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- Title
Choice of formal and informal care among community‐dwelling older people with or without dementia under a long‐term care insurance pilot program in China.
- Authors
Shi, Cheng; Chan, Wing‐kit; Yang, Jianwei
- Abstract
Objective: This study examines the use of publicly funded formal and informal care among community‐dwelling long‐term care insurance (LTCI) beneficiaries in China and how dementia differentiates the choice of care. Methods: Using administrative data from a LTCI pilot scheme in Guangzhou (n = 2043), we conducted a multinomial logistic regression to examine the association between dementia and the choice of family members (informal unpaid care), domestic helpers (informal paid care) and care workers (formal care), controlling for demographics, living environment and intensity of paid care hours. Results: Most LTCI beneficiaries chose a family member (65%), followed by a domestic helper (21%) and a care worker (14%). After controlling for covariates, LTCI beneficiaries with dementia were more likely than their counterparts without dementia to choose care provided by a care worker (RRR: 1.73) or a living‐in helper (RRR: 1.43) than a family member. Conclusions: A preference for informal care was observed among LTCI beneficiaries in China. Those with dementia were more likely than those without dementia to use care provided by non‐family caregivers. The pilot scheme findings provide further insight into care recipients' preferences for service utilisation and how dementia impacts these preferences, which should be considered in future policy and service provision.
- Subjects
CHINA; TREATMENT of dementia; ELDER care; INDEPENDENT living; RESEARCH funding; ECOLOGY; LONG-term health care; MULTIPLE regression analysis; PILOT projects; LONG-term care insurance; PSYCHOLOGY of caregivers; EXTENDED families; PATIENTS' attitudes; PSYCHOSOCIAL factors; DEMOGRAPHY; ECONOMICS
- Publication
Australasian Journal on Ageing, 2024, Vol 43, Issue 2, p248
- ISSN
1440-6381
- Publication type
Article
- DOI
10.1111/ajag.13277