Bridging accessibility gaps in urban community-based basic older adult care: a comprehensive framework validated in Xi'an, China.

ABSTRACT:

Objectives

Accessibility is a critical factor in ensuring equitable public services. In urban older adult care systems, resource allocation and service disparities present unique challenges. The classical "5A" theory-availability, accessibility, affordability, adaptability, and acceptability-provides a robust framework for evaluating service delivery. However, its application in urban older adult care, especially in rapidly aging societies like China, remains limited. This study aims to develop and validate a framework to address affordability, resource allocation, and service mismatches in urban older adult care systems.

Methods

A web-based cross-sectional study was performed in 2023. A multi-phase methodology was adopted to construct the framework, grounded in the "5A" the

SUBMITTER: Zhang Y 

PROVIDER: S-EPMC11896861 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature