The management mechanism of points-based elderly care service for low-income people in China : an Innovative & social exchange approach

Name: Tan Youmo

keyword: social exchange

ThaSH: Management

Classification :.DDC: 658

; diffusion of innovations

ThaSH: Older people -- Care

; management mechanism

ThaSH: Older people -- Institutional care

; mediating effect

; elderly care service

Abstract: Elderly care services represent a new cultural paradigm, a lifestyle shift, an avenue for economic development, and a reflection of the values of modern civilization. These services offer a variety of support designed to assist older individuals in daily living and enhance their well-being. To improve the quality of life for the elderly and ensure the sustainability of care systems, a points-based elderly care service model was introduced, enabling points to be exchanged for care services within the community. This research aimed to identify factors influencing a points-based management mechanism’s potential success and develop practical recommendations for creating a sustainable framework for such a model. A mixed-methods approach was employed, combining quantitative analysis through a questionnaire survey (512 responses) and qualitative insights from in-depth interviews with 10 participants, including low-income individuals, caregivers, university instructors, and government officials. Structural Equation Modeling (SEM) using SPSSAU was applied to analyze the data. The findings revealed: 1) Social Exchange of Points (SEP) significantly and positively impacts the Potential Success of the Points-based Management Mechanism (PSPMM); 2) SEP significantly and positively influences Diffusion of Innovations (DOI); 3) DOI has a significant positive impact on PSPMM; 4) DOI serves as a crucial mediating variable in the relationship between SEP and PSPMM, with a mediating effect accounting for 86.57% of the total impact, alongside a smaller but positive direct effect. These results highlight DOI’s importance in transmitting SEP’s effects on PSPMM, suggesting the need to strengthen innovative mechanisms within the points-based elderly care service system to ensure sustainable development.

Siam University. Library and Information Resource Center

Address: BANGKOK

Email: library@siam.edu

Name: Burin Santisarn

Role: Advisor

Created: 2567

Modified: 2568-07-15

Issued: 2025-07-15

วิทยานิพนธ์/Thesis

application/pdf

eng

DegreeName: Doctor of Philosophy (Ph.D.)

Level: Doctoral Degree

Descipline: Management

Grantor: มหาวิทยาลัยสยาม

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