Which Neighborhoods Have Easier Access to Online Home Delivery Services?A Spatiotemporal Accessibility Analysis in Nanjing,China

The rise in online home delivery services(OHDS)has had a significant impact on how urban services are supplied and used in recent years.Studies on the spatial accessibility of OHDS are emerging,but few is known about the temporal dimension of OHDS accessibility as well as the geographic and socioeconomic differences in the spatiotemporal accessibility of OHDS.This study measures the spatiotemporal accessibility of four types of OHDS,namely leisure,fresh and convenient,medical,and catering services.The geographic and socioeconomic disparities in the spatiotemporal accessibility of these four types of OHDS are then identified using spatial statistical methods and the Kruskal-Wallis test(K-W test).The case study in Nanjing,China,suggests that:1)spatiotemporal accessibility better reflects the temporal variation of OHDS accessibility and avoids overestimation of OHDS accessibility when only considering its spatial dimension.2)The spatiotemporal accessibility of OHDS varies geographically and socioeconomically.Neighborhoods located in the main city or neighborhoods with higher housing prices,higher population density,and higher point of interest(POI)mix have better OHDS spatiotemporal accessibility.Our study contributes to the understanding of OHDS accessibility from a spatiotemporal perspective,and the empirical insights can assist policymakers in creating intervention plans that take into account variations in OHDS spatiotemporal accessibility.

Stress perceptions of nurses serving in home healthcare services during the COVID-19 pandemic:A qualitative research

Objective:To investigate the stress perceptions of nurses serving in home healthcare services during COVID-19.Methods:This study was qualitative research with a phenomenological design.Data were collected and recorded through in-depth interviews with 6 nurses working in MuşState Hospital,Home Healthcare Services Unit using a form consisting of 12 questions on an online platform between May 2021 and July 2021.The audio recordings were transcribed by the researcher and content analysis was performed by creating codes,categories,and themes.Results:The interviews yielded 10 categories and 59 sub-codes.These codes were addressed under the theme of"COVID-19 pandemic".Under this main theme,nurses expressed the problems they experienced in issues such as stress,support mechanisms,and family and social problems during COVID-19.They mentioned that they experienced high stress in this process,as well as social isolation and negative thoughts of society about them and that they could not spare time for themselves and their families.Conclusions:Nurses working in home healthcare services frequently express negativities such as high stress,isolation from society,and increased workload.Therefore,actions should be taken to raise awareness of society on these issues,increase the number of personnel,conduct more research,and share the results with the public.

Building an Intelligent Home Space for Service Robot Based on Multi-Pattern Information Model and Wireless Sensor Networks

This paper is concerned with constructing a prototype intelligent home environment for home service robot. In this environment, multi-pattern information can be represented by some intelligent artificial marks. Light-packs service robots can provide reliable and intelligent service by interacting with the environment through the wireless sensor networks. The intelligent space consists the following main components: smart devices with intelligent artificial mark;home server that connects the smart device and maintains the information through wireless sensor network;and the service robot that perform tasks in collaboration with the environment. In this paper, the multi-pattern information model is built, the construction of wireless sensor networks is presented, the smart and agilely home service is introduced. Fi- nally, the future direction of intelligent space system is discussed.

The ZigBee Based Wireless Sensor and Actor Network in Intelligent Space Oriented to Home Service Robot

In the study of intelligent space oriented to home service robot, an important technology is how to construct an communication network which has the characters of high reliability and easy building. In this paper, based on the characteristics of ZigBee protocol, ZigBee technology is used to construct a wireless sensor and actor network. Several intelligent services based on ZigBee wireless sensor and actor network are shown to certify the reliability of this communication network. ZigBee wireless sensor and actor network builds an information bridge for the components in the intelligent space, the spatially distributed devices are connected together seamlessly. With this network, robot can share the mass information in the intelligent space and improve its performance with 'light-packs', devices in intelligent space, such as lamp, curtain can be controlled autonomously.

The research of the community-home elderly long-term care service system

With the rapid development of the aging of the population, the demand of long-term care services in the elderly is growing. Because of family miniaturization, core, and currently limited social accumulation are difficult to meet the demand of the elderly in long-term care.Community provides the elderly long-term care services, and provides the elderly all kinds of household helping services. They just make up for the inadequacy of the family and society.And how to make the community elderly long-term care services become more suitable for the needs of the elderly at home, provide better service for the elderly, are our current problems to be solved.

