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Keywords = collective senior housing

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20 pages, 2880 KiB  
Article
Measuring the Impact of Education on Waste Streams from Multi-Family Housing
by Dhanush Kenchanna, Tina Marie Waliczek and Xiangping Liu
Recycling 2025, 10(3), 102; https://doi.org/10.3390/recycling10030102 - 19 May 2025
Cited by 1 | Viewed by 1041
Abstract
Food waste is a significant global issue with substantial environmental, economic, and social implications. This exploratory study aimed to evaluate the impact of an educational composting program on reducing food waste generation and promoting proper waste sorting practices within multi-family housing units in [...] Read more.
Food waste is a significant global issue with substantial environmental, economic, and social implications. This exploratory study aimed to evaluate the impact of an educational composting program on reducing food waste generation and promoting proper waste sorting practices within multi-family housing units in San Marcos, Texas. A comprehensive methodology was employed, encompassing pre- and post-intervention waste audits, educational interventions, weekly organic waste collection, and quantitative data analyses. Nine multi-family complexes, spanning student housing, conventional family units, low-income residences, and senior living facilities, were targeted through strategic recruitment efforts and incentivization. The treatment group, consisting of 43 participants, received ongoing education throughout the eight-week implementation period, facilitated through informational resources, feedback mechanisms, and door-to-door organic waste collection. Conversely, the control group did not partake in the educational component. Statistical analyses, including descriptive statistics and paired t-tests, facilitated comparisons across various dimensions, such as housing types, treatment versus control groups, and pre- versus post-intervention periods. The findings revealed significant reductions in organic waste and compostable materials within the treatment group’s weekly landfill trash, underscoring the effectiveness of the educational program. Furthermore, insights into contamination patterns and housing-specific waste characteristics were garnered, informing targeted intervention strategies and policy recommendations for optimizing multi-family composting initiatives. Full article
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23 pages, 1284 KiB  
Article
Unveiling the Relocation Journey: A Qualitative Study of Key Factors Influencing Older Adults’ Decisions to Relocate to Senior Living Communities
by Suja Chaulagain
J. Ageing Longev. 2025, 5(2), 13; https://doi.org/10.3390/jal5020013 - 8 Apr 2025
Viewed by 1470
Abstract
This study aimed to develop a comprehensive understanding of the decision-making process among older adults regarding leaving their homes and relocating to senior living communities (SLCs) in the United States. Specifically, it explored various aspects of the relocation experience, including the reasons behind [...] Read more.
This study aimed to develop a comprehensive understanding of the decision-making process among older adults regarding leaving their homes and relocating to senior living communities (SLCs) in the United States. Specifically, it explored various aspects of the relocation experience, including the reasons behind their decision to relocate, the factors influencing their choice of destination, and the challenges encountered during the decision-making process. The study’s data were collected from 44 older adults residing in SLCs through five in-depth, semi-structured focus group discussions. The study results revealed that older adults’ decisions to relocate to an SLC were influenced by health-related factors, housing- and property-related factors, family dynamics, and socio-psychological factors. Older adults evaluated environmental and locational factors, facility attractions and amenities, and opportunities for socialization when selecting an SLC for relocation. Additionally, the study identified several barriers faced by older adults, including family-related barriers, economic constraints, socio-psychological barriers, and barriers related to knowledge and information about SLCs. Full article
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20 pages, 663 KiB  
Article
Understanding Barriers and Pathways for the Sustainable Implementation of Affordable Housing in Australia: The Case of the National Rental Affordability Scheme (NRAS)
by Johari Hussein Nassor Amar and Lynne Audrey Armitage
Buildings 2025, 15(3), 454; https://doi.org/10.3390/buildings15030454 - 31 Jan 2025
Cited by 1 | Viewed by 2861
Abstract
Australia’s housing affordability crisis has deepened despite extensive policy intervention, with the private rental sector experiencing unprecedented pressure. This study proposes that affordable housing should guarantee low and moderate-income households their fundamental right to access secure and safe dwellings, enabling these households to [...] Read more.
