10.1016/j.apgeog.2015.04.014.
Kane, R. L., and R. A. Kane. 2001. “What older people want from long-term care, and how they can get it.” Health Aff. 20 (6): 114–127. https://doi.org/10.1377/hlthaff.20.6.114.
Kang, Y., Y. Wang, Z. Xia, J. Chi, M. Jiao, and Z. W. Wei. 2018. “Identification and classification of wuhan urban districts based on poi.” [In Chinese.] J. Geomat. 43: 81–85. https://doi.org/10.14188/j.2095-6045.2016352.
Katz, S. 1983. “Assessing self-maintenance: Activities of daily living, mobility, and instrumental activities of daily living.” J. Am. Geriatr. Soc. 31 (12): 721–727. https://doi.org/10.1111/j.1532-5415.1983.tb03391.x.
Lawton, M. P., and E. M. Brody. 1969. “Assessment of older people: Self-maintaining and instrumental activities of daily living.” Gerontologist 9 (3): 179–186. https://doi.org/10.1093/geront/9.3_Part_1.179.
Lehning, A. J. 2012. “City governments and aging in place: Community design, transportation and housing innovation adoption.” Gerontologist 52 (3): 345–356. https://doi.org/10.1093/geront/gnr089.
Leslie, E., N. Coffee, L. Frank, N. Owen, A. Bauman, and G. Hugo. 2007. “Walkability of local communities: Using geographic information systems to objectively assess relevant environmental attributes.” Health Place 13 (1): 111–122. https://doi.org/10.1016/j.healthplace.2005.11.001.
Liu, W. T., and H. Kendig. 2000. “Critical issues of caregiving: East–west dialogue.” In Who should care for the elderly: An east-west value divide, edited by W. T. Liu, and H. Kendig, 1–23. Singapore: World Scientific.
Ma, Y., and J. Shin. 2019. “Rooted in the earth, rooted in the community: The meanings of rural dwellings among older adults in Northern China.” In Proc. from EDRA 50: Sustainable Urban Environments, edited by A. Beth, R. Wener, B. Yoon, R. A. Rae, and J. Morris. Brooklyn, NY: Environmental Design Research Association.
Ma, Y., K. W. M. Siu, and G. Zou. 2020. “Contradictory and consistent views on designing an inclusive community-based centre for older people: A mixed-methods study of different age groups in China.” Ageing Soc. 40 (9): 1867–1886. https://doi.org/10.1017/S0144686X19000254.
Ma, Y., G. Zou, K. W. M. Siu, and H. Lan. 2017. “Do older Chinese citizens want to live in and get elderly services from embedded community elderly centers? A study on older persons’ preferences in the Northeast of China.” In Proc., UIA 2017 Seoul World Architects Congress, Sejong, South Korea: Ministry of Land, Infrastructure and Transport.
Ma, Y., G. Zou, K. W. M. Siu, and Y. L. Wong. 2018. “Social-architectural design of community-based embedded comprehensive elderly centres in China: Design content and process.” In Practice and progress in social design and sustainability, edited by K. W. M. Siu and Y. L. Wong, 94–117. Hershey, PA: IGI Global.
Nishino, T., and S. Kasai. 2019. “Development of a location optimization planning framework for care facilities based on estimation of distribution of senior people on GIS.” [In Japanese.] AIJ J. Technol. Des. 25 (60): 813–818. https://doi.org/10.3130/aijt.25.813.
Qi, Z., Z. Liming, and W. van Lerberghe. 2011. “The importance of traditional Chinese medicine services in health care provision in China.” Univ. Forum 2 (2): 1–8.
Scharlach, A. E., C. L. Graham, and C. Berridge. 2015. “An integrated model of co-ordinated community-based care.” Gerontologist 55 (4): 677–687. https://doi.org/10.1093/geront/gnu075.
Shea, J., and H. Zhang. 2017. “Introduction to aging and caregiving in Chinese populations.” Ageing Int. 42 (2): 137–141. https://doi.org/10.1007/s12126-016-9275-1.
