Older Adults' Policy Preferences for Home and Community-Based Care Services in China.

IF 2.1 3区社会学 Q2 GERONTOLOGY

Journal of Aging & Social Policy Pub Date : 2025-09-16 DOI:10.1080/08959420.2025.2561426

Peifeng Chen, Fandi Xu

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引用次数: 0

Abstract

China is vigorously implementing home and community-based care (HCBC) policies; however, the accessibility of HCBC service is low. Some studies point out that an imbalance between supply and demand of HCBS policies inhibits the accessibility of HCBC services. A discrete choice experiment was conducted to elicit 520 Chinese older adults' preferences regarding HCBC. The results show that older adults have different preferences related to five HCBC policy factors: community aged care facilities, medical service provision, aged care service price, older adult-family support approach, and workforce development. Further analysis yields that characteristics of HCBC policy preferences include older adults' friendly community building, health care functions, and physical support. However, the analysis also highlights that important aspects such as family support, HCBC pricing, and caregivers, are often neglected in these preferences. Accordingly, it is recommended to create friendly communities for older adults, improve the utilization of medical services, establish nonpublic and nonprofit social organizations, and set up reasonable economic subsidies.

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中国老年人家庭和社区养老服务的政策偏好

中国正在大力实施家庭和社区护理（HCBC）政策；然而，hcc服务的可及性较低。一些研究指出，卫生保健服务政策的供需失衡阻碍了卫生保健服务的可及性。通过离散选择实验，对520名中国老年人的hcc偏好进行了问卷调查。结果表明，老年人对社区养老设施、医疗服务提供、养老服务价格、老年人家庭支持方式和劳动力发展等五个政策因素的偏好不同。进一步分析发现，老年人的乙肝政策偏好特征包括老年人友好的社区建设、医疗保健功能和身体支持。然而，该分析还强调，在这些偏好中，家庭支持、hcc定价和护理人员等重要方面往往被忽视。因此，建议建立友好的老年人社区，提高医疗服务的利用率，建立非公共和非营利的社会组织，并设置合理的经济补贴。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Aging & Social Policy GERONTOLOGY-

CiteScore

13.00

自引率

3.90%

发文量

期刊介绍： The Journal of Aging & Social Policy offers a platform for insightful contributions from an international and interdisciplinary group of policy analysts and scholars. It provides an in-depth examination and analysis of critical phenomena that impact aging and the development and implementation of programs for the elderly from a global perspective, with a broad scope that encompasses not only the United States but also regions including Europe, the Middle East, Australia, Latin America, Asia, and the Asia-Pacific rim. The journal regularly addresses a wide array of issues such as long-term services and supports, home- and community-based care, nursing-home care, assisted living, long-term care financing, financial security, employment and training, public and private pension coverage, housing, transportation, health care access, financing, and quality, family dynamics, and retirement. These topics are of significant importance to the field of aging and social policy, reflecting the journal's commitment to presenting a comprehensive view of the challenges and solutions related to aging populations around the world.