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Older People’s Choice of the Community-based Care: A Welfare Pluralism Perspective

Author

Listed:
  • Cheung, Hiu Ying

    (Tsinghua University)

  • Fu, Yu Qi

    (Tsinghua University)

  • Yang, Zan

    (Department of Real Estate and Construction Management, Royal Institute of Technology)

Abstract

The complex interactions among multiple service providers pose challenges to the delivery of community-based care for older people. Through the lens of the welfare pluralism theory, this study provides the first understanding of older people’s decisions regarding within-family /community-based care under complex interactions among the government, enterprises, communities, and families. Based on a survey of older people in 2,883 corresponding families and 184 communities in China, we utilize a logit regression to empirically examine the factors that influence older people’s care decisions, as identified by an equilibrium model. We find that the government subsidy and local wage level effectively promote older people’s decisions to community-based care. We highlight the importance of governments’ direct care provisions in promoting aging in place and efforts to mitigate regional inequalities.

Suggested Citation

  • Cheung, Hiu Ying & Fu, Yu Qi & Yang, Zan, 2023. "Older People’s Choice of the Community-based Care: A Welfare Pluralism Perspective," Working Paper Series 23/7, Royal Institute of Technology, Department of Real Estate and Construction Management & Banking and Finance.
    • Handle: RePEc:hhs:kthrec:2023_007
    as

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    References listed on IDEAS

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    1. Astrid Kemperman & Pauline van den Berg & Minou Weijs-Perrée & Kevin Uijtdewillegen, 2019. "Loneliness of Older Adults: Social Network and the Living Environment," IJERPH, MDPI, vol. 16(3), pages 1-16, January.
    2. Dolan, Paul, 1998. "The measurement of individual utility and social welfare," Journal of Health Economics, Elsevier, vol. 17(1), pages 39-52, January.
    3. Weidong Dai, 2019. "V-Shaped Responsibility of China’s Social Welfare for the Elderly: Based on Analyzing Historical Evolution and Future Sustainability," Sustainability, MDPI, vol. 11(8), pages 1-13, April.
    4. Ann Forsyth & Jennifer Molinsky, 2021. "What Is Aging in Place? Confusions and Contradictions," Housing Policy Debate, Taylor & Francis Journals, vol. 31(2), pages 181-196, March.
    5. Huimin Li & Jianyuan Huang & Jiayun Liu, 2022. "External Support for Elderly Care Social Enterprises in China: A Government-Society-Family Framework of Analysis," IJERPH, MDPI, vol. 19(14), pages 1-22, July.
    6. Udo Edbert, 1997. "Social Welfare when Needs Differ: An Axiomatic Approach," Economica, London School of Economics and Political Science, vol. 64(254), pages 233-244, May.
    7. Fan, Ying & Fang, Shuai & Yang, Zan, 2018. "Living arrangements of the elderly: A new perspective from choice constraints in China," China Economic Review, Elsevier, vol. 50(C), pages 101-116.
    Full references (including those not matched with items on IDEAS)

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    More about this item

    Keywords

    aging in place; community-based care; welfare pluralism theory;
    All these keywords.

    JEL classification:

    • H53 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Welfare Programs
    • I31 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - General Welfare, Well-Being
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination

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