Australia’s housing affordability crisis has deepened despite extensive policy intervention, with the private rental sector experiencing unprecedented pressure. This study proposes that affordable housing should guarantee low and moderate-income households their fundamental right to access secure and safe dwellings, enabling these households to meet essential needs and maintain quality of life without enduring housing stress. Despite significant public investment, a critical housing shortage persists across the nation with a need to build 640,000 homes annually. This crisis is exacerbated by ineffective public–private–community partnerships (PPCP) and the absence of a unified national housing policy. This study critically examines the NRAS to understand why market-based interventions have consistently fallen short of addressing housing affordability challenges. Through empirical analysis of 31 in-depth interviews with senior stakeholders across public, private and community sectors, this research identifies five systemic barriers: definitional inconsistencies in affordable housing policy; inflexible strategic frameworks; misaligned investment incentives; geographical inequities in resource allocation; and fragmented governance structures. The study introduces the Personal and Collective Will in Policy Implementation (PaCWiPI) framework as an innovative approach integrating Maslow’s Hierarchy of Needs with Henderson’s Poverty Line metrics. Our findings demonstrate that effective housing policy requires a fundamental shift from rigid, standardised approaches towards adaptive frameworks that are responsive to diverse market conditions. This research advances housing policy scholarship by providing empirical evidence of implementation barriers while offering practical recommendations for future initiatives, relevant to the current Housing Australia Future Fund and other regionally-related housing policies. Full article
(This article belongs to the Special Issue Urban Sustainability: Sustainable Housing and Communities)
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24 pages, 1969 KiB  
Article
Can Tourists’ Summer Vacations Save Energy and Reduce CO2 Emissions? Evidence from China
by Puwei Zhang, Xiujiang Li, Meixuan Ren, Rui Li and Xin Gao
Atmosphere 2024, 15(12), 1414; https://doi.org/10.3390/atmos15121414 - 25 Nov 2024
Viewed by 999
Abstract
This study develops a methodological framework for measuring energy conservation and CO2 emission reductions that considers both origins and destinations. The framework encompasses four key aspects: transportation, accommodation, cooking, and housing rehabilitation. Data were collected through a literature review, questionnaire surveys, and [...] Read more.
This study develops a methodological framework for measuring energy conservation and CO2 emission reductions that considers both origins and destinations. The framework encompasses four key aspects: transportation, accommodation, cooking, and housing rehabilitation. Data were collected through a literature review, questionnaire surveys, and field measurement tracking. Compared to living in the origin, senior tourists from Nanchang visiting Zhongyuan Township in China for summer tourism can save 5.747 MJ of energy and reduce CO2 emissions by 3.303 kg per capita per day. An in-depth analysis indicated that the research site could further enhance energy conservation and reduce CO2 emissions by improving public transportation services, optimizing the energy structure of the destination, and diversifying the available recreational offerings. Depending on the characteristics of the destination and the primary origin, summer or winter tourism in various countries or regions can employ the methodological framework to evaluate energy conservation and CO2 emission reductions after identifying specific parameters. The improved pathways identified through this research can serve as a checklist for other countries or regions aiming to explore energy conservation and CO2-emission-reduction pathways for summer or winter tourism. Enhancing climate-driven tourism development may offer a new avenue for the tourism industry to contribute to carbon reduction targets. Full article
(This article belongs to the Special Issue Climate Change and Tourism: Impacts and Responses)
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17 pages, 683 KiB  
Article
Exploring the Relationship between Built Environment Attributes and Physical Activity in Lower-Income Aging Adults: Preliminary Insights from a Multi-Level Trial
by Arjan S. Walia, Abby C. King, Maria I. Campero, Dulce M. Garcia, Rebecca E. Lee and Astrid N. Zamora
Int. J. Environ. Res. Public Health 2024, 21(5), 607; https://doi.org/10.3390/ijerph21050607 - 9 May 2024
Cited by 3 | Viewed by 2586
Abstract
The built environment has been linked to physical activity (PA) behaviors, yet there is limited knowledge of this association among lower-income midlife and older adults who are insufficiently active. The present cross-sectional study utilized baseline data collected between October 2017 and November 2019 [...] Read more.
