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Abstract

Social organizations’ participation in the provision of urban community-based elderly care services serves as a critical pathway to address the challenges posed by an ageing society and to enhance service quality. To answer the livelihood-related question of ‘How social organizations can contribute to urban community elderly care services?’, this study surveys older adults in City N and uses satisfaction with community-based elderly care services delivered by social organizations as the performance indicator. Drawing on the conceptual framework of government external empowerment and internal capacity building within social organizations, the study develops a supply-side model of social organizations’ participation in urban community-based elderly care and conducts an empirical analysis. The results show that government external empowerment, internal capacity building, and supply-demand alignment each have a significant and positive effect on satisfaction with community-based elderly care. Moreover, the integrated ‘empowerment + capacity building’ model—combining government external empowerment with social organizations’ internal capacity building—not only infuses endogenous vitality and external support into their effective participation in providing elderly care services, but also offers a practical and feasible reference for City N to pursue the high-quality and sustainable development of urban community-based elderly care.

Keywords

social organizations community-based elderly care elderly care service provision empowerment capacity building

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References

Brudney

J. L.

England

R. E.

(1982). Urban policy making and subjective service evaluations: Are they compatible? Public Administration Review, 42(2), 127–135. https://doi.org/10.2307/975534

Cheung

H. Y.

Y. Q.

S. C.

Yang

(2025). Older people’s decisions of the community care: A welfare pluralism perspective. Humanities and Social Sciences Communications, 12(1), 435. https://doi.org/10.1057/s41599-025-04487-7

Giddens

(1986). The constitution of society: Outline of the theory of structuration (1st ed.). University of California Press. https://www.ucpress.edu/books/the-constitution-of-society/paper

Guo

Ling

(2022). The relationship between the mental health status and social support of the lonely elderly with government participation in the internet context. Frontiers in Public Health, 10(1), Article 1013069. https://doi.org/10.3389/fpubh.2022.1013069

Hlongwane

Ned

(2025). The social organization of quality of life of older people in long-term care facilities: An institutional ethnography approach. Global Qualitative Nursing Research, 12(0), 1–12. https://doi.org/10.1177/23333936251324267

Wang

Shi

(2020). Home and community care for older people in urban China: Receipt of services and sources of payment. Health & Social Care in the Community, 28(1), 225–235. https://doi.org/10.1111/hsc.12856

Kazemi

Kajonius

P. J.

(2021). Understanding client satisfaction in elderly care: New insights from social resource theory. European Journal of Ageing, 18(3), 417–425. https://doi.org/10.1007/s10433-020-00591-6

Kim

(2025). Impact of near economic center on the economic growth of neighboring country. Journal of Asian Business and Economic Studies, 32(1), 66–77. https://doi.org/10.1108/JABES-04-2024-0178

Lee

H. S.

(2019). A study on the aged person longtermcare insurance - focusing on Japan. Han Yang Law Review, 30(4), 145–165. https://doi.org/10.35227/hylr.2019.11.30.4.145

10.

Shen

(2019). Objective performance, trust and public satisfaction: An exploration based on the survey-experimental method. Public Administration Review, 12(4), 27–43. https://m.qikan.cqvip.com/Article/ArticleDetail?id=7100021317

11.

Ling

(2002). Delivering joined–up government in the UK: Dimensions, issues and problems. Public Administration, 80(4), 615–642. https://doi.org/10.1111/1467-9299.00321

12.

(2012). Learning from the American community-based elderly care model. People’s Tribune, (22), 52–53. https://doi.org/10.16619/j.cnki.rmlt.2012.22.034

13.

Peng

Burr

J. A.

Kim

(2020). Home and community-based service utilization among older adults in urban China: The role of social capital. Journal of Gerontological Social Work, 63(8), 790–806. https://doi.org/10.1080/01634372.2020.1787574

14.

Wang

Zhu

(2015). A study on the relationship between objective performance of urban public services and public satisfaction in China. Soft Science, 29(3), 111–114. https://doi.org/10.13956/j.ss.1001-8409.2015.03.24

15.

Xin

(2023). Continuous voluntary community care services for older people in China: Evidence from wuhu. Frontiers in Public Health, 10, Article 1063156. https://doi.org/10.3389/fpubh.2022.1063156

16.

Y. M.

Park

Y. H.

Cho

Lim

K. C.

Jang

S. N.

Chang

S. J.

Noh

E. Y.

Ryu

S. I.

(2021). Development of a community-based integrated service model of health and social care for older adults living alone. International Journal of Environmental Research and Public Health, 18(2), 825. https://doi.org/10.3390/ijerph18020825

17.

Zhang

Zeng

Wang

Fang

(2020). Urban–rural differences in long-term care service status and needs among home-based elderly people in China. International Journal of Environmental Research and Public Health, 17(5), 1701. https://doi.org/10.3390/ijerph17051701

18.

Zhu

Jin

Zhu

(2021). China’s ‘embedded neoliberal’ home-based elderly care? A state-organised system of neighbourhood governance. Sustainability, 13(24), Article 13568. https://doi.org/10.3390/su132413568

19.

Zimmerman

M. A.

Rappaport

(1988). Citizen participation, perceived control, and psychological empowerment. American Journal of Community Psychology, 16(5), 725–750. https://doi.org/10.1007/bf00930023

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Empowerment + Capacity Building: How Social Organizations Can Contribute to Urban Community Elderly Care Services

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