{"id":"https://openalex.org/W7160065471","doi":"https://doi.org/10.3390/systems14050480","title":"Algorithmic and Affective Interventions in Elderly Household Health Decision-Making: A Socio-Technical Analysis of the Informal Healthcare Subsystem Evolution","display_name":"Algorithmic and Affective Interventions in Elderly Household Health Decision-Making: A Socio-Technical Analysis of the Informal Healthcare Subsystem Evolution","publication_year":2026,"publication_date":"2026-04-29","ids":{"openalex":"https://openalex.org/W7160065471","doi":"https://doi.org/10.3390/systems14050480"},"language":"en","primary_location":{"id":"doi:10.3390/systems14050480","is_oa":true,"landing_page_url":"https://doi.org/10.3390/systems14050480","pdf_url":"https://www.mdpi.com/2079-8954/14/5/480/pdf?version=1777450414","source":{"id":"https://openalex.org/S4210219410","display_name":"Systems","issn_l":"2079-8954","issn":["2079-8954"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Systems","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.mdpi.com/2079-8954/14/5/480/pdf?version=1777450414","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5112993848","display_name":"Haoxuan Cheng","orcid":"https://orcid.org/0009-0002-1807-7754"},"institutions":[{"id":"https://openalex.org/I183067930","display_name":"Shanghai Jiao Tong University","ror":"https://ror.org/0220qvk04","country_code":"CN","type":"education","lineage":["https://openalex.org/I183067930"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Haoxuan Cheng","raw_affiliation_strings":["School of International and Public Affairs, Shanghai Jiao Tong University, Shanghai 200240, China"],"raw_orcid":"https://orcid.org/0009-0002-1807-7754","affiliations":[{"raw_affiliation_string":"School of International and Public Affairs, Shanghai Jiao Tong University, Shanghai 200240, China","institution_ids":["https://openalex.org/I183067930"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060754856","display_name":"Lufa Zhang","orcid":null},"institutions":[{"id":"https://openalex.org/I183067930","display_name":"Shanghai Jiao Tong University","ror":"https://ror.org/0220qvk04","country_code":"CN","type":"education","lineage":["https://openalex.org/I183067930"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Lufa Zhang","raw_affiliation_strings":["School of International and Public Affairs, Shanghai Jiao Tong University, Shanghai 200240, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of International and Public Affairs, Shanghai Jiao Tong University, Shanghai 200240, China","institution_ids":["https://openalex.org/I183067930"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5103144340","display_name":"Haoju Xie","orcid":"https://orcid.org/0000-0002-6905-3683"},"institutions":[{"id":"https://openalex.org/I18925743","display_name":"Shanghai University of Sport","ror":"https://ror.org/0056pyw12","country_code":"CN","type":"education","lineage":["https://openalex.org/I18925743"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Haoju Xie","raw_affiliation_strings":["School of Marxism, Shanghai University of Sport, Shanghai 200438, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Marxism, Shanghai University of Sport, Shanghai 200438, China","institution_ids":["https://openalex.org/I18925743"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5103144340"],"corresponding_institution_ids":["https://openalex.org/I18925743"],"apc_list":{"value":1600,"currency":"CHF","value_usd":1732},"apc_paid":{"value":1600,"currency":"CHF","value_usd":1732},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.66471035,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"14","issue":"5","first_page":"480","last_page":"480"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11977","display_name":"Technology Use by Older Adults","score":0.3637000024318695,"subfield":{"id":"https://openalex.org/subfields/3317","display_name":"Demography"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11977","display_name":"Technology Use by Older Adults","score":0.3637000024318695,"subfield":{"id":"https://openalex.org/subfields/3317","display_name":"Demography"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10883","display_name":"Ethics and Social Impacts of AI","score":0.0689999982714653,"subfield":{"id":"https://openalex.org/subfields/3311","display_name":"Safety Research"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12501","display_name":"Digital Economy and Work Transformation","score":0.06790000200271606,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/psychological-intervention","display_name":"Psychological intervention","score":0.6304000020027161},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.6011000275611877},{"id":"https://openalex.org/keywords/agency","display_name":"Agency (philosophy)","score":0.57669997215271},{"id":"https://openalex.org/keywords/grassroots","display_name":"Grassroots","score":0.5530999898910522},{"id":"https://openalex.org/keywords/unintended-consequences","display_name":"Unintended consequences","score":0.5364000201225281},{"id":"https://openalex.org/keywords/affect","display_name":"Affect (linguistics)","score":0.5202999711036682},{"id":"https://openalex.org/keywords/digital-health","display_name":"Digital health","score":0.45350000262260437},{"id":"https://openalex.org/keywords/control-reconfiguration","display_name":"Control reconfiguration","score":0.4041000008583069}],"concepts":[{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.6304000020027161},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.6011000275611877},{"id":"https://openalex.org/C108170787","wikidata":"https://www.wikidata.org/wiki/Q3951828","display_name":"Agency (philosophy)","level":2,"score":0.57669997215271},{"id":"https://openalex.org/C2781188222","wikidata":"https://www.wikidata.org/wiki/Q929651","display_name":"Grassroots","level":3,"score":0.5530999898910522},{"id":"https://openalex.org/C2776889888","wikidata":"https://www.wikidata.org/wiki/Q1135789","display_name":"Unintended consequences","level":2,"score":0.5364000201225281},{"id":"https://openalex.org/C2776035688","wikidata":"https://www.wikidata.org/wiki/Q1606558","display_name":"Affect (linguistics)","level":2,"score":0.5202999711036682},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.4571000039577484},{"id":"https://openalex.org/C2780433410","wikidata":"https://www.wikidata.org/wiki/Q5276090","display_name":"Digital health","level":3,"score":0.45350000262260437},{"id":"https://openalex.org/C119701452","wikidata":"https://www.wikidata.org/wiki/Q5165881","display_name":"Control reconfiguration","level":2,"score":0.4041000008583069},{"id":"https://openalex.org/C135981907","wikidata":"https://www.wikidata.org/wiki/Q188056","display_name":"Triangulation","level":2,"score":0.37790000438690186},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.3522000014781952},{"id":"https://openalex.org/C7955714","wikidata":"https://www.wikidata.org/wiki/Q12056630","display_name":"Structure and agency","level":2,"score":0.34360000491142273},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.3330000042915344},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.3319000005722046},{"id":"https://openalex.org/C75630572","wikidata":"https://www.wikidata.org/wiki/Q538904","display_name":"Applied psychology","level":1,"score":0.30070000886917114},{"id":"https://openalex.org/C198531522","wikidata":"https://www.wikidata.org/wiki/Q485146","display_name":"Sample (material)","level":2,"score":0.29750001430511475},{"id":"https://openalex.org/C2250968","wikidata":"https://www.wikidata.org/wiki/Q1512929","display_name":"Health equity","level":3,"score":0.296999990940094},{"id":"https://openalex.org/C20555606","wikidata":"https://www.wikidata.org/wiki/Q868575","display_name":"Empowerment","level":2,"score":0.29030001163482666},{"id":"https://openalex.org/C2776515129","wikidata":"https://www.wikidata.org/wiki/Q7306218","display_name":"Redress","level":2,"score":0.2660999894142151},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.26440000534057617},{"id":"https://openalex.org/C109986646","wikidata":"https://www.wikidata.org/wiki/Q546113","display_name":"Public policy","level":2,"score":0.2590999901294708},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.25609999895095825},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.25529998540878296},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.25360000133514404},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.25130000710487366}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.3390/systems14050480","is_oa":true,"landing_page_url":"https://doi.org/10.3390/systems14050480","pdf_url":"https://www.mdpi.com/2079-8954/14/5/480/pdf?version=1777450414","source":{"id":"https://openalex.org/S4210219410","display_name":"Systems","issn_l":"2079-8954","issn":["2079-8954"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Systems","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:8d3d79c0d9214fabac12161e5522afc7","is_oa":true,"landing_page_url":"https://doaj.org/article/8d3d79c0d9214fabac12161e5522afc7","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Systems, Vol 14, Iss 5, p 480 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3390/systems14050480","is_oa":true,"landing_page_url":"https://doi.org/10.3390/systems14050480","pdf_url":"https://www.mdpi.com/2079-8954/14/5/480/pdf?version=1777450414","source":{"id":"https://openalex.org/S4210219410","display_name":"Systems","issn_l":"2079-8954","issn":["2079-8954"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Systems","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.775981605052948,"display_name":"Peace, Justice