The Management Mechanism of Points-based Elderly Care Service for Low-Income People in China: An Innovative and Social Exchange Approach
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Abstract
Background and Aim: The World Health Organization indicates that by 2050, China's population aged 60 and above will account for 35% of the total population, making it a country with extremely severe aging. Presently, China is entering a moderately aging society. This research aims to identify what factors would affect the potential success of a points-based management mechanism and to develop practical recommendations on how to construct a sustainable management mechanism for points-based elderly care services.
Materials and Methods: This research uses a quantitative analysis method and collected data of 512 responses, and then analyzes the factors affecting low-income people's participation in points-based elderly care service using Structural Equation Modeling (SEM) by SPSSAU.
Results: The results found that the social exchange of points (SEP) has a significant positive impact on the potential success of the point-based management mechanism (PSPMM). Social exchange of points (SEP) has a significant positive impact on the diffusion of innovations (DOI). Diffusion of innovations (DOI) has a significant positive impact on the potential success of point-based management mechanisms (PSPMM). There is a partial mediation effect in the impact of the social exchange of points (SEP) on the potential success of a point-based management mechanism (PSPMM). The mediating variable plays an important role in the relationship between SEP and PSPMM, with an effect value of 0.769 and a positive direction. The direct effect is 0.119, which is also positive. The mediating effect accounts for 86.574% of the total effect, which shows that most of the impact of SEP on PSPMM is transmitted through the mediating variable, but there is still a part that has a direct effect.
Conclusion: The results show that trust and reciprocity in social exchange play a vital role in the potential success of points-based management mechanisms. The perceived benefits of social exchange are also important factors affecting the potential success of the points-based management mechanism, and finally form the psychological identification of low-income people with the points-based management mechanism. Strengthen social exchange factor cultivation, establish trust, and optimize innovation diffusion strategy. Targeted communication. Increase publicity and promotion of the points-based elderly care service model and policy support. Establish a cross-regional coordinated development mechanism.
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