The built environment has been linked to physical activity (PA) behaviors, yet there is limited knowledge of this association among lower-income midlife and older adults who are insufficiently active. The present cross-sectional study utilized baseline data collected between October 2017 and November 2019 from a clustered randomized controlled trial to determine how built environment attributes were associated with PA behaviors among midlife and older adults (n = 255) residing in or near affordable housing sites (n = 10). At each site, perceptions of the built environment were collected and scored at the participant level via the abbreviated Neighborhood Environment Walkability Survey (NEWS-A), while objective built environment attributes were measured and scored by trained research staff using the Physical Activity Resource Assessment (PARA). Multiple PA behaviors—walking, total PA, and moderate-to-vigorous PA (MVPA) (min/wk)—were measured using the validated Community Healthy Activities Model Program for Seniors (CHAMPS) questionnaire. Adjusted linear regression models examined associations between NEWS-A measures and PA behaviors, and site-level correlations between PARA measures and PA behaviors were examined using Spearman’s rank correlations. At the participant level, adjusted models revealed that a one point increase in the NEWS-A aesthetics score was associated with a 57.37 min/wk increase in walking (β = 57.37 [95% CI: 20.84, 93.91], p = 0.002), with a similar association observed for street connectivity and MVPA (β = 24.31 min/wk [95% CI: 3.22, 45.41], p = 0.02). At the site level, MVPA was positively correlated with the quality of the features of local, PA-supportive environmental resources (ρ = 0.82, p = 0.004). Findings indicate that participant- and site-level measures of the built environment may play a role in promoting PA behavior among this demographic and similar populations. Results also suggest that improvements in aesthetic attributes and street connectivity, along with enhancing the quality of local, PA-supportive environmental resources, may be effective strategies for promoting physical activity among lower-income midlife and older adults. Full article
(This article belongs to the Section Environmental Health)
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21 pages, 23438 KiB  
Article
Architectural and Configurational Study of Senior Housing with Steel Volumetric Modular Technology: Towards Age-Ready and Process-Efficient Sustainable Living
by Bartłomiej Homiński, Filip Suchoń, Karol Wawrzkiewicz and Ewelina Woźniak-Szpakiewicz
Sustainability 2024, 16(8), 3237; https://doi.org/10.3390/su16083237 - 12 Apr 2024
Cited by 1 | Viewed by 2472
Abstract
The aging population requires housing developments that can adapt to their changing needs. The study examines the use of steel volumetric modular technology to construct collective senior housing for independent, sustainable living. The authors explore the qualities of senior housing projects through a [...] Read more.
The aging population requires housing developments that can adapt to their changing needs. The study examines the use of steel volumetric modular technology to construct collective senior housing for independent, sustainable living. The authors explore the qualities of senior housing projects through a literature survey and case studies. Projects appreciated in the architectural industry, illustrating the best practices, are considered. For the development part, the feasible design variants are proposed, BIM modeled, and expertly assessed. Optimization of the types and numbers of modules is carried out to make the most effective use. The potential for generating appropriate flow and social interaction in the shared spaces is also tested. The results prove that a single dwelling unit may embody many features of a suitable architecture for older adults and be used to construct collective senior housing buildings. However, a 3D module with two rooms on either end and a corridor in the middle (the most economical form of 3D prefabrication) is unsuitable for senior housing. Additionally, a narrow 3D module cannot accommodate a complete dwelling unit due to increased dimension needs. Designers and builders must balance economics with the requirements of aging residents to widen the range of volumetric prefabrication areas. Full article
(This article belongs to the Special Issue Prefabrication and Modularized Construction)
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11 pages, 584 KiB  
Article
The Impacts of Subjective Health and Life Expenses on Quality of Life for Korean Elderly People
by Won Seok Lee and Joonho Moon
Sustainability 2023, 15(22), 15868; https://doi.org/10.3390/su152215868 - 12 Nov 2023
Cited by 3 | Viewed by 1633
Abstract
The proportion of elderly individuals has been increasing in Korea. Under this condition, it is essential to understand the behavioral characteristics of elderly individuals to build adequate policies. The purpose of this research was to investigate the determinants of quality of life for [...] Read more.
