IDEAS home Printed from https://ideas.repec.org/p/hhs/kthrec/2023_007.html
   My bibliography  Save this paper

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

    Download full text from publisher

    File URL: https://kth.diva-portal.org/smash/record.jsf?pid=diva2:1768121
    File Function: Full text
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Dolan, Paul, 1998. "The measurement of individual utility and social welfare," Journal of Health Economics, Elsevier, vol. 17(1), pages 39-52, January.
    2. 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.
    3. 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.
    4. 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.
    5. 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.
    6. 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.
    7. 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.
    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. Hiu Ying Cheung & Yu Qi Fu & Shuo Cheng Xu & Zan Yang, 2025. "Older people’s decisions of the community care: a welfare pluralism perspective," Palgrave Communications, Palgrave Macmillan, vol. 12(1), pages 1-9, December.
    2. Sadiq R. Younes & Bruno Marques & Jacqueline McIntosh, 2024. "Public Spaces for Older People: A Review of the Relationship between Public Space to Quality of Life," Sustainability, MDPI, vol. 16(11), pages 1-16, May.
    3. Olsen, Jan Abel, 2000. "A note on eliciting distributive preferences for health," Journal of Health Economics, Elsevier, vol. 19(4), pages 541-550, July.
    4. Robson, Matthew & O’Donnell, Owen & Van Ourti, Tom, 2024. "Aversion to health inequality — Pure, income-related and income-caused," Journal of Health Economics, Elsevier, vol. 94(C).
    5. Marc Fleurbaey & Stéphane Luchini & Christophe Muller & Erik Schokkaert, 2013. "Equivalent Income And Fair Evaluation Of Health Care," Health Economics, John Wiley & Sons, Ltd., vol. 22(6), pages 711-729, June.
    6. Erik Nord, 2015. "Cost-Value Analysis of Health Interventions: Introduction and Update on Methods and Preference Data," PharmacoEconomics, Springer, vol. 33(2), pages 89-95, February.
    7. Hougaard, Jens Leth & Moreno-Ternero, Juan D. & Østerdal, Lars Peter, 2013. "A new axiomatic approach to the evaluation of population health," Journal of Health Economics, Elsevier, vol. 32(3), pages 515-523.
    8. Feng, Lyubing & He, Yuxi & Zhan, Peng, 2023. "Economic independence and living arrangements of older women with agricultural Hukou in China," China Economic Review, Elsevier, vol. 81(C).
    9. Adler, Matthew D. & Ferranna, Maddalena & Hammitt, James K. & Treich, Nicolas, 2021. "Fair innings? The utilitarian and prioritarian value of risk reduction over a whole lifetime," Journal of Health Economics, Elsevier, vol. 75(C).
    10. Shi Chen & Yi Sun & Bo Kyong Seo, 2022. "The Effects of Public Open Space on Older People’s Well-Being: From Neighborhood Social Cohesion to Place Dependence," IJERPH, MDPI, vol. 19(23), pages 1-16, December.
    11. Dolan, Paul & Tsuchiya, Aki, 2009. "Corrigendum to "The social welfare function and individual responsibility: Some theoretical issues and empirical evidence" [J. Health Econ. 28 (2009) 210-220]," Journal of Health Economics, Elsevier, vol. 28(3), pages 758-759, May.
    12. Deepti Adlakha & Mina Chandra & Murali Krishna & Lee Smith & Mark A. Tully, 2021. "Designing Age-Friendly Communities: Exploring Qualitative Perspectives on Urban Green Spaces and Ageing in Two Indian Megacities," IJERPH, MDPI, vol. 18(4), pages 1-12, February.
    13. Ignacio Abásolo & Aki Tsuchiya, 2013. "Is more health always better for society? Exploring public preferences that violate monotonicity," Theory and Decision, Springer, vol. 74(4), pages 539-563, April.
    14. Courbage, Christophe & Rey, Béatrice, 2012. "Priority setting in health care and higher order degree change in risk," Journal of Health Economics, Elsevier, vol. 31(3), pages 484-489.
    15. Hammitt, James K., 2022. "Prevention, treatment, and palliative care: The relative value of health improvements under alternative evaluation frameworks," Journal of Health Economics, Elsevier, vol. 84(C).
    16. Mahesh D. Pandey & Jatin S. Nathwani, 2003. "Canada Wide Standard for Particulate Matter and Ozone: Cost‐Benefit Analysis Using a Life Quality Index," Risk Analysis, John Wiley & Sons, vol. 23(1), pages 55-67, February.
    17. Dolan, Paul & Tsuchiya, Aki, 2005. "Health priorities and public preferences: the relative importance of past health experience and future health prospects," Journal of Health Economics, Elsevier, vol. 24(4), pages 703-714, July.
    18. Dolan, Paul, 1999. "Drawing a veil over the measurement of social welfare--a reply to Johannesson," Journal of Health Economics, Elsevier, vol. 18(3), pages 387-390, June.
    19. Carmen Herrero & Juan Moreno-Ternero, 2008. "Opportunity analysis of newborn screening programs," Review of Economic Design, Springer;Society for Economic Design, vol. 12(4), pages 259-277, December.
    20. Hanewald, Katja & Bateman, Hazel & Fang, Hanming & Wu, Shang, 2020. "Is there a demand for reverse mortgages in China? Evidence from two online surveys," Journal of Economic Behavior & Organization, Elsevier, vol. 169(C), pages 19-37.

    More about this item

    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

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    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:hhs:kthrec:2023_007. 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: Cecilia Hermansson (email available below). General contact details of provider: https://edirc.repec.org/data/ifkthse.html .

    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.