Abstract
BackgroundCommunity-based care services refers to the professional services provided at home to the elderly with formally assessed demands. The growth of the elderly population has increased the demand for these services, and this issue is even worse in the affordable housing community (AHC) of China. Understanding of elderly’s demands for different types of community-based care services and its determinations would enable the implementation of appropriate incentive schemes to promote utilization of community-based care services in the AHCs of China.MethodsGuided by previous studies, a conceptual framework was developed. Then, a questionnaire was designed and a community based survey was conducted from May 10–20, 2018 in Daishan AHC of Nanjing City, China. Four hundred eight participants from 25,650 elderly people were selected by systematic random sampling technique. Binary logistic regression was applied to the data about the elderly’ primary demands for community-based care services in the AHC, to quantify the elderly’s demands and explore related individual-level factors.ResultsThe finding indicates that more than 50% of respondents had the demand for an elderly care hotline, building health archives, on-call nursing and doctor visits, medical lectures, regular medical examinations and sporting fitness. The binary logistic regression models revealed that the primary demands of the elderly for community-based care services were influenced by distinct factors.ConclusionsOur findings help clarify different types of community-based care services and provide fresh information about the demand for community-based care among the elderly in AHCs. Several policy implications are discussed to enhance the efficiency of community-based care service provision.
Highlights
Community-based care services refers to the professional services provided at home to the elderly with formally assessed demands
58.30% of the respondents relied on retired pension and endowment insurance, while only 2.90% of them relied on personal labor income. 55.40% of those surveyed were covered by health insurance, and only 18.60% were dependent upon their children for support, showing that most elderly do not rely on their kids to receive income or pay medical expenses
Understanding the elderly’s demand for communitybased care in the affordable housing community (AHC) helps improve the efficiency of the care provision, and helps to develop the elderly care industry and enhance the living standards of the elderly
Summary
Community-based care services refers to the professional services provided at home to the elderly with formally assessed demands. For increasing demands of the elderly for different types of services, the lack of supply has been the main barrier to developing the elderly care system [9,10,11,12] This issue is even worse in the affordable housing community (AHC) of China, which is one kind of residential areas. By the end of 2017, the proportion of the elderly in the Daishan AHC (one of the AHCs in Nanjing) had reached 30%, which far exceeded the overall proportion of the elderly in Nanjing (20.85%) [5] Due to these innate characteristics of the AHCs, the demands for community-based care services in these communities are rapidly increasing while the quantity of these services is seriously inadequate [17]
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