The proportion of elderly individuals has been increasing in Korea. Under this condition, it is essential to understand the behavioral characteristics of elderly individuals to build adequate policies. The purpose of this research was to investigate the determinants of quality of life for Korean senior citizens, specifically, their subjective health and their regular medical, housing, and clothing expenditures. Data were collected from a Korean senior citizen research panel, and the study period was 2018–2020. Multiple linear panel regression analyses were conducted for the analysis of panel data, which includes ordinary least squares, random effects, and fixed effects. In the results, quality of life for older Korean adults was positively affected by subjective health and clothing expenditures. However, quality of life was negatively influenced by medical and housing spending. The results of this work could offer information for building policies for better senior welfare. Full article
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19 pages, 2114 KiB  
Article
The Practice of Peri-Urban Land Acquisition by Expropriation for Housing Purposes and the Implications: The Case of Bahir Dar, Ethiopia
by Dereje Tessema Adigeh and Birhanu Girma Abebe
Urban Sci. 2023, 7(2), 41; https://doi.org/10.3390/urbansci7020041 - 19 Apr 2023
Cited by 15 | Viewed by 5555
Abstract
Urban land acquisition is a fundamental precondition to sustaining the socio-economic livelihood of urban residents. In Ethiopia, with the high rate of peri-urbanization, the demand for urban land for various urban uses, such as housing development, is responded to by expropriating peri-urban landholdings [...] Read more.
Urban land acquisition is a fundamental precondition to sustaining the socio-economic livelihood of urban residents. In Ethiopia, with the high rate of peri-urbanization, the demand for urban land for various urban uses, such as housing development, is responded to by expropriating peri-urban landholdings from the farming community through paying compensation to the farmers. The paper highlights Ethiopia’s urbanization pace and the associated urban land acquisition scenarios, mainly for housing purposes. Thus, it aims to analyze the peri-urban land acquisition scenarios through the expropriation of peri-urban land holdings used for agricultural purposes in Bahir Dar and the associated adverse effect on the farming community. To address the intended aim, data were collected by interviewing senior officials, experts, and elder farm households of the study area who were more knowledgeable about the study issue. There were focus group discussions with selected farming communities, and an extended field observation was conducted intending to triangulate the data collected by other techniques. Moreover, the Geographic Information System (GIS) was utilized to analyze satellite images of Bahir Dar City to demonstrate the extent of peri-urban land conversion from 2011 to 2021. The result of this study revealed that there is a 7% urban population growth rate, which resulted in 8% of Bahir Dar being converted from peri-urban between the stated period, and hence a considerable size of land had been expropriated in the peri-urban areas of Bahir Dar with expropriation measures. This study exposed that the compensation for expropriated agricultural landholdings often fails to adequately account for the full range of livelihoods and economic activities that farmers engage in, leaving them struggling to adapt to urban life. The urban development in the study area of Bahir Dar is taking place by jeopardizing the livelihoods of the farming community, and the urban expansion is seen as a threat to them. Full article
(This article belongs to the Special Issue Rural–Urban Transformation and Regional Development)
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11 pages, 446 KiB  
Article
Neighborhood and Depressive Symptoms in Older Adults Living in Rural and Urban Regions in South Korea
by Seon Kim, Sunghwan Cho and Matthew R. Morgan
Healthcare 2023, 11(4), 476; https://doi.org/10.3390/healthcare11040476 - 7 Feb 2023
Cited by 6 | Viewed by 2792
Abstract
Neighborhoods have a significant impact on depressive symptoms in older adults. In response to the increasing depression of older adults in Korea, this study aims to identify the relationship between perceived and objective neighborhood characteristics in depressive symptoms and find differences between rural [...] Read more.
