How Socially Sustainable Is the Institutional Care Environment in China: A Content Analysis of Media Reporting

The multiple changes in population, economy, and social structure have significantly impacted China’s traditional home-based elderly care and social welfare. The importance of institutional care is becoming increasingly prominent. One of the critical considerations for the development of institutional care is its social sustainability, which pursues the realization of human well-being and aims to bring about good quality of life. However, this issue has not received due attention. The purpose of this paper is to investigate the social sustainability of the institutional care environment. Based on stakeholder theory and content analysis, this research identified and discussed the problems of the institutional care environment mentioned in the news coverage on eight major Chinese portal websites. The results indicate that seven of the eight problems that employees, the elderly, and their relatives encounter in providing and receiving elderly care services in the institutional environment are related to social sustainability. Employees’ health and safety is a concern; they lack education and training opportunities and have been unequally treated in the employment process. The elderly’s psychological, physical, and safety needs should also be further satisfied. Unequal access to institutional care and the inaccessibility of elderly care institutions is another problem that needs to be solved urgently. These findings will help government departments and investors become aware of the issues and implement countermeasures to create a successful, socially sustainable institutional care environment. They can also provide valuable insights for the elderly and their relatives in choosing appropriate elderly care institutions.