ArticleJournal of global health2025
Willingness and determinants of elder care modes among elderly individuals: insights from underdeveloped regions in Western China.
Article in Journal of global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Measurement of the coupling coordination level and influencing factors of community healthcare services and older adults care services in China.BMC geriatrics · 2026Article
- Who cares and who pays? Financial sources and care preferences among older adults in China.Innovation in aging · 2026Article
- Determinants of institutional care willingness among Chinese older adults: an Andersen's model-based analysis in Jiangning District, Nanjing.Frontiers in public health · 2025Article
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Authors and funding
3 authors.
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Abstract
Background: The aim of the present study was to investigate the willingness of elderly individuals regarding their choice of elderly care modes in underdeveloped regions of Western China and to identify the key factors influencing the willingness. Methods: We distributed a total of 20 000 questionnaires using the multistage stratified cluster random sampling method, and successfully collected 19 460 of them. After conducting quality checks, we deemed 19 040 questionnaires valid for analysis. The survey covered seven cities, 24 counties, and 255 villages in Gansu Province. We conducted statistical analyses, including univariate χ Results: Among the 19 040 valid responses, 88.55% preferred home care, 5.01% opted for community care, 5.01% chose institutional care, 1.08% preferred mutual care, and 0.36% selected smart care. Elderly individuals who have a lower level of education, residence within a 15-minute walking distance to the nearest health care facility, and believe that elder care should rely on themselves or their children, etc. exhibit a higher willingness for choosing the home care mode (P < 0.05). Elderly individuals who believe that elderly care should be reliant on their children, and possess a greater knowledge for the combination of medical and elderly care, etc. exhibit a stronger willingness for choosing the community care (P < 0.05). Elderly individuals with lower educational level and lack endowment insurance, etc. exhibit a higher willingness for choosing the mutual care (P < 0.05). Elderly individuals who are not afflicted with chronic illnesses and reside within a 15-minute distance from the nearest medical centre exhibit a higher willingness for choosing the smart care mode (P < 0.05). Conclusions: In underdeveloped regions in China, home care continues to be the predominant choice among elderly individuals. However, the growing demand for diverse elderly care modes warrants attention. Multiple factors influence the willingness of elderly individuals when selecting care modes. This study offers valuable insights for policymakers, enabling government departments to implement targeted strategies and interventions to meet the diverse service needs of the elderly population effectively.
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