Neighborhoods have a significant impact on depressive symptoms in older adults. In response to the increasing depression of older adults in Korea, this study aims to identify the relationship between perceived and objective neighborhood characteristics in depressive symptoms and find differences between rural and urban areas. We used a National survey collected in 2020 of 10,097 Korean older adults aged 65 and older. We also utilized Korean administration data for identifying the objective neighborhood characteristics. Multilevel modeling results indicated that depressive symptoms decreased when older adults perceived their housing condition (b = −0.04, p < 0.001), their interaction with neighbors (b = −0.02, p < 0.001), and overall neighborhood environment (b = −0.02, p < 0.001) positively. Among the objective neighborhood characteristics, only nursing homes (b = 0.09, p < 0.05) were related to depressive symptoms of older adults living in urban areas. For older adults living in rural areas, the number of social workers (b = −0.03, p < 0.001), the number of senior centers (b = −0.45, p < 0.001), and nursing home (b = −3.30, p < 0.001) in the neighborhood were negatively associated with depressive symptoms. This study found that rural and urban areas have different neighborhood characteristics related to older adults’ depressive symptoms in South Korea. This study encourages policymakers to consider neighborhood characteristics to improve the mental health of older adults. Full article
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12 pages, 341 KiB  
Article
Aging in the Right Place for Older Adults Experiencing Housing Insecurity: An Environmental Assessment of Temporary Housing Program
by Atiya Mahmood, Rachelle Patille, Emily Lam, Diana Juanita Mora, Shreemouna Gurung, Gracen Bookmyer, Rachel Weldrick, Habib Chaudhury and Sarah L. Canham
Int. J. Environ. Res. Public Health 2022, 19(22), 14857; https://doi.org/10.3390/ijerph192214857 - 11 Nov 2022
Cited by 7 | Viewed by 4241 | Correction
Abstract
Research on programs offering senior-specific housing supports and enabling “aging in the right place” (AIRP) for “older persons with experiences of homelessness” (OPEH) is limited. This paper presents an environmental assessment of a “transitional housing program” (THP) in Metro Vancouver, Canada, for OPEH [...] Read more.
Research on programs offering senior-specific housing supports and enabling “aging in the right place” (AIRP) for “older persons with experiences of homelessness” (OPEH) is limited. This paper presents an environmental assessment of a “transitional housing program” (THP) in Metro Vancouver, Canada, for OPEH to AIRP. Data were collected using Aging in the Right Place Environmental (AIRP-ENV) and Secondary Observation (AIRP-ENV-SO) audit tools designed to evaluate multi-unit housing for OPEH. The 241-item AIRP-ENV tool was used to assess the built environmental features of four multi-unit buildings of the THP. The AIRP-ENV-SO tool was used to collect contextual data on the function, safety, and land use of the surrounding neighborhood. Findings identified built environment and urban design features that support THP residents’ safety, security, accessibility, functionality, social activity, autonomy, and identity. The THP buildings were rated ‘Good’ for accessibility, functionality, autonomy and identity, while ‘Satisfactory’ or ‘Poor’ for safety, security, and social activity. Findings point to the built environmental features (e.g., size and layout of spaces) required in the THP to create opportunities for increased social engagement among residents and enhanced safety and security. The AIRP-ENV and AIRP-ENV-SO audit tools can help inform programs across the housing continuum to develop supportive built environments that promote AIRP for OPEH. Full article
9 pages, 570 KiB  
Article
Constructing Factors Related to Sociotechnical Analysis in Elderly House
by Jun-Zhi Chiu and Chao-Chen Hsieh
Sustainability 2022, 14(19), 12880; https://doi.org/10.3390/su141912880 - 9 Oct 2022
Cited by 1 | Viewed by 1360
Abstract
As the senior population is increasing, elderly housing is an essential activity in society, prompting the demand for an array of new and extended services. Hence, building information systems, communication, workflow processes, and the end-user are regarded as parts of the information system. [...] Read more.
As the senior population is increasing, elderly housing is an essential activity in society, prompting the demand for an array of new and extended services. Hence, building information systems, communication, workflow processes, and the end-user are regarded as parts of the information system. The process adopted here combines the FAHP model and ETHICS approach (which we call FETHICS) to deal with the sociotechnical analysis in the elderly house while we are constructing work systems. The purpose of this study is to use the socio-technical analysis of mental and human implementation to capture information content and systems. The results show that environment monitoring, on the job training, providing increased effective care work, and being able to respond to changes in the general environment represent the most important critical information about housing the elderly. Based on the factors identified, a hierarchy model of critical information regarding elderly housing is proposed. The results suggest the content of the elderly house for collecting a weight to each member within this group experience, while also indicating the configuration of the information service framework. Full article
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20 pages, 816 KiB  
Article
Housing Poverty and Healthy Aging in China: Evidence from the China Health and Retirement Longitudinal Study
by Peng Nie, Yan Li, Lanlin Ding and Alfonso Sousa-Poza
Int. J. Environ. Res. Public Health 2021, 18(18), 9911; https://doi.org/10.3390/ijerph18189911 - 21 Sep 2021
Cited by 13 | Viewed by 4778
Abstract
Background: Although prior research on the housing–health linkage suggested that those with poor housing conditions are more likely to report poor health, it is dominated by Western studies and offers little evidence on the housing–health relation in China. Scarce is empirical evidence on [...] Read more.
