with a major focus on the acceptance willingness and
the relevant factors. The novelty supply mode of
smart elderly care, the dilemma, and risk in its
development process are explored.
The acceptability and willingness of the aging
population, the main body of the smart elderly care
service, will significantly affect the development of
the smart elderly care service. The low acceptability
and willingness of the users is also one of the leading
causes of the generation of gray divide. Existing
research in this field also reveals a distinct ideology
of contingency, thus indicating that various elderly
people have different factors for their demand for
smart elderly care services and their willingness to
use these services (Zhang, Li and Wu, 2020). To be
specific, age, places to live, ability to accept novel
things, average ratio of monthly income to
expenditure and the support from families, as well as
NGOs (Zhuo et al., 2020), subjective norms,
perceived usefulness, and perceived ease of use
(Yang at al., 2020) will affect the aging population's
willingness to use smart elderly care services from
the perspective of users' subjective and objective
conditions. Moreover, the research results about the
factors for the willingness though the model
construction have been relatively rich. To be specific,
the quality of material and interaction environment,
elderly care information, platform system and service,
as well as the service satisfaction will significantly
affect users' willingness to adopt smart elderly care
services (Zhu et al., 2021).
Along with the supply system of Chinese smart
elderly service has been gradually formed and
improved, the new supply modes of smart elderly
care service is being explored both in daily practice
and in theory research, mainly includes the intelligent
community caring services, intelligent home-based
caring and virtual pension service.
First, compared with three conventional supply
modes of elderly care services, namely "government-
led public model", "market-led private model" and
"socially-led mutual assistance model", intelligent
community caring services have the different
characteristics of components, merit and demerit, and
adaptive dimensions (Liu et al., 2022), which has
significant superiority of reducing pension burdens of
social and family and lifting the efficiency of the
pension industry chain.
Second, intelligent home-based elderly caring is a
novel model to effectively solve the problem of
Chinese elderly care built with the core idea of
"openness, equality, innovation and free" (Xu et al.,
2021). Compared with the conventional home-based
elderly care mode, it shows significant advantages in
such fields as exchange of elderly care information,
expansion of elder care projects, and optimization of
elderly care supply. However, in the process of
development, this mode will be significantly limited
by the fragmented development of nursing, caring,
and medical treatment (Sui et al., 2016). Thus, the
future development trend of this new elderly care
mode should enhance the integrity of all components
in it and build the supply platform and model that
stress the characteristics of being integrated and
refined.
Lastly, virtual pension service relies on the
information platform to integrate pension resources
and realize the integration of modern technology and
conventional pension model, which is not only a new
model to break through the conventional dilemma of
Chinese elderly care services (Du and Sun, 2020), it
also represents the future development direction of
China’s smart elderly care services (Zhu, 2021).
The smart elderly care, newly produced by the
combination of the conventional pension modes and
the background of the information age, has a bright
prospect, whereas twists and turns remain in its
development path. Besides, a variety of difficulties
and risks exposed during its development arouse wide
public and academic attention.
First, from the institutional perspective, the
lagging-behind of the supply-based guidance, the
deep integration of resources, the reform of
institution offering services for the elderly will
significantly limit its development (Du and Zang,
2020). In addition, problems such as the immature
business model, mismatch between supply and
demand (Uddin, Khaksar and Torresen, 2018),
difficulties in information sharing, incomplete
construction of norms and standardization system
(Ghamesi, Rezaee and Rahmani, 2019), and lack of
professional talents are all exposed in the
development process of smart elderly care worldwide
(Wu, 2021).
Second, from the perspective of supply and
demand side, cognitive bias, market, industrial order
and access dilemma (Chen, 2021) are all the the
fetches that need to be broken in the development
process of smart elderly care services.
Lastly, digital technology is a two-edged sword
and it also had the spillover effect, in the development
process of smart elderly care worldwide, it may also
causes such ethical risks as safety uncontrollable
during the human-computer interacting, ambiguity of
responsibility under subject recognition dilemma and
moral abnormality due to the change of family
relationship (Wang, 2021). At the same time, some
social, market and technical risks will be induced by