In the rapidly evolving landscape of healthcare, the need for effective elderly care solutions is more pressing than ever, particularly as societies around the globe face the challenges of aging populations. A recent study conducted in Hefei, China, sheds light on these challenges by strategically applying the Kano model to explore the service demands of community-embedded elderly care. This innovative research delineates the desires and necessities of older individuals, emphasizing their preferences for various service types in a community setting.
The Kano model, originally developed in the 1980s by Professor Noriaki Kano, serves as a vital framework in understanding customer satisfaction and needs. By categorizing features of products and services into five distinct classifications – must-be, one-dimensional, attractive, indifferent, and reverse – the model provides profound insights into how services can be tailored to meet the nuanced demands of elderly populations. The utilization of this model in the context of elderly care is particularly significant, as it allows researchers and practitioners to pinpoint essential and value-added services that can enhance the quality of life for senior citizens.
In the study led by Hao, Hong, and Xu, the researchers undertook a meticulous approach, employing a cross-sectional design to gather and analyze data. This research methodology is beneficial for capturing a snapshot of the current context of elderly care services while providing robust quantitative and qualitative insights into user preferences. Drawing data from various community sources in Hefei, the authors compiled a comprehensive understanding of the existing care services and the gaps therein.
One of the poignant findings of the research was the recognition of “must-be” services that are fundamental to elderly care. These include basic medical assistance, access to healthcare professionals, and the provision of adequate food and shelter. Without these essential services, elderly individuals expressed dissatisfaction and a sense of neglect, highlighting the critical importance of these foundational elements in community-embedded care systems.
Conversely, the study also identified “attractive” services that, while not explicitly demanded, significantly enhanced the satisfaction and well-being of the elderly population. These services ranged from recreational activities and social engagement opportunities to personalized care plans that cater to individual preferences. The authors discovered that these added features can make a profound difference, transforming mere existence into a fulfilling lifestyle, thereby enhancing the overall perception of care quality.
Moreover, the importance of engaging with the elderly to understand their demands was emphasized throughout the study. By applying interviews and surveys, the researchers managed to garner authentic feedback from seniors, highlighting their perspectives on existing services and their personal experiences. This direct engagement is essential; it empowers the elderly and ensures that their voices are heard in the ongoing discourse about elder care.
The findings of the study suggest that community-based care services should not only focus on the operational aspects of care delivery but also on developing emotional and social connections. A sense of belonging and companionship is essential for elderly individuals, helping them navigate the challenges of aging. Thus, community-driven strategies, where stakeholders collaborate to create rich social environments, are vital for improving service effectiveness and satisfaction.
In light of the significant findings, the authors recommended several strategies for the development of elderly care services. First and foremost, community organizations must prioritize open communication channels with elderly individuals. Consequently, conducting regular assessments and feedback loops can guide service improvements and innovations. This iterative process ensures that care services remain relevant and responsive to the evolving needs of older adults.
Furthermore, the study suggests that training caregivers in soft skills, such as empathy, communication, and relationship-building, is crucial for enhancing service delivery. Caregivers act as the frontline providers of care and can significantly influence the perception of care quality among elderly individuals. By equipping them with the necessary interpersonal skills, the overall atmosphere within community care settings can be transformed, leading to more positive interactions and experiences.
Translational research initiatives are equally critical, as they serve to disseminate findings beyond academic circles and foster practical applications that directly benefit communities. This involves robust collaboration between researchers, policymakers, and community organizations to ensure that evidence-based practices are integrated into existing care frameworks.
The growing trend towards digital health solutions has further opened avenues for enhancing elderly care. By leveraging technologies such as telemedicine, mobile health applications, and health monitoring devices, caregivers can offer personalized support that transcends traditional face-to-face interactions. This digital transition not only provides convenience but also promotes proactive health management among seniors.
However, alongside these advancements, it is pivotal to acknowledge the digital divide that exists within the elderly population. Many older individuals may lack the technical skills or access required to benefit from these advancements. Therefore, initiatives must be implemented to ensure inclusivity in the digital health landscape, bridging gaps and empowering all elderly individuals to engage with technology meaningfully.
As the landscape of elderly care continues to evolve, so too do the expectations and needs of older adults. This ongoing research not only highlights current preferences but also sets the stage for future investigations. The aging population is diverse, and with it comes a spectrum of preferences, lifestyles, and care demands that must be accounted for in service planning.
In summary, the study by Hao, Hong, and Xu provides groundbreaking insights into the service demands of community-embedded elderly care based on the Kano model. By recognizing both essential and attractive services, emphasizing direct engagement with seniors, and advocating for innovative strategies in care delivery, the research lays a comprehensive foundation for improving the quality of elderly care. As we look ahead, it is crucial that stakeholders remain committed to understanding and addressing the complexities of service demands, ensuring that all elderly citizens can lead fulfilling lives in their communities.
Subject of Research: Exploration of service demands in community-embedded elderly care using the Kano model.
Article Title: Exploring service demands of community-embedded elderly care based on the Kano model: a cross-sectional study in Hefei, China.
Article References:
Hao, S., Hong, Y., Xu, M. et al. Exploring service demands of community-embedded elderly care based on the Kano model: a cross-sectional study in Hefei, China.
BMC Geriatr (2026). https://doi.org/10.1186/s12877-026-07137-y
Image Credits: AI Generated
DOI: 10.1186/s12877-026-07137-y
Keywords: elderly care, community services, Kano model, healthcare, aging population, service satisfaction, caregiver training, technology in healthcare.

