ArticleBMC health services research2025
Preferences for home-based care services during China's long-term care market transition: evidence from a discrete choice experiment.
Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Older adult care efficiency and health outcomes: a meta-analysis of the Chinese and Japanese experiences.Frontiers in public health · 2025Pooled it
- Preferences for hospital in the home for COVID-19: a discrete choice experiment study.Health economics review · 2026Article
- Measurement of the coupling coordination level and influencing factors of community healthcare services and older adults care services in China.BMC geriatrics · 2026Article
- Article
- The current situation and influencing factors of nurses' sense of competence in dementia care in primary medical institutions: a cross-sectional study.BMC nursing · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundWith population aging and the weakening of traditional family caregiving, home-based care services are becoming more important in China. However, little is known about residents' service preferences during the transition from informal to formal care systems in the context of the long-term care insurance system.
objectiveThis study examines the preferences of Chinese residents aged 25 or above for home-based care services, focusing on the relative importance of key service attributes, willingness to pay, and preference heterogeneity across demographic groups.
methodsA discrete choice experiment (DCE) was conducted from September 2024 to January 2025, with 680 valid responses from 21 provinces in China we're included for analysis. Five attributes were identified through literature review, expert consultations, and focus group interviews: nursing program, service attitude of nursing staff, professional competence of nursing staff, type of service organization and monthly cost. A mixed logit model analyzed preference patterns and heterogeneity.
resultsFor respondents, the service attitude of nursing staff (relative importance 29.59%), and the nursing program (29.30%) are of almost equal importance, followed by the monthly cost (20.62%). Respondents showed the highest willingness to pay for a good service attitude. Unmarried individuals, those without children, and non-public sector employees had stronger preferences for service quality and brand reputation, reflecting the role of social support networks and welfare systems in shaping formal care preferences.
conclusionFindings reveal that home-based care preferences in China are shaped by the dynamic interplay between formal care systems and informal support networks. While the availability of informal support influences individuals' reliance on formal services, the design, quality, and institutional credibility of formal care options also play a key role in shaping preferences. Together, these factors jointly shape how people evaluate and choose home-based care services during China's long-term care market transformation. The observed heterogeneity underscores the need for differentiated service models and policy responses tailored to diverse levels of social and institutional support.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.