Abstract
With the rapid aging of the world population, great pressure has been placed on the provision of community-based care in China. This paper aimed to compare the demand and its determinants for various community-based care services among the elderly in the affordable housing community (AHC) and commercial housing community (CHC) of China. Two community-based surveys were conducted separately in the AHC and CHC of Nanjing City, China. In total, 408 valid questionnaires were returned from the Daishan AHC while 8422 valid questionnaires were received from the CHCs. The chi square test indicated that the respondents in the AHC had significantly higher demands for five types of services (the meal-aid service, the cleaning-aid service, the bath-aid service, the rehabilitation therapy service, and the first-aid service) than those in the CHCs of Nanjing. Further, the Cochran–Mantel–Haenszel test showed that factors influencing the elderly's demands for these services varied across communities. Several policy implications could be obtained to improve the efficiency of community-based care provision.
Highlights
As the proportion of the world’s population over 60 years old is increasing, the number of the elderly in need of health and social care is growing
In order to quantitatively analyze the differences between the demands of the elderly for community-based care services and determinants of these demands in the affordable housing community (AHC) and the commercial housing community (CHC) of China, variables and measures were determined, and the questionnaire was designed. en, two quantitative surveys were developed in the CHC and the AHC separately to collect related data
As for the measurement of the elderly’s demand for community-based care services, the question “Do you need this type of community-based care services ?” was used. e response variable was measured as a dichotomous variable with possible values 0, if the respondent needed this type of community-based care services and 1 otherwise
Summary
As the proportion of the world’s population over 60 years old is increasing, the number of the elderly in need of health and social care is growing. It is notable that the influence of age, education level, and family structure on the demands of the elderly in the AHC was not obvious, while it had a significant influence on the demands of the elderly in urban communities [35, 42] Overall, these studies illustrate that different factors could influence the elderly’s demands for community-based care services, and the determinant varies across different types of service and environmental settings. E aforementioned findings have made substantial progress in community-based care research and served as feedback to policy makers Such studies remain narrow in dealing only with the classification of elderly care service demands and analysis on the elderly’s service demand in specific areas. Differences in the elderly’s demands for community-based care services in different communities and determinants of these demands are barely compared in the literature
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