{"title":"中国老年人家庭和社区养老服务的政策偏好","authors":"Peifeng Chen, Fandi Xu","doi":"10.1080/08959420.2025.2561426","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-16"},"PeriodicalIF":2.1000,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Older Adults' Policy Preferences for Home and Community-Based Care Services in China.\",\"authors\":\"Peifeng Chen, Fandi Xu\",\"doi\":\"10.1080/08959420.2025.2561426\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>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.</p>\",\"PeriodicalId\":47121,\"journal\":{\"name\":\"Journal of Aging & Social Policy\",\"volume\":\" \",\"pages\":\"1-16\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2025-09-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Aging & Social Policy\",\"FirstCategoryId\":\"90\",\"ListUrlMain\":\"https://doi.org/10.1080/08959420.2025.2561426\",\"RegionNum\":3,\"RegionCategory\":\"社会学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Aging & Social Policy","FirstCategoryId":"90","ListUrlMain":"https://doi.org/10.1080/08959420.2025.2561426","RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"GERONTOLOGY","Score":null,"Total":0}
Older Adults' Policy Preferences for Home and Community-Based Care Services in China.
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.
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.
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