Impact of Governance Constraints on Elderly Care Effectiveness: The Mediating Role of Community Engagement and Organizational Adaption

Abstract

This rapid growth older population has created some major challenges in the structure of developing countries such as Pakistan. These rapid rise of older population change the traditional care giving structure of elderly population in Pakistan, which increased transformations of older population towards old age homes. These transformations highlighted the need for new nursing homes, which require financial allocation and policy domains to support the elderly population's needs. But the development of new nursing homes has faced many challenges including political challenges. In this context, grounded with the institutional theory and community engagement theory, this study examined the impact of political challenges on elderly care effective by the mediating role of both community engagement and organizational adaption in the terms of Pakistan. By using well-structured questionnaire, a total 305 number of survey responses were collected from the employees of different old age homes of Pakistan, but after the process of data smoothing 283 valid and usable responses were taken for final data analysis. For the analysis of collected data this study used hybrid approach of both PLS-SEM and ANN to measure the both linear and non-linear relationships of the proposed framework. The findings of the study revealed that the both community engagement and organizational adaption significantly enhance elderly care services. While ANN highlights that the organizational adaption was the most influential variable in predicting outcomes of elderly care effectiveness. These results of this study provide some valuable insights for the policymaker and manager who are working the context of old age homes of Pakistan.