IDEAS home Printed from https://ideas.repec.org/a/kap/poprpr/v42y2023i4d10.1007_s11113-023-09810-1.html
   My bibliography  Save this article

Utilization of Home-/Community-Based Care Services: The Current Experience and the Intention for Future Utilization in Urban China

Author

Listed:
  • Guogui Huang

    (Macquarie University
    Institute of Population Research, Peking University
    Macquarie University)

  • Fei Guo

    (Macquarie University)

  • Gong Chen

    (Institute of Population Research, Peking University)

Abstract

The provision of home-/community-based care (HCBC) services for elderly people has become an increasingly popular form of aged care in many aging societies. To tackle the challenges of aged care caused by dramatic population aging, China is developing its HCBC provision system to relieve the public financial burden and cater for the traditional preference for aging at home. Using the database of the China Longitudinal Aging Social Survey (CLASS), this study examines how elderly people utilize HCBC and which factors correlate with their utilization in urban China. The results indicate that elderly people with experience of HCBC services accounted for a relatively small proportion (8.47%) of the total elderly population in urban China in 2014, yet the future utilization intention rate was higher, at 13.27%. Based on a research framework applying institutional theory and welfare pluralism theory, the study also investigates the correlations between individual characteristics, family, and social support and aged care arrangements, demonstrating that factors at both individual and institutional levels are significantly associated with the utilization of HCBC services. In particular, elderly people with insufficient financial support from children and social support are less likely to utilize HCBC services, while those who are son-less and have no emotional support from children are more likely to use HCBC. The results reveal an unmet demand for HCBC services in contemporary China and the notable influence of familial and societal bonding on HCBC utilization among the elderly Chinese population. Corresponding explanations are provided, and policy implications are suggested.

Suggested Citation

  • Guogui Huang & Fei Guo & Gong Chen, 2023. "Utilization of Home-/Community-Based Care Services: The Current Experience and the Intention for Future Utilization in Urban China," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 42(4), pages 1-34, August.
  • Handle: RePEc:kap:poprpr:v:42:y:2023:i:4:d:10.1007_s11113-023-09810-1
    DOI: 10.1007/s11113-023-09810-1
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s11113-023-09810-1
    File Function: Abstract
    Download Restriction: Access to full text is restricted to subscribers.

