Endogenesis and empowerment: logic, practical mechanism and sustainable path of rural minor pension institutions —based on the qualitative study of four villages in the Midwest of China

Introduction: This study explores the formation logic, operational mechanisms, and sustainable pathways of rural micro-pension institutions in central and western China. Methods: Using qualitative research methods, four typical villages were selected. Data were collected through 46 in-depth interviews and participatory observation, and analyzed using a constructivist grounded theory approach. Results: The results showed that this model operates through a triple mechanism of "low-capital embedding-emotionalized services-community-based collaborative governance," forming a low-cost, highly embedded "quasi-public" service network. This network effectively fills the vacuum left by the formal older adults care system in rural grassroots communities. However, it also faces structural challenges, including a lack of legitimacy, insufficient professionalism, and weak risk resilience. Discussion: Based on these findings, a five-in-one empowerment framework of "conceptual remodeling-institutional unbinding-service support-risk sharing-industrial integration" is proposed. This study provides a grassroots innovation model and policy insights for older adults care in resource-constrained environments. However, the external validity of the findings requires cautious generalization due to limitations in case numbers and the qualitative methodology.

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Publication Details

Journal
Frontiers in Public Health
Published
2026-03-31
DOI
https://doi.org/10.3389/fpubh.2026.1779131
Primary Topic
Intergenerational Family Dynamics and Caregiving
Type
article
Field-Weighted Citation Impact
0.00

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article

Endogenesis and empowerment: logic, practical mechanism and sustainable path of rural minor pension institutions —based on the qualitative study of four villages in the Midwest of China

Ruobing Fa, Peng Fan, Changqing Wang
Frontiers in Public Health
Intergenerational Family Dynamics and Caregiving
article

Endogenesis and empowerment: logic, practical mechanism and sustainable path of rural minor pension institutions —based on the qualitative study of four villages in the Midwest of China

Ruobing Fa, Peng Fan, Changqing Wang
article en

Abstract

Introduction: This study explores the formation logic, operational mechanisms, and sustainable pathways of rural micro-pension institutions in central and western China. Methods: Using qualitative research methods, four typical villages were selected. Data were collected through 46 in-depth interviews and participatory observation, and analyzed using a constructivist grounded theory approach. Results: The results showed that this model operates through a triple mechanism of "low-capital embedding-emotionalized services-community-based collaborative governance," forming a low-cost, highly embedded "quasi-public" service network. This network effectively fills the vacuum left by the formal older adults care system in rural grassroots communities. However, it also faces structural challenges, including a lack of legitimacy, insufficient professionalism, and weak risk resilience. Discussion: Based on these findings, a five-in-one empowerment framework of "conceptual remodeling-institutional unbinding-service support-risk sharing-industrial integration" is proposed. This study provides a grassroots innovation model and policy insights for older adults care in resource-constrained environments. However, the external validity of the findings requires cautious generalization due to limitations in case numbers and the qualitative methodology.

Frontiers in Public HealthVol. 14
Nanjing Medical University (CN)
National Natural Science Foundation of China
Openalex Percentile: Top 34%
Intergenerational Family Dynamics and Caregiving
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