Rural Elderly Care Dilemmas and Solution Pathways in the Context of Smart Elderly Care: A Collaborative Governance Perspective

期刊: 《Educational Guide》 DOI:10.64649/yh.eg.issn3078-4794.20260304 全文阅读 返回期刊

He Jiaoyao*；Wei Yutong

School of Law and Public Administration, Yibin University, Yibin, Sichuan 644000, China.

摘要

Against the background of population aging, urban-rural structural transformation, and the continued development of digital villages, the supply of rural elderly care services is under growing pressure from the weakening of family care, inadequate digital foundations, and insufficient service coordination. Smart elderly care, supported by the Internet, the Internet of Things, big data, artificial intelligence, and remote health management, provides new governance tools for improving the precision, accessibility, and continuity of rural elderly care services. However, the key to rural smart elderly care does not lie merely in building platforms or deploying devices, but in whether digital technologies can be translated into real, continuous, and affordable elderly care services. Drawing on collaborative governance and digital governance perspectives, and based on a review of relevant studies, this paper summarizes the practical dilemmas of rural smart elderly care into three dimensions: the weakening of family-based elderly care functions and the growing complexity of care needs, insufficient digital infrastructure and age-friendly conditions, and inadequate linkage between online platforms and offline care services. It further identifies three underlying causes: the mismatch between the logic of technological supply and the everyday life logic of older adults, the weak foundation of rural public service resources, and insufficient mechanisms for collaborative governance and sustainable operation. On this basis, the paper proposes three optimization pathways: county-level coordination, demand-oriented and age-friendly transformation, and multi-actor collaboration supported by institutional safeguards. The study argues that smart elderly care can become an important force for improving the quality of rural elderly care and advancing the modernization of grassroots governance only when it is embedded in the grassroots public service system and the everyday social life of rural communities.

关键词

smart elderly care; rural elderly care; collaborative governance; digital governance; elderly care services; grassroots governance

参考文献

[1] LU Jiehua, SHA Di. Prominent problems, main contradictions and strategic paths facing the rural elderly care service system in the new era[J]. Journal of Xinjiang Normal University (Philosophy and Social Sciences), 2019, 40(2): 78-87. DOI: 10.14100/j.cnki.65-1039/g4.20181115.001. (in Chinese)

[2] WANG Mengyi, ZHANG Yanchen. Cloud and landing: difficulties of rural senior care and path selection in the “Internet +” era: research on the smart senior care model from rural areas in Z Province[J]. Social Work and Management, 2022, 22(1): 78-85. DOI: 10.3969/j.issn.1671-623X.2022.01.009. (in Chinese)

[3] CHEN Youhua, SHAO Wenjun. Smart elderly care: connotation, dilemmas and suggestions[J]. Jianghuai Tribune, 2021(2): 139-145, 193. DOI: 10.16064/j.cnki.cn34-1003/g0.2021.02.019. (in Chinese)

[4] JI Chunyan. Practical difficulties and optimization paths of home-based smart elderly care[J]. Dong Yue Tribune, 2022, 43(7): 182-190. DOI: 10.15981/j.cnki.dongyueluncong.2022.07.013. (in Chinese)

[5] ZHOU Lingyi, ZHOU Ning, ZHU Chenlang. The practical logic and optimization path of technology-enabled smart elderly care services: taking Shanghai as an example[J]. E-Government, 2023(2): 43-57. DOI: 10.16582/j.cnki.dzzw.2023.02.004. (in Chinese)

[6] PEEK S T M, WOUTERS E J M, VAN HOOF J, et al. Factors influencing acceptance of technology for aging in place: a systematic review[J]. International Journal of Medical Informatics, 2014, 83(4): 235-248. DOI: 10.1016/j.ijmedinf.2014.01.004.

[7] CHEN K, CHAN A H S. Gerontechnology acceptance by elderly Hong Kong Chinese: a senior technology acceptance model (STAM)[J]. Ergonomics, 2014, 57(5): 635-652.

[8] SALEMINK K, STRIJKER D, BOSWORTH G. Rural development in the digital age: a systematic literature review on unequal ICT availability, adoption, and use in rural areas[J]. Journal of Rural Studies, 2017, 54: 360-371. DOI: 10.1016/j.jrurstud.2015.09.001.

[9] ANSELL C, GASH A. Collaborative governance in theory and practice[J]. Journal of Public Administration Research and Theory, 2008, 18(4): 543-571. DOI: 10.1093/jopart/mum032.

[10] DUNLEAVY P, MARGETTS H, BASTOW S, et al. New public management is dead—long live digital-era governance[J]. Journal of Public Administration Research and Theory, 2006, 16(3): 467-494. DOI: 10.1093/jopart/mui057.

[11] LIU Yi, LI Xiaona. How can the elderly digital divide be bridged in the digital era?[J]. Southeast Academic Research, 2022(5): 105-115. DOI: 10.13658/j.cnki.sar.2022.05.020. (in Chinese)

[12] LIANG Changyong, HONG Wenjia, MA Yiming. Comprehensive elderly care: a new model for the development of smart elderly care in the new era[J].  Journal of Beijing Institute of Technology (Social Sciences Edition), 2022, 24(6): 116-124. DOI: 10.15918/j.jbitss1009-3370.2022.6126. (in Chinese)

[13] GU Limei, FANG Nanxi, SONG Yeqin. Mechanism and optimization path of value co-creation in smart elderly care services empowered by digital technology: a case study of L Subdistrict in Shanghai[J]. Urban Problems, 2025(3): 28-38. DOI: 10.13239/j.bjsshkxy.cswt.250303. (in Chinese)

[14] MAJUMDER S, AGHAYI E, NOFERESTI M, et al. Smart homes for elderly healthcare: recent advances and research challenges[J]. Sensors, 2017, 17(11): 2496. DOI: 10.3390/s17112496.

[15] GREENHALGH T, WHERTON J, PAPOUTSI C, et al. Beyond adoption: a new framework for theorizing and evaluating nonadoption, abandonment, and challenges to the scale-up, spread, and sustainability of health and care technologies[J]. Journal of Medical Internet Research, 2017, 19(11): e367. DOI: 10.2196/jmir.8775.


XML显示示例 

    













·