ArticleBMC geriatrics2025
Exploring the decision-making process of Chinese older adults transitioning to continuing care retirement communities: a qualitative study.
Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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Who cites it
2 citing papers in PubMed.
- Willingness to participate in advance care planning among older adults with relatively high educational attainment in a continuing care retirement community of the Beijing-Tianjin-Hebei region: a qualitative study.BMC palliative care · 2026Article
- Future care preparation profiles and self-support ability among rural Chinese older adults: a cross-sectional study.Frontiers in public health · 2026Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundChina's rapidly aging population and the limitations of traditional home-based care have prompted many older adults and their families to consider Continuing Care Retirement Communities (CCRCs) as a comprehensive option. However, the decision-making process for this transition remains underexplored. This study aims to systematically explore how older adults navigate the decision to move to CCRCs, to guide service improvements and inform policy.
methodsA qualitative research approach was employed, involving semi-structured in-depth interviews with 20 older adults residing in a large CCRC in Hebei, China. Data were analyzed using grounded theory methodology.
resultsThe transition to CCRCs among Chinese older adults is a dynamic, four-phase process: (1) Intention Formation, driven by desires for independence, challenges of living alone, and crisis events; (2) Option Evaluation, shaped by care needs, financial considerations, and sociocultural and emotional factors; (3) Decision-Making, focused on selecting a specific CCRC; and (4) Post-Decision, reflecting on evaluation of the decision. Although CCRCs address practical needs, deficiencies remain in emotional support, social adaptation, and end-of-life care.
conclusionsThese findings enrich our understanding of CCRC decision-making in China by highlighting the ongoing influence of sociocultural values and personal autonomy throughout the process. Importantly, the need for personalized care persists throughout all stages, with particular emphasis on psychological support and cultural sensitivity in service delivery. Policy recommendations include improving affordability, accessibility, and community integration to better support older adults and their families. These insights contribute to service and policy innovation both in China and internationally.
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Registered trials
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