Practical Geriatrics ›› 2021, Vol. 35 ›› Issue (1): 99-102.doi: 10.3969/j.issn.1003-9198.2021.01.027

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The willingness to pay for care services and influencing factors among the in-home elderly

JI Jia-lin, ZHI Meng-jia, HU Lin-lin   

  1. School of Health Policy and Management, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
  • Received:2020-01-10 Published:2021-01-12

Abstract: Objective To explore the willingness to pay and the level of payment for care services among the in-home elderly, and to analyze the influencing factors. Methods This cross-sectional study adopted a multistage stratified sampling method to survey the in-home elderly aged≥65 years in 16 communities and 8 villages of Anhui province. The influencing factors of willingness to pay were analyzed by Chi-square test and binary Logistic regression model. Results A total of 1371 participants were enrolled in this study. Among them, 229 (16. 7%) participants were willing to pay for care services. Multivariate Logistic regression analysis showed that education level, occupation before retired, number of children and type of endowment insurance were the independent factors influencing the willingness to pay for the care services. Conclusions The willingness to pay for care services among the in-home-bound elderly is greatly affected by social and economic status. When building a policy platform of home-based care services for the elderly, on the one hand, it is necessary to improve the elderly's awareness and acceptance of home-based care services; On the other hand, it is necessary to improve the elderly's ability to pay by providing low-income disability subsidies and establishing the long-term care insurance system.

Key words: willingness to pay, in-home elderly, care service, influencing factor

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