Users’ Perception and Satisfaction of Current Situation of Home Health Care Services in Jordan

Background: The healthcare system in Jordan is evolving and has to continuously respond to the changing risk profile of the population. The purpose of this study was to examine perception of users and providers of the quality of home health care services. Methods: A descriptive design was used to collect data from a convenience sample of 82 users of home health care services. Results: Users had low to fair satisfaction (30.5% - 69.5%) about the quality of care provided, had moderate satisfaction (72.0% to 81.7%) about the information received, and had low to fair satisfaction about education related to goal of treatment and medication (46.4% - 53.3%). Users had high level of agreement (>70%) that health agencies provided interpersonal care. Conclusion: The ability of the frail people to choose from a variety of cost-effective long-term care services is limited.

Changes and Development of Home and Community Based Elderly Care Service Policies in China

This paper analyzes the current situation of the development of home and community based elderly care service in China,points out the existing problems,and puts forward improvement measures,aiming to deepen the understanding of HCBS and promote the theoretical research and practice of community home-based elderly care service.

The Study of Supply and Demand about Shanghai Community Home Care Service

As the Chinese traditional culture is depend on the family, community home care service is increasingly becoming the first choice of the elderly aged. At present, Shanghai is facing serious aging phenomenon, the contradiction between supply and demand has become more and more intensified. This paper will analyze the status of supply and demand about Shanghai community endowment services, and then identify the existing problems and reasons for the accordance in supply and demand on the base of analysis. Ultimately, this paper will raise suggestions about promoting the matching between supply and demand of Shanghai community home care service.

Promote Development of the Home Service Industry

During a press briefing, Lian Weiliang, deputy chairman of the National Development and Reform Commission (NDRC), said that key and targeted measures should be taken to improve the quality and scale of the home service industry. Currently, most home service companies work only as an intermediary agent between their clients and workers, and are located far away from neighborhoods. In the long run, it’s hoped that professional home service companies spring up, with formal employment relationship with those individuals who directly provide home services. Those companies are expected to set up outlets in different communities.

Nursing homes’social responsibility and competitive edge:a cross‐sectional study on elderly choices about care service and price levels in Zhejiang Province,China

Background In the context of China's aging population,meeting consumer demand is an essential way for nursing homes to fulfill social responsibilities and improve competitive advantages.However,since little is known about the elderly's service level and price choices for nursing home care,this study aims to explore the non-disabled elderly's nursing home admission intention,service level,and price choices.Methods A cross-sectional survey of 402 non-disabled respondents was conducted in three different income level cities of Zhejiang Province,in July and August 2018.Multinomial logistic regression and multiple linear regression were used to identify the determinants of admission intention,service level choice,and price choice.Results Education,residence,and number of children were significantly associated with nursing home admission intention.Compared to those with no intention,the elderly with higher income and household wealth were less likely to have conditional intentions,and those living with the family were less likely to have unconditional intentions.Compared to medium-level services,the elderly with higher monthly income(relative risk ratio[RRR]3.07,95%confidence interval[CI]:1.801 to 5.233),household wealth(RRR 5.451,95%CI:2.249 to 13.216),and age(RRR 1.528,95%CI:1.004 to 2.326)were more likely to prefer high-level services,while older adults with higher monthly income(RRR 0.516,95%CI:0.344 to 0.774),and those with pensions(RRR 0.267,95%CI:0.076 to 0.931)were less likely to prefer low-level services.The elderly's price preference increased by 398 CNY as monthly income increased by 1000 CNY,and by 270 CNY as the housing number increased by one.Having pensions increased price preference(468 CNY),whereas having health insurance decreased price preference(–690 CNY).Conclusion The elderly's intention of nursing home admission was primarily affected by sociodemographic factors,while price and service level choices were primarily affected by financial factors.Nursing homes should use the market segmentation method to provide precision nursing home care for different groups of non-disabled elderly.