Background: Although prior research on the housing–health linkage suggested that those with poor housing conditions are more likely to report poor health, it is dominated by Western studies and offers little evidence on the housing–health relation in China. Scarce is empirical evidence on the potentially detrimental impact of either qualitative or quantitative housing poverty on health outcomes, especially for seniors in China. This paper aims to fill this void by using data from the 2011–2015 China Health and Retirement Longitudinal Study (CHARLS) to provide a comprehensive analysis of the demographic, socioeconomic, and behavioral factors that contribute to changes in healthy aging among Chinese adults aged 60 and over. Methods: Data collected from 8839 adults aged 60 and over in the 2011 and 2015 CHARLS (3732 in 2011 and 5107 in 2015) were used. We first used six blood-based biomarkers to construct a composite measure of the Chinese Healthy Aging Index (CHAI, ranging from 0 (healthiest) to 12 (unhealthiest)) and then assessed the psychometric properties of the CHAI score, including acceptability, internal consistency, convergent validity, discriminative validity and precision. In addition, we employed both mean-based Blinder–Oaxaca and unconditional quantile regression decomposition to decompose the change in healthy aging within the 2011–2015 period. Results: We overall identified a decrease in CHAI score from 5.69 in 2011 to 5.20 in 2015, which implies an improvement in healthy aging during this period. Our linear decomposition revealed that dependent on the type of measure used (whether quality, quantity, or combined quality–quantity), housing poverty explained 4–8% of the differences in CHAI score. Our distributional decompositions also highlighted an important role for housing poverty in the change in healthy aging, accounting for approximately 7–23% of the explained portion. Within this latter, the relative contribution of housing quantity and quality poverty was more pronounced at the median and upper end of the CHAI distribution. We also found household expenditure to be significantly associated with healthy aging among older Chinese adults and made the largest contribution to the improvement in healthy aging over time. Conclusions: The association between housing poverty and CHAI is independent of household expenditure. Regardless of type, housing poverty is positively associated with a decrease in healthy aging. Thus, improved housing conditions boost healthy aging, and housing amelioration initiatives may offer the most effective solution for augmenting healthy aging in China. Improvement of flush toilets and the access to potable water and a separate kitchen require particular attention. Since high-density congested housing has a negative impact on healthy aging, more attention can also be paid to improvements in the available space for older people. Especially at an institutional level, the government may extend the housing policy from a homeownership scheme to a housing upgrading scheme by improving housing conditions. Full article
(This article belongs to the Section Aging)
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22 pages, 2065 KiB  
Article
Factors Affecting the Intention of Multi-Family House Residents to Age in Place in a Potential Naturally Occurring Retirement Community of Seoul in South Korea
by Jung-A Park and Byungsook Choi
Sustainability 2021, 13(16), 8922; https://doi.org/10.3390/su13168922 - 9 Aug 2021
Cited by 13 | Viewed by 4239
Abstract
This study reveals residents’ willingness to live in their current homes and communities and analyzes the factors related to their willingness to age in place in South Korea. Using a questionnaire survey method, data of 289 residents aged 55 or older were collected [...] Read more.
