Choice of formal and informal care among community-dwelling older people with or without dementia under a long-term care insurance pilot program in China

  • SHI, C. (Speaker)
  • Wing-kit CHAN (Speaker)
  • Jianwei YANG (Speaker)

Activity: Talks or PresentationsOther Invited Talks or Presentations


Objective: This study examines the use of public-funded formal and informal care among community-dwelling long-term care insurance (LTCI) beneficiaries in China and how dementia differentiates the choice.

Methods: Using administrative data from a LTCI pilot scheme in Guangzhou (n=2,052), we conducted a multinomial logistic regression to examine the association between dementia and the choice of family caregiver, domestic helper, and care workers, controlling for demographics, living environment and intensity of paid care hours.

Results: Most LTCI beneficiaries chose a family caregiver (65%), followed by a domestic helper (21%) and a care worker (14%). After controlling for covariates, LTCI beneficiaries with dementia were more likely to choose care provided by a care worker (RRR: 1.4) or a living-in helper (RRR: 1.3) than a family caregiver.

Conclusion: Most LTCI beneficiaries chose to receive care from an informal caregiver, while those with dementia were more likely to choose to receive care from a formal than an informal carer. Our findings from the pilot scheme provides further insight into care recipients’ service utilisation preferences and how dementia impacts these preferences. This should be considered in future policy and service provision.
Period15 Sept 2023
Event titleThe 19th East Asian Social Policy International Conference: Sustainable Development and Social Policy in East Asia
Event typeConference
LocationSydney, AustraliaShow on map
Degree of RecognitionInternational