Shea, J., and Y. Zhang. 2016. “Ethnography of eldercare by elders in Shanghai, China.” Ageing Int. 41 (4): 366–393. https://doi.org/10.1007/s12126-016-9262-6.
Shin, J. 2014a. “Living independently as an ethnic minority elder: A relational perspective on the issues of aging and ethnic minorities.” Am. J. Commun. Psychol. 53 (3–4): 433–446. https://doi.org/10.1007/s10464-014-9650-6.
Shin, J. 2014b. “Making home in the age of globalization: A comparative analysis of elderly homes in the US and Korea.” J. Environ. Psychol. 37: 80–93. https://doi.org/10.1016/j.jenvp.2013.12.001.
Shin, J. 2016. “Toward a theory of environmental satisfaction and human comfort: A process-oriented and contextually sensitive theoretical framework.” J. Environ. Psychol. 45: 11–21. https://doi.org/10.1016/j.jenvp.2015.11.004.
Sixth National Census Office of the State Council. 2011. Major figures on 2010 population census of China. [In Chinese.] Beijing: China Statistics Press.
Standing Committee of the National People’s Congress. 2019. Law of the people’s republic of China on protection of the rights and interests of the elderly (2018 revision). [In Chinese.] Beijing: Law Press China.
Van Holle, V., J. Van Cauwenberg, D. Van Dyck, B. Deforche, N. Van de Weghe, and I. De Bourdeaudhuij. 2014. “Relationship between neighborhood walkability and older adults’ physical activity: Results from the Belgian environmental physical activity study in seniors (BEPAS seniors).” Int. J. Behav. Nutr. Phys. Act. 11 (1): 110. https://doi.org/10.1186/s12966-014-0110-3.
Vogel, S. L. 2001. “Urinary incontinence in the elderly.” Ochsner J. 3 (4): 214–218.
Wang, H. 2008. “The causes and countermeasures of nursing and patient disputes.” [In Chinese.] Chin. Nurs. Res. 22 (5): 1392–1393.
WHO (World Health Organization). 2007. Global age-friendly cities: A guide. Geneva: WHO.
Wolch, J. R., J. Byrne, and J. P. Newell. 2014. “Urban green space, public health, and environmental justice: The challenge of making cities ‘just green enough’.” Landscape Urban Plann. 125: 234–244. https://doi.org/10.1016/j.landurbplan.2014.01.017.
Yao, D. 2018. “New prototype for aging in place in mrgacities: An empirical study of Shanghai.” In Creative ageing cities: Place design with older people in Asian Cities, edited by K. H. Chong and M. Cho, 161–182. Abingdon, UK: Routledge.
Zhang, J., Z. Wu, S. Wang, and Y. Peng. 2009. “Investigation and analysis of walking speed of elderly and children in China.” [In Chinese.] In Traffic Safety and Law Enforcement Conf., 519–534. Taoyuan, Taiwan: Central Police Univ.
Zhang, S., and Y. Zhao. 2017. “A study on the design of small care facilities for the elderly embedded in urban communities.” [In Chinese.] Archit. J. 10: 18–22.
Zhang, Y., and K. Fang. 2004. “Is history repeating itself? From urban renewal in the United States to inner-city redevelopment in China.” J. Plann. Educ. Res. 23 (3): 286–298. https://doi.org/10.1177/0739456X03261287.
Zhou, S., Y. Cheng, M. Xiao, and X. Bao. 2013. “Assessing the location of public-and-community facilities for the elderly in Beijing, China.” GeoJournal 78 (3): 539–551. https://doi.org/10.1007/s10708-012-9450-1.
Zhu, H. 2015. “Unmet needs in long-term care and their associated factors among the oldest old in China.” BMC Geriatr. 15 (1): 46. https://doi.org/10.1186/s12877-015-0045-9.
Information & Authors
Information
Published In
Copyright
© 2021 American Society of Civil Engineers.
History
Received: Mar 26, 2020
Accepted: Dec 1, 2020
Published online: Mar 1, 2021
Published in print: Jun 1, 2021
Discussion open until: Aug 1, 2021
Authors
Metrics & Citations
Metrics
Citations
Download citation
If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.