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Fang et al. that argue China should prioritise the use of big data, alongside machine learning techniques, to monitor disease patterns suffered by those who need the elderly and long-term care at the population level. They point out that the use of big data and machine learning techniques is increasingly necessary to transform China into a hub allowing for sufficient pro-elderly caregiving and medical support. These technological advancements help build more sustainable futures for Chinese communities in the next decades . However, to date, most smart products offered by Chinese elderly care institutions fail to satisfy the personalised demands of elders themselves since the data collected are significantly insufficient .
Rural elders who are introduced to the benefits of befriending social robots may plausibly be more willing to accept such technologies. In Taiwan, Chen et al. applied the Chinese version of attitudes towards the use of social robot questionnaire to survey 416 Taiwanese health professionals between November 2017 and May 2018. Survey outputs indicated that elders in caregiving needs are more likely to accept the use of social robots if their attitudes towards such use are more positive. Therefore, the outputs of this Taiwanese study further hint that Chinese government officials should actively change the senior adults’ perceptions of social robots, in order to allow the integration of social robots into the local health and care services industry.
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Song et al. surveyed 420 Chinese senior adults and found that Chinese elders accept the use of VUI owing to the satisfactory levels of perceived usefulness, perceived ease of use, and trust . They suggested that more smart devices in the Chinese market can apply VUI, a function that allows senior adults suffering from declined physical and cognitive abilities to conveniently interact with innovative products. (2017–2020), marking a milestone in specialising national policies on smart home services in elderly care. Specific plans for service popularisation, technology research, construction of the industry standard, and the development of smart care platforms were employed .
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However, many of them demonstrate curiosity in, and potential to, learn digital knowledge and skills. So long as China introduces a wider share of its senior citizens to a variety of smart home devices and makes such innovative products financially accessible, a growing number of its elderly populations will expectedly be showing an increased interest in building their digital repertoire. By then, China can better fulfil its policy focus on building a more sustainable urban and regional development. Not only will cities become more technologically advanced and inclusive but also villages and towns will become more urbanised and habitable too. Smart devices should provide personalised interaction and services to reduce the loneliness suffered by elders who are left-behind.

However, they noted that the elderly respondents’ acceptance rate of using social robots was dissatisfactorily low . Due to the urgency of the ageing challenges China is facing, social robots have the potential to be used substantially in order to assist the everyday life of elders. It is concerning when elders express their anxiety and fear about social robots, given the circumstance that such an innovative technology may be widely applied in the coming years or even decades. Such a negative view faced by elders may be particularly common among rural Chinese elderly populations who are seemingly more conservative but perhaps less independent. It is, therefore, necessary for local government agencies to deliver community education, including arranging public seminars, to rural elders.
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Hong et al. found that while 83 percent of middle-aged and elderly Chinese respondents used mobile phones, only 6.5 percent of them had access to the Internet . Local governments can consider issuing vouchers for mobile phone and Internet access subscriptions to the elderly populations . If local governments are willing to hand out vouchers to elders, poorer Chinese citizens should benefit from the suggested policy the most due to their significant financial limitations. Disadvantaged Chinese elders, in particular, can therefore purchase digital devices that allow their access to digital elderly care and healthcare services. In contemporary China, most enterprises designing and delivering smart home services in elderly care can restrictively provide elders simple services, including emergency rescue, smart door locks, and basic online health advice. More complex services such as comprehensive assistance, health management, and home security are rarely available in the market due to technological limitations .
Otherwise, disadvantaged elders are unable to afford expensive healthcare and elderly costs, particularly those that require innovative technologies to operate, barring the sustainability of the ageing society. Another financial challenge faced by elders in the elderly care sector is the lack of pension entitlement to rural elderly populations . It is essential for local rural governments to provide elderly care services at a subsidised rate or as public goods, in order to ensure those living without pensions can enjoy basic elderly care services at the very least. Specifically, local rural governments should purchase smart elderly care services and distribute them to those in need for free or at a reduced rate.

Therefore, again, smart home care providers have to translate complicated, advanced technological programming into user-friendly technological devices, in order to allow less-educated urban natives and even rural natives to accept the use of such devices. Otherwise, the market for smart home elderly services will remain highly restricted, and services providers may not be able to sustain their businesses due to the lack of demand. It is noteworthy that the concept of a social robot has been introduced in China in recent years. Here, social robots mean “robotic technologies that are designed to interact autonomously with people across a variety of different application domains in natural and intuitive ways, by using the same repertoire of social signals used by humans” . In order to minimise the replacement by social robots, French elders preferred small robots that resemble teapots, so their children or grandchildren would not be aware of such social robots. In doing so, children and grandchildren would maintain the responsibilities of family caregiving .
Public–private partnerships have been formed where local governments and commercial enterprises cooperate to deliver smart elderly care services. Here, governments avoid investing in building and running elderly care institutions, but play a role as a regulator . Local governments encourage enterprises to develop and deliver smart elderly care services and assume public responsibilities but do not interfere in the latter’s management and operation . This demonstrates how local governments lacking financial resources can still regulate the operation of smart elderly care services within their administrative regions. However, even when private enterprises are given the right to enter the elderly care market to provide relevant services, local rural governments need to ensure their citizens have the financial resources to enjoy smart elderly care experiences. Elderly care institutions in China usually give the elderly beneficiaries a “smart box,” which offers multiple technological services, such as smart medical care and home services.

It is thus needed for local governments, especially rural governments, to marketise the importance and benefits of using elderly care technologies, alongside building elders’ digital literacy necessary for the use of such intelligent devices. An interesting study was carried out by Sun et al. in 13 cities in the Heilongjiang Province of China between May and July 2018. The findings indicated that 38.6 percent of respondents aged at least 60 used the Internet.
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