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The operational experience of private owners of small-sized care homes in China: a qualitative study

BACKGROUND: Private small-sized care homes (<50 beds)  have proliferated across China, however, until recently little was known about the characteristics of such institutions, and the challenges and the problems faced by their owners. This study aimed to explore the characteristics of small-sized...

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Autores principales: Xiuxiang, Zhang, Qinghua, Xia, Quint, Jennifer K., Morgan, Ann D., McCormack, Brendan, Zhang, Xiubin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10559394/
https://www.ncbi.nlm.nih.gov/pubmed/37803397
http://dx.doi.org/10.1186/s12913-023-10066-w
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author Xiuxiang, Zhang
Qinghua, Xia
Quint, Jennifer K.
Morgan, Ann D.
McCormack, Brendan
Zhang, Xiubin
author_facet Xiuxiang, Zhang
Qinghua, Xia
Quint, Jennifer K.
Morgan, Ann D.
McCormack, Brendan
Zhang, Xiubin
author_sort Xiuxiang, Zhang
collection PubMed
description BACKGROUND: Private small-sized care homes (<50 beds)  have proliferated across China, however, until recently little was known about the characteristics of such institutions, and the challenges and the problems faced by their owners. This study aimed to explore the characteristics of small-sized, privately-owned care homes in the People’s Republic of China; and to understand the motivation and challenges faced by their owners. 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-023-10066-w.
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spelling pubmed-105593942023-10-08 The operational experience of private owners of small-sized care homes in China: a qualitative study Xiuxiang, Zhang Qinghua, Xia Quint, Jennifer K. Morgan, Ann D. McCormack, Brendan Zhang, Xiubin BMC Health Serv Res Research BACKGROUND: Private small-sized care homes (<50 beds)  have proliferated across China, however, until recently little was known about the characteristics of such institutions, and the challenges and the problems faced by their owners. This study aimed to explore the characteristics of small-sized, privately-owned care homes in the People’s Republic of China; and to understand the motivation and challenges faced by their owners. 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-023-10066-w. BioMed Central 2023-10-06 /pmc/articles/PMC10559394/ /pubmed/37803397 http://dx.doi.org/10.1186/s12913-023-10066-w Text en © The Author(s) 2023, corrected publication 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Xiuxiang, Zhang
Qinghua, Xia
Quint, Jennifer K.
Morgan, Ann D.
McCormack, Brendan
Zhang, Xiubin
The operational experience of private owners of small-sized care homes in China: a qualitative study
title The operational experience of private owners of small-sized care homes in China: a qualitative study
title_full The operational experience of private owners of small-sized care homes in China: a qualitative study
title_fullStr The operational experience of private owners of small-sized care homes in China: a qualitative study
title_full_unstemmed The operational experience of private owners of small-sized care homes in China: a qualitative study
title_short The operational experience of private owners of small-sized care homes in China: a qualitative study
title_sort operational experience of private owners of small-sized care homes in china: a qualitative study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10559394/
https://www.ncbi.nlm.nih.gov/pubmed/37803397
http://dx.doi.org/10.1186/s12913-023-10066-w
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