Utilisation willingness for institutional care by the disabled elderly and its influencing factors based on Andersen’s model: a cross-sectional survey of Henan, China

Yang, Guangmei; Wan, Leping; Dong, Hongbiao; Liang, Xiaoxiao; He, Yan

doi:10.1136/bmjopen-2022-064949

Cited by 5 publications

(3 citation statements)

References 41 publications

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“…Second, social support and family relationships have a significant impact on the willingness of older adults individuals to receive care ( 45 ). The presence of close family relationships ( 46 ), support from children or other relatives ( 47 ), living arrangements with spouses and children ( 48 , 49 ), proximity to children ( 50 ), community support and services ( 51 ), interpersonal relationships, and spiritual needs ( 52 ) can influence individuals’ willingness to receive care. Additionally, the individual characteristics of older adults people also play a role in their willingness to receive care.…”

Section: Literature Reviewmentioning

confidence: 99%

Does the community service environment affect the willingness of older adults people to socialize for older adults care?

Huang,

Feng,

Shi

2024

Front. Public Health

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Population ageing is a significant trend in social development and will remain a fundamental national condition in China for the foreseeable future. Socialized older adults care has become a crucial strategy for China to address population ageing. However, the current levels of acceptance and willingness to seek socialized older adults care among older adults are relatively low. This study focuses on examining how the community environment and services influence older adults people’s willingness to engage in social activities related to older adults care. Using data from the China Longitudinal Ageing Social Survey (CLASS) (N = 9,657), this study investigated the impact of the community service environment on older adults people’s willingness to participate in social activities related to older adults care through a logit model. The study revealed that 9.15% of older adults (N = 9,657) in China are willing to engage in social activities related to older adults care. Furthermore, the individual characteristics and family support of older adults play a significant role in shaping their willingness to engage in older adults care. The provision of medical services, daily care services, and entertainment venues by the community positively influence older adults people’s willingness to participate in social activities related to older adults care (p < 0.01), whereas psychological counselling services have a negative impact (p < 0.01). The impact of community services on older adults people’s willingness to engage in social activities related to older adults care varies due to factors such as smoking and chronic diseases. These findings provide valuable insights for improving older adults’ social engagement in China.

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Section: Literature Reviewmentioning

confidence: 99%

Does the community service environment affect the willingness of older adults people to socialize for older adults care?

Huang,

Feng,

Shi

2024

Front. Public Health

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“…Wang [ 13 ] found the willingness of the elderly to enter the nursing institution is influenced by individual, family environment and community environment, including age, living with spouse and children, house ownership and availability of home healthcare services. Yang found living alone, medical payment, mental illness were the influencing factors of the disabled elderly to receive institutional care [ 14 ]. A study conducted in 7 cities in China indicated that intergenerational family support is a significant driver on the willingness of the old people to choose nursing care.…”

Section: Introductionmentioning

confidence: 99%

Old people’s preference for nursing homes in East China: a discrete choice experiment

Zhong,

Guo,

Liu

et al. 2024

BMC Nurs

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Background The aged people who live in nursing home are predicted to keep growing in the following decades. There are both quantitative imbalance and structural imbalance in the utilization of nursing homes in China. This study aimed to analyze old people’s preference for nursing homes and help the government optimize resource allocation. Methods A discrete choice experiment (DCE) was conducted and six attributes of nursing homes including monthly fee, distance from home, geographical location, medical facilities, environment of nursing homes and nursing staff were determined. Respondents were recruited from Nantong and Yangzhou city, China. In each city, two communities or villages were randomly selected. In each community/village, about 65 old people were randomly selected. Analysis was conducted using mixed logit regression models to determine preferences for potential attributes. Results A total of 233 old people were included in the analysis. The findings indicated that all six attributes were statistically significant factors for participants. “Professional nursing staff” was the most important characteristic to participants, followed by “Medical facilities”. Compared with female, the males preferred professional nursing staff (β = 2.939 vs. β = 2.643, P < 0.001), medical facilities (β = 1.890 vs. β = 1.498, P < 0.001), and the environment (β = 0.752, P < 0.01). For different age groups, participants aged 60–69 didn’t pay attention to distance and location, while those aged 80 and above only paid attention to professional nursing staff and medical facilities. Conclusions The present study provides important insights into the characteristics of nursing home that are most preferred by old people. Authorities should take into account old people’s preference in the planning, design and evaluation of nursing homes.

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“… 7 However, in Chinese families, children’s ability to care for elderly adults has been eroded by demographic changes and socioeconomic development. 8 The younger generation has had to move to cities to work, which means that family-centred forms of care for elderly individuals are gradually disappearing 9 ; thus, there is an inevitable growing demand for institutional care. To cope with the growth of a rapidly ageing population, the Chinese government has released a blueprint for an emerging ageing service and support network that aims to establish a social ageing system of home-based ageing with community-based ageing as the necessary support and institutionalised ageing as a supplement.…”

Section: Introductionmentioning

confidence: 99%

Willingness to purchase institutionalised elderly services and influencing factors among Chinese older adults: a nationwide cross-sectional study

Zhu,

Hou,

Wang

et al. 2024

BMJ Open

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ObjectivesIn view of the serious ageing of China’s population and the low desire of elderly people to purchase institutionalised elderly care services, we explored the willingness of Chinese elderly people to purchase institutionalised elderly care services and its influencing factors.DesignThis was a cross-sectional study. Three multivariate logistic regression analysis models of the willingness of elderly people to purchase institutionalised elderly care services were established (model 1: ‘reluctance – willingness’; model 2: ‘reluctance – hesitation’; and model 3: ‘hesitation – willingness’) to explore the factors that influence elderly people’s willingness to purchase institutionalised elderly care services.SettingThis study was based on the 2022 Psychology and Behaviour Investigation of Chinese Residents database.ParticipantsResearch data from 4123 older adults who met the requirements of this study were screened from the database.ResultsOf the 4123 respondents, roughly equal numbers had negative and positive attitudes towards purchasing institutionalised senior care services (1125, 27.3% vs 1079, 26.2%, respectively), and 1919 (46.5%) had hesitant attitudes. The analysis of model 1 showed that medical insurance participation, the number of children and siblings, chronic diseases and per capita monthly household income had an influential effect on the willingness of elderly people to purchase institutional care. In model 2, we found that factors such as per capita monthly household income and anxiety led to hesitancy among older adults to purchase institutionalised senior care services. In model 3, we further found that social support and health literacy led to a shift from hesitation to willingness to purchase institutionalised elderly care services.ConclusionThe number of children, number of siblings, per capita monthly income of the family, medical insurance participation, health status, health literacy and social support were found to be the main factors influencing the purchase of institutionalised care by elderly individuals.

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Utilisation willingness for institutional care by the disabled elderly and its influencing factors based on Andersen’s model: a cross-sectional survey of Henan, China

Cited by 5 publications

References 41 publications

Does the community service environment affect the willingness of older adults people to socialize for older adults care?

Does the community service environment affect the willingness of older adults people to socialize for older adults care?

Old people’s preference for nursing homes in East China: a discrete choice experiment

Willingness to purchase institutionalised elderly services and influencing factors among Chinese older adults: a nationwide cross-sectional study

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