    File URL: https://libkey.io/10.1007/s11113-023-09810-1?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Branch, L.G. & Wetle, T.T. & Scherr, P.A. & Cook, N.R. & Evans, D.A. & Hebert, L.E. & Nesbitt Masland, E. & Keough, M.E. & Taylor, J.O., 1988. "A prospective study of incident comprehensive medical home care use among the elderly," American Journal of Public Health, American Public Health Association, vol. 78(3), pages 255-259.
    2. Sheung-Tak Cheng & Alfred C. M. Chan, 2006. "Filial Piety and Psychological Well-Being in Well Older Chinese," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 61(5), pages 262-269.
    3. Thumé, E. & Facchini, L.A. & Wyshak, G. & Campbell, P., 2011. "The utilization of home care by the elderly in Brazil's primary health care system," American Journal of Public Health, American Public Health Association, vol. 101(5), pages 868-874.
    4. Tepe, Markus & Vanhuysse, Pieter, 2009. "Are Aging OECD Welfare States on the Path to Gerontocracy?," Journal of Public Policy, Cambridge University Press, vol. 29(1), pages 1-28, April.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Luigi Bonatti & Lorenza Alexandra Lorenzetti, 2022. "Long-Term Economic Implications of Demeny Voting: A Theoretical Analysis," CESifo Working Paper Series 10039, CESifo.
    2. Li, Xiaowei & Liu, Qianqian, 2020. "Parent–grandparent coparenting relationship, marital conflict and parent–child relationship in Chinese parent–grandparent coparenting families," Children and Youth Services Review, Elsevier, vol. 109(C).
    3. Gianko Michailidis & Concepció Patxot & Meritxell Solé, 2019. "Do pensions foster education? An empirical perspective," Applied Economics, Taylor & Francis Journals, vol. 51(38), pages 4127-4150, August.
    4. Jia-In Lee & Yu-Ping Chang & Ching-Shu Tsai & Cheng-Fang Yen, 2022. "Internalized Sexual Stigma among Lesbian, Gay, and Bisexual Individuals in Taiwan: Its Related Factors and Association with Mental Health Problems," IJERPH, MDPI, vol. 19(4), pages 1-13, February.
    5. Puxiang Ren & Jakob Emiliussen & Regina Christiansen & Søren Engelsen & Søren Harnow Klausen, 2022. "Filial Piety, Generativity and Older Adults’ Wellbeing and Loneliness in Denmark and China," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 17(5), pages 3069-3090, October.
    6. Ahlfeldt, Gabriel M. & Maennig, Wolfgang & Mueller, Steffen Q., 2022. "The generation gap in direct democracy: Age vs. cohort effects," European Journal of Political Economy, Elsevier, vol. 72(C).
    7. Tim Vlandas, 2016. "The impact of the elderly on inflation rates in developed countries," LEQS – LSE 'Europe in Question' Discussion Paper Series 107, European Institute, LSE.
    8. Louis Chauvel & Martin Schr der, 2014. "Generational Inequalities and Welfare Regimes," LIS Working papers 606, LIS Cross-National Data Center in Luxembourg.
    9. Abel Bojar, 2015. "Biting the Hand that Feeds: Reconsidering Partisanship in an Age of Permanent Austerity," LEQS – LSE 'Europe in Question' Discussion Paper Series 91, European Institute, LSE.
    10. Niklas Potrafke, 2012. "Is German domestic social policy politically controversial?," Public Choice, Springer, vol. 153(3), pages 393-418, December.
    11. Robert Grafstein, 2015. "Public pensions and the intergenerational politics of aging societies," Journal of Theoretical Politics, , vol. 27(3), pages 457-484, July.
    12. Plante, Charles & Jensen, Jason O., 2017. "Are large age groups hijacking the welfare state? The effects of relative cohort size on five areas of social spending," SocArXiv fa5j4, Center for Open Science.
    13. Gianko Michailidis & Concepció Patxot, 2018. "Political viability of intergenerational transfers. An empirical application," UB School of Economics Working Papers 2018/370, University of Barcelona School of Economics.
    14. Anning Hu & Dongyu Li, 2021. "Are Elders from Ancestor-Worshipping Families Better Supported? An Exploratory Study of Post-reform China," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 40(3), pages 475-498, June.
    15. Sørensen, Rune J., 2013. "Does aging affect preferences for welfare spending? A study of peoples' spending preferences in 22 countries, 1985–2006," European Journal of Political Economy, Elsevier, vol. 29(C), pages 259-271.
    16. Eliza Lai-Yi Wong & Janice Ying-Chui Lau & Patsy Yuen-Kwan Chau & Roger Yat-Nork Chung & Samuel Yeung-Shan Wong & Jean Woo & Eng-Kiong Yeoh, 2022. "Caregivers’ Experience of End-of-Life Stage Elderly Patients: Longitudinal Qualitative Interview," IJERPH, MDPI, vol. 19(4), pages 1-12, February.
    17. Lanshuang Chen & Zhen Zhang, 2022. "Community Participation and Subjective Well-Being of Older Adults: The Roles of Sense of Community and Neuroticism," IJERPH, MDPI, vol. 19(6), pages 1-14, March.
    18. Anning Hu & Feinian Chen, 2019. "Allocation of Eldercare Responsibilities Between Children and the Government in China: Does the Sense of Injustice Matter?," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 38(1), pages 1-25, February.
    19. Jeongsoo Park & Thomas M. Hess & Helene H. Fung & Anna Kornadt & Klaus Rothermund, 2022. "A longitudinal study of the effects of well-being and perceived control on preparations for old age: moderation effects of contexts," European Journal of Ageing, Springer, vol. 19(4), pages 1429-1440, December.
    20. Lin Yu & Zhimin Yan & Xun Yang & Lei Wang & Yuhan Zhao & Glenn Hitchman, 2016. "Impact of Social Changes and Birth Cohort on Subjective Well-Being in Chinese Older Adults: A Cross-Temporal Meta-analysis, 1990–2010," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 126(2), pages 795-812, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:kap:poprpr:v:42:y:2023:i:4:d:10.1007_s11113-023-09810-1. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.