학술논문
The operational experience of private owners of small-sized care homes in China: a qualitative study
Document Type
Report
Author
Source
BMC Health Services Research. October 6, 2023, Vol. 23 Issue 1
Subject
Language
English
ISSN
1472-6963
Abstract
Author(s): Zhang Xiuxiang[sup.1], Xia Qinghua[sup.2], Jennifer K. Quint[sup.3], Ann D. Morgan[sup.4], Branden McCormack[sup.5] and Xiubin Zhang[sup.6] Background In China, the rapidly ageing population and the burden this places on the [...]
Background Private small-sized care homes ( Methods This study used an interpretative phenomenological analysis approach of qualitative research. Owners of eight small-sized private care homes located in two cities of Henan Province, China, were interviewed using semi-structured interviews. Results Four themes and eight subthemes were identified: 1. Motivation for establishing a care home business; 2. Certification and establishing a legal footing for the business; 3. Operational challenges; 4. Future business development. The study found that the development of privately owned small-sized care homes faced great challenges and critical survival problems due to policies, staffing, and management issues. There is a lack of regulations about the safety and quality of care provided for older people and a lack of legal protections for the owners of small-sized private care homes. Conclusion The study suggests that formal regulations and provisions are needed to support these smaller-sized private care homes. Monitoring is also needed to ensure the quality of care. It also suggests that there needs more support by policymakers as well as provision monitoring services to improve quality of care in these care homes. Care regulations and standards are not unique to China so findings from this study can be applied to places where there are similar situations or if there are aged care services still developing. Keywords: Private owner, Care home, Interpretative phenomenological analysis, Qualitative research, China
Background Private small-sized care homes ( Methods This study used an interpretative phenomenological analysis approach of qualitative research. Owners of eight small-sized private care homes located in two cities of Henan Province, China, were interviewed using semi-structured interviews. Results Four themes and eight subthemes were identified: 1. Motivation for establishing a care home business; 2. Certification and establishing a legal footing for the business; 3. Operational challenges; 4. Future business development. The study found that the development of privately owned small-sized care homes faced great challenges and critical survival problems due to policies, staffing, and management issues. There is a lack of regulations about the safety and quality of care provided for older people and a lack of legal protections for the owners of small-sized private care homes. Conclusion The study suggests that formal regulations and provisions are needed to support these smaller-sized private care homes. Monitoring is also needed to ensure the quality of care. It also suggests that there needs more support by policymakers as well as provision monitoring services to improve quality of care in these care homes. Care regulations and standards are not unique to China so findings from this study can be applied to places where there are similar situations or if there are aged care services still developing. Keywords: Private owner, Care home, Interpretative phenomenological analysis, Qualitative research, China