ArticleInternational journal for equity in health2023
Expenditure projections for community home-based care services for older adults with functional decline in China.
Article in International journal for equity in health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 10 citations in OpenAlex.
- Article
- An empirical study on purchase intention for home-based care services and its influencing factors in Liaoning Province, China.Frontiers in public health · 2026Article
- Transforming long-term post-acute care for the aging population through home infusion therapy in China: an assessment of need and demand (Part 1).Frontiers in public health · 2026Review
- The impact of community-based home care service utilization on intergenerational family support: enhancement or attenuation?Frontiers in public health · 2026Article
- Preferences for home-based care services during China's long-term care market transition: evidence from a discrete choice experiment.BMC health services research · 2025Article
- The relationship between structural characteristics of long-term care institutions and their initial operating budgets.Frontiers in public health · 2025Article
- Dilemmas in the usage of community-based home care and smart home care services for older adults among family caregivers of older adults with mild cognitive impairment (MCI): a qualitative study.Frontiers in public health · 2025Article
- Demand analysis of health care services for community-dwelling breast cancer survivors based on the Kano model: A cross-sectional study.International journal of nursing sciences · 2024Article
- Home-Based Medical Care Service Motivation Among Medical Staff in Beijing, China: the Role of Institutional Support.Journal of multidisciplinary healthcare · 2024Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionDifficulty in identifying the functional status of older adults creates an imbalance between the supply and demand for community home-based care. Using a multi-level functional classification system to guide care cost measurement may optimize care resources and meet diverse eldercare demands.
methodsThe Markov model was used to project the older population size in different functional decline (FD) statuses. The project cost and the man-hour costing method were combined to forecast the cost of community home-based care for older adults with FD.
resultsThe projected cost of eldercare increased from 1668.623 billion yuan in 2020 to 2836.754 billion yuan in 2035. By 2035, the total cost for community-based home care for those in pathological development of FD statuses such as "viability disorder," "acute disease," "somatic functional disorder," and "sub-disorder" was projected to be 1094.591 billion, 433.855 billion, 1256.236 billion, and 52.072 billion yuan, respectively, which is 1.24, 1.58, 1.78, and 0.49 times higher than the results by the man-hour costing method. Family caregiving costs are about three times those of professional caregivers.
conclusionThe escalating cost of providing graded care for older adults, particularly by family caregivers, presenting a significant evidence for the need to optimize resource allocation and develop a robust human resources plan for community home-based care.
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