VIRTUAL: Livable Cities – New York

Abstract

Home-community-based services (HCBS) are a foundation for care implemented by the Chinese government in response to a dearth of informal care providers. Long-term services and supports (LTSS) are subordinate to Home and community-based services and supports, allowing older adults to get health services at home or in a local health setting instead of an unaffordable private institutional care service. This research has attempted to strengthen the interdisciplinary connections between gerontology and architectural design. Hence, the authors will investigate the relationship between the care demands of older adults and the design of architectural spaces as the first research stage in HCBS. An innovative methodological approach is established to represent the demands by architectural graphics from the Scoping Review, processing to the systemic diagnosis of links within the urban, community and domestic space, multi-scalar ecosystems of gerontologic care. The scooping review with architectural graphics explores the connection from the domestic spaces to the surrounding social and spatial environments, focusing on the architectural design strategy for the care service of China’s HCBS. As a result, the Scoping Review highlighted certain emerging spaces of Chinese HCBS through digital 3D or sketch drawings within the urban, community and domestic contexts, revealing gerontological spaces of care at a range of different scales. This research might provide future architects with innovative methods for the adaptive reuse of pre-existing architectural spaces to the functional and psychological needs of older adults in HCBS.