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Factors associated with willingness to enter long-term care facilities among older adults in Chengdu, China

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Listed:
  • Ziyue Huang
  • Qingyue Liu
  • Hongdao Meng
  • Danping Liu
  • Debra Dobbs
  • Kathryn Hyer
  • Kyaien O Conner

Abstract

Objective: To describe Chinese older adults’ willingness to enter long-term care facilities and to examine individual factors associated with the willingness of using this growing model of long-term care in China. Methods: A cross-sectional study involving a random sample of 670 adults aged 60+ in the Hezuo community in Chengdu, China in 2016. Respondents were interviewed by trained staff on socio-demographics, health status, quality of life, social support, and willingness to enter long-term care facilities. Results: Only 11.9% of the respondents were willing to enter long-term care facilities for meeting their medical and social service needs. Multivariable logistic regression analysis showed that willingness to enter long-term care facilities was associated with higher household income (OR = 4.55, 95% CI:1.72–12.00), insurance of Urban Resident Basic Medical Insurance (OR = 4.80, 95% CI:1.17–19.67) and unemployment (OR = 0.48, 95% CI:0.24–0.99). Among those who were willing to enter long-term care facilities, an overwhelming majority (81.2%) would prefer going to a facility within 30-minute walking distance from their current residence, 82.5% indicated the need of nursing care, and 90.0% expected a partnership between the long-term care facility and a large hospital. Conclusions: A minority of older Chinese were willing to receive long-term care delivered at a facility within walking distance from their current residence. Recent policy aimed at increasing the supply of long-term care facilities may not be consistent with consumer preference for home and community-based care. Balancing investment between home and community-based care, and establishing long-term care insurance remain the top priorities for long-term care research and policy development in China.

Suggested Citation

  • Ziyue Huang & Qingyue Liu & Hongdao Meng & Danping Liu & Debra Dobbs & Kathryn Hyer & Kyaien O Conner, 2018. "Factors associated with willingness to enter long-term care facilities among older adults in Chengdu, China," PLOS ONE, Public Library of Science, vol. 13(8), pages 1-13, August.
    • Handle: RePEc:plo:pone00:0202225
    DOI: 10.1371/journal.pone.0202225
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    References listed on IDEAS

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    3. van Bilsen, P.M.A. & Hamers, J.P.H. & Groot, W. & Spreeuwenberg, C., 2008. "The use of community-based social services by elderly people at risk of institutionalization: An evaluation," Health Policy, Elsevier, vol. 87(3), pages 285-295, September.
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    1. Eun-Young Kim & Sung-Ok Chang, 2022. "A Meta-Synthesis Study of Person-Centered Care Experience from the Perspective of Nursing Home Residents," IJERPH, MDPI, vol. 19(14), pages 1-13, July.
    2. Lea de Jong & Jan Zeidler & Kathrin Damm, 2022. "A systematic review to identify the use of stated preference research in the field of older adult care," European Journal of Ageing, Springer, vol. 19(4), pages 1005-1056, December.

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