ArticleBMC geriatrics2026
Perceived quality of home- and community-based services and urban-rural disparities in aging-in-place intentions: evidence from Chinese older adults.
Article in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 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.
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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
4 citing papers in PubMed.
- Home- and community-based services, informal support networks, and life satisfaction among older adults in China: moving beyond filial support.BMC geriatrics · 2026Article
- A dual-capability digital portrait framework for identifying community age-friendly service needs.BMC geriatrics · 2026Article
- Quality of Life as a Predictor of Successful Aging in Urban and Rural Older Adults: A Cross-Sectional Study in Eastern Croatia-Slavonia.Healthcare (Basel, Switzerland) · 2026Article
- Dilemmas of early dementia screening among community-dwelling older adults: a qualitative study from the perspective of social determinants of health.Frontiers in public health · 2026Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundWith approximately 90% of older adults globally preferring to age in place, this study examines how perceived Home- and Community-Based Services (HCBS) quality shapes older adults' intentions within China's urban-rural context. While existing research emphasizes perceptions of internal factors and service utilization, significant gaps remain regarding perceived HCBS quality's role across different environmental contexts.
methodsUsing data from 11,601 older adults in Sichuan, China, we analyzed perceived HCBS quality across four dimensions (service quantity, service quality, provider sufficiency, and distance) through an ecological framework integrating service quality models and the Ecology Model of Aging. Stratified urban-rural differences and moderation effects of unmet care needs were tested.
resultsPerceived HCBS quality significantly predicted aging-in-place intentions, with notable urban-rural variations. Rural older adults showed resilience to service quantity limitations but sensitivity to quality deficits, provider shortages, distance, and service unavailability, while urban respondents were more affected by provider shortages and distance barriers. The negative impact of service unavailability was exacerbated when care needs were unmet among urban but not rural older adults, while rural older adults who perceived both distance barriers and unmet needs were most likely to age in place, reflecting either greater adaptation to systemic constraints or fewer alternative options in rural areas.
conclusionsFindings underscore the need to improve HCBS accessibility and provider availability to support aging-in-place preferences. Urban areas require strategies addressing service proximity and workforce capacity, while rural regions benefit from enhanced service quantity and quality. These results highlight the importance of context-specific policies that account for both service quality perceptions and urban-rural disparities in China's aging population.
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