A Study on Smart Home Design Incorporating Ubiquitous Healthcare Services

The smart home using ubiquitous technology can effectively provide services to the elderly and the physically impaired. However, such services are accompanied by high initial cost of installation and the operating inefficiency due to the absence of design guidelines. To solve these, the integrated management of the process by supplying the public service like voucher schemes to the dwelling is needed. This paper mainly proposes a research about the healthcare service in a residential environment, which includes medical service and safety service and so on, by surveying the voucher program and the in-house infra status. Finally, the house planning elements for healthcare-based smart home are drawn and the planning directions through expert survey are suggested. Therefore, this study surveyed on voucher program and in-house infra status, and drew the house planning elements for health-based care smart home. In addition, this study suggested the planning direction through expert survey. This study can be used as a guideline for constructing a smart home, which supplies healthcare service.

Analysis of home care-based multi-level old-age service system

With the deepening of China＇s aging, China＇s social pension problem more obvious each day, and gradually become the focus of attention of the whole society. On the one hand, China entered the aging society, old-age needs to grow exponentially. The sixth national census shows that in our country, the population aged 60 and 13.26% of the total population over the total number of 179 million, 65 years and older the proportion of 8.87% of the total population, the absolute number of nearly 120 million. Hundreds of millions of older age groups will produce a growing demand for care services, which is the original old-age service system and the whole economic and social development is a huge pressure. On the other hand, with the economic and social transformation, the traditional model of family pension has been unable to adapt to the profound changes in modem employment, family structure, the concept of retirement, since most parts of China, ＂old before getting ricE＂ the situation, how to solve the elderly the pension problem is related to the overall situation of China＇s economic and social development, related to the overall situation of building a harmonious society in China. Under current national conditions, the emphasis on the development of a single individual body to meet the growing demand for pension service is not realistic, we must mobilize the enthusiasm of all aspects of the element, multi-service integration of resources subject to their commitment to a different responsibilities and tasks provide a full range of care services according to different types, different levels of the actual needs of the older age groups. On the aging problem is that the whole community to face, you need to multi-government body, families, communities, institutions combine effectively starting from the actual needs of the elderly population, according to the financial assistance, life care, spiritual consolation three set the specific needs of services, through a government-led, home-based care services, community care services for the core and supplementary services for institutions focused on pension and other means to provide a full range of pension services.

Intelligence service binding architecture for interoperability between home network devices

Existing home devices in home network provides only independent services limited on a homogeneous protocol and/or do not fully support an intelligent service provided by cooperating among heterogeneous protocol devices. This paper proposes an intelligent and integrated service binding architecture which allow the users to figure out the status of devices and to cooperate among home network devices regardless of supported protocols or operational characteristics.

A Cloud Service Model for Multilingual Home-School Communications

In this paper, we present a cloud service model of multilingual home-school communications （MHSC） with the Drupal framework to provide a friendly learning environment for the students from transnational marriages. The transnational marriage is a phenomenon with ever-increasing in Taiwan and around the world. For a student who has a transnational foreign mother, home-school communication is often an obstacle because the foreign mother has language difficulty understanding the delivered messages in the communication book from teachers. In order to improve parent-teacher communications for the transnational families, we designed and constructed the cloud service platform with online multilingual communications and translation service functions, such that teachers can prepare different sheets of multilingual messages for home-school communication books and foreign mothers can read the messages from the teachers in their native languages through the web interface.

The home healthcare nursing services provided to the elderly patients: a systematic review

Background:Home healthcare(HHC)services entail quality and transitional care offered to patients.Doctors recommend HHC to the elderly patients to manage conditions and improve outcomes outside inpatient setting.The systematic review aimed to assess the home health care nurse services to elderly patients.The question of this study is“what are the home nursing care services provided to the elderly patient.Methods:A systematic review methodology was adopted.A search was conducted on PubMed,MEDLINE,and ScienceDirect using keywords such as“home healthcare”,“nurse services”,“home nurses”,“elderly patients”.The search generated 1829 articles,but 16 were selected for qualitative synthesis for meeting the eligibility criteria.Joana Briggs Institute’s critical appraisal tools helped in the assessment of the primary studies.A data extraction matrix generated themes,while a narrative synthesis presented the studies.Results:The review found administration of HHC nursing services in different settings.The studies confirmed varied nature of HHC,types of HHC services,transitional care,challenges,or barriers of offering HHC,relationships,and decision-making process in offering care to the patients and family.The studies presented HHC as a multifaceted component with diverse impact on the patients and family.The analysis revealed that HHC nurses services served elderly persons as the main target group.HHC faces different challenges,barriers,or obstacles such as work,role conflict,organization,elderly patients,and decision-making.Conclusion and Future Research:The assessment of the HHC nursing services provided to the elderly patients reveals different facets of the healthcare process that reduce readmissions and hospital costs.Further studies could explore the provision of care to other target groups such as middle-aged patients to understand the impact of the services.

