Abstract
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.
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.
| Original language | English |
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| Publication status | Published - 15 Sept 2023 |
| Event | The 19th East Asian Social Policy International Conference: Sustainable Development and Social Policy in East Asia - Sydney, Australia Duration: 14 Sept 2023 → 15 Sept 2023 |
Conference
| Conference | The 19th East Asian Social Policy International Conference: Sustainable Development and Social Policy in East Asia |
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| Abbreviated title | EASP |
| Country/Territory | Australia |
| City | Sydney |
| Period | 14/09/23 → 15/09/23 |
Keywords
- Community care
- Dementia
- Long-term care insurance
- Family care
- China