and strong institutions","id":"https://metadata.un.org/sdg/16"}],"awards":[{"id":"https://openalex.org/G7577466352","display_name":null,"funder_award_id":"22AZD082","funder_id":"https://openalex.org/F4320327557","funder_display_name":"National Office for Philosophy and Social Sciences"}],"funders":[{"id":"https://openalex.org/F4320327557","display_name":"National Office for Philosophy and Social Sciences","ror":"https://ror.org/04m0ms912"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7160065471.pdf","grobid_xml":"https://content.openalex.org/works/W7160065471.grobid-xml"},"referenced_works_count":39,"referenced_works":["https://openalex.org/W1186937996","https://openalex.org/W1604857681","https://openalex.org/W2029688816","https://openalex.org/W2035701230","https://openalex.org/W2049487316","https://openalex.org/W2070578512","https://openalex.org/W2106462189","https://openalex.org/W2107459555","https://openalex.org/W2144236413","https://openalex.org/W2160841753","https://openalex.org/W2337934060","https://openalex.org/W2409447785","https://openalex.org/W2752617332","https://openalex.org/W2789805918","https://openalex.org/W2907669204","https://openalex.org/W2987000258","https://openalex.org/W2998335966","https://openalex.org/W3042449672","https://openalex.org/W3119730436","https://openalex.org/W3121378736","https://openalex.org/W3126100464","https://openalex.org/W3197209125","https://openalex.org/W3202882962","https://openalex.org/W4214928528","https://openalex.org/W4224257787","https://openalex.org/W4234359132","https://openalex.org/W4251337230","https://openalex.org/W4252382615","https://openalex.org/W4281571346","https://openalex.org/W4283020931","https://openalex.org/W4283266307","https://openalex.org/W4378211477","https://openalex.org/W4385684059","https://openalex.org/W4387557491","https://openalex.org/W4396971535","https://openalex.org/W4400398676","https://openalex.org/W4404356725","https://openalex.org/W4406231802","https://openalex.org/W4406962452"],"related_works":[],"abstract_inverted_index":{"As":[0],"digital":[1,173],"innovations":[2],"rapidly":[3],"penetrate":[4],"aging":[5,177],"populations,":[6],"live-streaming":[7],"e-commerce":[8],"acts":[9],"as":[10],"a":[11,48,67,77,115,123,133],"profound":[12],"external":[13],"disruption":[14],"to":[15,143,166],"the":[16,33,81,84,89,96,108,159,172],"informal":[17,85],"healthcare":[18,86],"subsystem,":[19],"fundamentally":[20],"reshaping":[21],"Health":[22],"Shared":[23],"Decision-Making":[24],"in":[25],"Elderly":[26],"Households":[27],"(HSDM-EH).":[28],"This":[29,146],"study":[30],"investigates":[31],"how":[32],"nested":[34],"interplay":[35],"of":[36,70,83,91,99,111,117,136,176],"affective":[37],"strategies":[38],"and":[39,63,93,101,107,170],"algorithmic":[40,130,168],"mechanisms":[41],"reconfigures":[42],"this":[43],"traditional":[44],"socio-technical":[45,147],"balance.":[46],"Employing":[47],"directed":[49],"content":[50],"analysis,":[51],"we":[52,121],"conducted":[53],"methodological":[54],"triangulation":[55],"with":[56],"two":[57],"complementary":[58],"data":[59],"sources:":[60],"in-depth":[61],"interviews":[62],"behavioral":[64],"observations":[65],"from":[66,140],"maximum-variation":[68],"sample":[69],"40":[71],"Chinese":[72],"families.":[73],"Our":[74],"findings":[75],"reveal":[76],"three-stage":[78],"structural":[79],"evolution:":[80],"de-bounding":[82],"subsystem":[87],"through":[88],"decentering":[90],"institutional":[92],"familial":[94,141],"authority;":[95],"synergistic":[97],"control":[98],"affect":[100],"algorithms":[102],"that":[103,129,153],"scales":[104],"deprofessionalized":[105],"trust;":[106],"subsequent":[109],"escalation":[110],"systemic":[112],"friction,":[113],"marking":[114],"failure":[116],"organizational":[118],"resilience.":[119],"Ultimately,":[120],"propose":[122],"Socio-Technical":[124],"Nested":[125],"Agency":[126],"Model,":[127],"demonstrating":[128],"interventions":[131],"effect":[132],"soft":[134],"transfer":[135],"health":[137,156,174],"authority":[138],"away":[139],"oversight":[142],"commercial":[144],"platforms.":[145],"reconfiguration":[148],"generates":[149],"unintended":[150],"policy":[151],"feedback":[152],"undermines":[154],"grassroots":[155],"initiatives,":[157],"highlighting":[158],"urgent":[160],"need":[161],"for":[162],"cross-sectoral":[163],"regulatory":[164],"frameworks":[165],"mitigate":[167],"risks":[169],"enhance":[171],"inclusivity":[175],"populations.":[178]},"counts_by_year":[],"updated_date":"2026-06-19T15:47:20.252518","created_date":"2026-05-05T00:00:00"}