This study reveals residents’ willingness to live in their current homes and communities and analyzes the factors related to their willingness to age in place in South Korea. Using a questionnaire survey method, data of 289 residents aged 55 or older were collected in apartment areas with the potential to become naturally occurring senior communities in Seoul. Data were analyzed using descriptive statistics, correlation tests, t-test, ANOVA, factor analysis, and regression analysis by SPSS 26.0, and the findings were followed up. Housing services are very important in aging communities. Physical environment-oriented residential services promote a safe walking environment, facilities to support the elderly, a secure complex environment, a home-safety accident-prevention diagnosis service, home improvement, and home improvement support. Multiple regression analysis showed that residential services or elderly education and activity support services influence aging in place, which is a novel finding revealed in this study. Full article
(This article belongs to the Special Issue Housing — the Basic Principle of Sustainability)
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10 pages, 1174 KiB  
Article
The Accuracy of On-Call CT Reporting in Teleradiology Networks in Comparison to In-House Reporting
by Svea Storjohann, Michael Kirsch, Britta Rosenberg, Christian Rosenberg, Sandra Lange, Annika Syperek, Frank Philipp Schweikhard and Norbert Hosten
Healthcare 2021, 9(4), 405; https://doi.org/10.3390/healthcare9040405 - 1 Apr 2021
Cited by 3 | Viewed by 2689
Abstract
(1) Background: We aimed to compare the accuracy of after-hours CT reports created in a traditional in-house setting versus a teleradiology setting by assessing the discrepancy rates between preliminary and final reports. (2) Methods: We conducted a prospective study to determine the number [...] Read more.
(1) Background: We aimed to compare the accuracy of after-hours CT reports created in a traditional in-house setting versus a teleradiology setting by assessing the discrepancy rates between preliminary and final reports. (2) Methods: We conducted a prospective study to determine the number and severity of discrepancies between preliminary and final reports for 7761 consecutive after-hours CT scans collected over a 21-month period. CT exams were performed during on-call hours and were proofread by an attending the next day. Discrepancies between preliminary and gold-standard reports were evaluated by two senior attending radiologists, and differences in rates were assessed for statistical significance. (3) Results: A total of 7209 reports were included in the analysis. Discrepancies occurred in 1215/7209 cases (17%). Among these, 433/7209 reports (6%) showed clinically important differences between the preliminary and final reports. A total of 335/5509 of them were in-house reports (6.1%), and 98/1700 were teleradiology reports (5.8%). The relative frequencies of report changes were not significantly higher in teleradiology. (4) Conclusions: The accuracy of teleradiology reports was not inferior to that of in-house reports, with very similar clinically important differences rates found in both reporting situations. Full article
(This article belongs to the Special Issue Digital Transformation in Healthcare)
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22 pages, 3836 KiB  
Article
Factors Affecting Residential Satisfaction in Slum Rehabilitation Housing in Mumbai
by Bangkim Kshetrimayum, Ronita Bardhan and Tetsu Kubota
Sustainability 2020, 12(6), 2344; https://doi.org/10.3390/su12062344 - 17 Mar 2020
Cited by 51 | Viewed by 10154
Abstract
Affordable housing for the low-income population, who mostly live in slums, is an endemic challenge for cities in developing countries. As a remedy for the slum-free city, most of the major metropolis are resorting to slum rehabilitation housing. Rehabilitation connotes the improved quality [...] Read more.
Affordable housing for the low-income population, who mostly live in slums, is an endemic challenge for cities in developing countries. As a remedy for the slum-free city, most of the major metropolis are resorting to slum rehabilitation housing. Rehabilitation connotes the improved quality of life that provides contentment, yet what entails residential satisfaction in such low-income situations remains a blind spot in literature. The study aims to examine the factors affecting residential satisfaction of slum rehabilitation housing in Mumbai, India. Here, the moderation effects of sociodemographic characteristics between residential satisfaction and its predictors are elaborated using a causal model. Data on residents’ perception of the residential environment were collected from 981 households in three different slum rehabilitation housing areas spatially spread across Mumbai. The causal model indicated that residential satisfaction was significantly determined by internal conditions of dwelling resulting from design, community environment and access to facilities. Gender, age, mother tongue, presence of children, senior citizens in the family, and education moderate the relationship between residential satisfaction and its predictors. The need for design and planning with the user’s perspective is highlighted to improve the quality of life. Full article
(This article belongs to the Special Issue Low-Carbon Affordable Houses for Sustainable Societies)
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