基于RESTful Web Services的智能家居管理系统设计与实现

基于物联网技术开发的智能家居系统解决了异构网络内家电的互联问题,而其管理系统仍面临着管理平台单一、可扩展性差以及较低的用户体验等问题。在利用ZigBee协议构建家庭无线传感器网络的基础上,提出一种基于RESTful Web Services的智能家居管理系统设计方案,增强了系统的可扩展性和跨平台能力,所开发的基于Android的智能家居客户端有效提升了用户体验。

基于Web Services的嵌入式智能家居系统的研制

本课题的智能家居系统基于XML Web Services的分布式计算模块、嵌入式系统和网络通信技术进行开发,包括四个模块,分别是Web Service服务端,掌上设备Pocket PC客户端、嵌入式系统平台和数据采集端,其中Web Service服务端作为智能家居系统的核心模块,控制整个智能家居系统的正常运转,掌上设备PPC客户端则用来作为用户远程连接Web服务器端的客户界面,而嵌入式系统平台则用来实现一些家居的具体电子电器设备。同时其通信集还包括Web服务集通信、GPRS无线通信和Web Socket通信三部分。最后完成的系统模型经过测试运行良好,具有很强的实用价值。

基于Web Service的智能家居系统设计与实现

针对由PC机控制的智能家居系统造价高、不能移动、不方便操作的缺点,提出了一种采用Web Service技术的智能家居系统实现方案。服务器端通过移植g SOAP组建嵌入式Web Service服务器和ONVIF视频服务器,客户端采用KSOAP2开发包进行设计。用户可以使用Android手机或者平板电脑对家居设备进行远程控制和视频监控。系统操作简单、成本低、使用方便,具有较高的实用性和推广价值。

基于SIP家庭网关和Web Service的智能家居系统

提出了一种将 SIP 家庭网关技术和 Web Service 技术相结合的智能家居系统的设计和实现方案,详细介绍了系统各功能模块,给出了在 PDA 上调用基于 SIP 家庭网关的 Web 服务来监控家中各电器状态的实现结果。该技术可以向用户提供智能家居管理、远程监控等具体服务。

A family nurse-led intervention for reducing health services’utilization in individuals with chronic diseases:The ADVICE pilot study

Objectives:Intensive health services'utilization is common in older individuals affected by chronic diseases.This study assessed whether a structured family nurse-led educational intervention would be effective in reducing health services'use(readmissions and/or emergency service access)among older people affected by chronic conditions.Methods:This is a non-randomized before-after pilot study.A sample of 78 patients was recruited from two general practices in Italy and 70 among them were followed for 8 months.Standard home care was provided during the first four months'period(months 1-4),followed by the educational intervention until the end of the study(months 5-8).The intervention,based on the teach-back method,consisted of by-weekly 60-min home sessions targeting aspects of the disease and its treatment,potential complications,medication adherence,and health behaviours.Rates of health services'use were collected immediately before(T0),and after the interventions(T1).Differences in utilization rates were examined by the McNemar's test.Potential factors associated with the risk of health services'use were explored with a Cox proportional hazard regression model.Results:The sample(n=78)was predominantly female(n=50,64.1%),and had a mean age of 76.2(SD=4.8)years.Diabetes mellitus was the most frequent disease(n=27,34.6%).McNemar's test indicated a significant reduction in health services'use at T1(McNemar χ^(2)==28.03,P<0.001).Cox regressions indicated that time and patient education,as well as their interaction,were the only variables positively associated with the probability of health services'use.Conclusion:A teach-back intervention led by a family nurse practitioner has the potential to reduce health services'use in older patients with chronic diseases.