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Effect of the Use of Home and Community Care Services on the Multidimensional Health of Older Adults

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  • Qun Wang

    (Faculty of Humanities and Social Sciences, Dalian University of Technology, Dalian 116024, China)

  • Kunyi Fan

    (Faculty of Humanities and Social Sciences, Dalian University of Technology, Dalian 116024, China)

  • Peng Li

    (Faculty of Humanities and Social Sciences, Dalian University of Technology, Dalian 116024, China)

Abstract

Home and community care is an important way to actively respond to population aging and to promote healthy aging. This study aims to estimate the effect of using home and community care services on the multidimensional health of older adults. We used data from the China Health and Retirement Longitudinal Study conducted in 2018 and relied mainly on the propensity score matching method for data analysis. The results showed that using home and community care increased the probability of maintaining and improving physical health by 2.9%, decreased the score of depression by 0.471, and improved the score of cognitive function by 0.704. Using home and community care also increased the probability of actively participating in life by 4.1% and elevated the score of life satisfaction by 0.088. The heterogeneity analysis showed that the use of home and community care had a significant effect on promoting all health indicators in rural older adults and a more obvious promoting effect on the social adaptation of urban older adults. Using home and community care significantly promoted the multidimensional health of people aged 60 to 79 years but had no impact among people aged ≥ 80 years. The use of home and community care significantly improved all health indicators in non-disabled older adults. Whereas, it only improved the levels of cognitive function and life satisfaction in disabled older people. Using this form of care significantly improved all health indicators in those with low socio-economic status, but it only had a partial positive effect on the multidimensional health of those with high socio-economic status. Our results are of importance to the government as they may be used to further improve the quality of home and community care services for the targeted older population.

Suggested Citation

  • Qun Wang & Kunyi Fan & Peng Li, 2022. "Effect of the Use of Home and Community Care Services on the Multidimensional Health of Older Adults," IJERPH, MDPI, vol. 19(22), pages 1-11, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:15402-:d:979505
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    1. Yu Mi Yi & Yeon-Hwan Park & BeLong Cho & Kyung-Choon Lim & Soong-Nang Jang & Sun Ju Chang & Hana Ko & Eun-Young Noh & So Im Ryu, 2021. "Development of a Community-Based Integrated Service Model of Health and Social Care for Older Adults Living Alone," IJERPH, MDPI, vol. 18(2), pages 1-13, January.
    2. James Larson, 1993. "The measurement of social well-being," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 28(3), pages 285-296, March.
    3. Michael Grossman, 1972. "The Demand for Health: A Theoretical and Empirical Investigation," NBER Books, National Bureau of Economic Research, Inc, number gros72-1, March.
    4. Staffan Karlsson & Anna‐Karin Edberg & Ulf Jakobsson & Ingalill R Hallberg, 2013. "Care satisfaction among older people receiving public care and service at home or in special accommodation," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(3-4), pages 318-330, February.
    5. Qun Wang & Wenyao Tian, 2018. "Prevalence, awareness, and treatment of depressive symptoms among the middle‐aged and elderly in China from 2008 to 2015," International Journal of Health Planning and Management, Wiley Blackwell, vol. 33(4), pages 1060-1070, October.
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    1. Meng Lin & Weidong Li & Yukun Cao & Liyan Shan, 2023. "Consumer Attitudes toward Community Elderly Services during Negative Population Growth and Sustainable Development," Sustainability, MDPI, vol. 15(20), pages 1-21, October.

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