Factors Associated with Willingness to Choose the Way for Old-Age Care: A Population-Based Cross-sectional Study in Chongqing, China

Abstract

The objective of this study is to investigate the factors associated with the willingness for old-aged care and the demands for health care among elders, which might provide a reference for the establishment of health care strategies. A cross-sectional study was conducted via questionnaires among 1553 randomly selected residents aged 65 or older from Chongqing, China during 2016. Data of demographics, and demands for old-age care and health care services were collected. Descriptive analysis was used to examine the characteristics of the respondents. A chi-squared test and multiple logistic regression were performed to explore the relevant factors associated with the preference of old-age care among older people in Chongqing. We found that 85.4% of the respondents were willing to select home-based care: family old age care (55.9%), and its combination form for old-age care: family old age care plus community old age care (29.5%) old age care. Multivariable logistic regression analysis showed that willingness to choose family old age care for old-age care was associated with lower monthly income, more children, worse commercial insurance, better health status, and shorter distance to their children. Most older adults had the demands for health-related services, including regular check-up, regular health seminars, establishment of health files. Hospital was the most acceptable provider for care services, and there was a preference for long-term care and emergency call among the elders. The majority of older Chinese prefer the family old age care and its combination form with community old age care for old-age care, and demand for a variety of health-related services. Home- and community-based care with sound and perfect medical and health mechanism should be the main pattern of old-age care system in China.

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

“…Furthermore, people who are willing to pay for medical insurance tend to place a higher value on their lives and have a certain income and are therefore more willing to accept institutional care. This is in contrast to the findings of Zhao et al 40. The difference may be due to the difference in the population studied.…”

“…This is in contrast to the findings of Zhao et al . 40 The difference may be due to the difference in the population studied. Zhao et al focused on the general elderly population, while the present study focused on the disabled elderly.…”

“…Some studies have shown that the elderly in poorer health prefer institutional care. 40 42 On the other hand, it may be that institutions can provide more professional care for this type of the elderly and at the same time reduce the burden of their children. 11 43 In the stratified study, women and older age group with mental illnesses were more likely to choose institutional care.…”

“…In terms of needs factors, elderly people with mental illnesses are more inclined to choose institutional care, which may be related in part to the health status of the elderly. Some studies have shown that the elderly in poorer health prefer institutional care 40 42. On the other hand, it may be that institutions can provide more professional care for this type of the elderly and at the same time reduce the burden of their children 11 43.…”

Choice Preference of Middle-Aged and Elderly People on Integrated Medical Services and Elderly Care Model: A Cross-Sectional Study

“…Among them, the proportion of middle-aged and elderly people with rural hukou choosing this model is as high as 61.96%. From the perspective of old-age care, more than half of the elderly in China choose home elderly care, 33 , 34 especially in rural areas. Due to the limitations of personal economic conditions and regional elderly care services, 78.3% of the elderly in rural areas will choose home elderly care.…”