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Article: Utilizing Consumer-Directed Care Among Older Adults: Identifying Barriers From Behavioral Economics Perspectives

TitleUtilizing Consumer-Directed Care Among Older Adults: Identifying Barriers From Behavioral Economics Perspectives
Authors
Keywordsaccess
behavioral economics
cash-for-care
long-term care insurance
participant-directed care
self-direction
Issue Date8-Jan-2024
PublisherSAGE Publications
Citation
Research on Aging, 2024, v. 46, n. 5-6, p. 275-286 How to Cite?
Abstract

Consumer-directed Care (CDC) empowers older people to flexibly arrange services and enhances their well-being. Prior studies have suggested that limited attention and hassle costs are major demand-side barriers to using CDC. However, many other psychosocial factors were unexplored. In this study, we explore associations between CDC utilization and a wider range of psychosocial factors based on behavioral economics theories. A cross-sectional telephone survey of older persons (or family members that represent them) was conducted in Guangzhou, China in 2021. We adopted a two-stage sampling method based on administrative records and analyzed the data using multivariate logistic models. Procedural literacy, hassle costs, and social norms regarding CDC were associated with using CDC. The findings reveal nuances in the decision-making process, and people are not unboundedly rational in making care-related decisions. Policymakers could employ cost-effective tools to facilitate CDC utilization and optimize resources to address the most crucial service barriers.


Persistent Identifierhttp://hdl.handle.net/10722/348380
ISSN
2023 Impact Factor: 1.8
2023 SCImago Journal Rankings: 0.949

 

DC FieldValueLanguage
dc.contributor.authorZhang, Jinbao-
dc.contributor.authorWang, Julia Shu Huah-
dc.contributor.authorChan, Wing Kit-
dc.date.accessioned2024-10-09T00:31:08Z-
dc.date.available2024-10-09T00:31:08Z-
dc.date.issued2024-01-08-
dc.identifier.citationResearch on Aging, 2024, v. 46, n. 5-6, p. 275-286-
dc.identifier.issn0164-0275-
dc.identifier.urihttp://hdl.handle.net/10722/348380-
dc.description.abstract<p>Consumer-directed Care (CDC) empowers older people to flexibly arrange services and enhances their well-being. Prior studies have suggested that limited attention and hassle costs are major demand-side barriers to using CDC. However, many other psychosocial factors were unexplored. In this study, we explore associations between CDC utilization and a wider range of psychosocial factors based on behavioral economics theories. A cross-sectional telephone survey of older persons (or family members that represent them) was conducted in Guangzhou, China in 2021. We adopted a two-stage sampling method based on administrative records and analyzed the data using multivariate logistic models. Procedural literacy, hassle costs, and social norms regarding CDC were associated with using CDC. The findings reveal nuances in the decision-making process, and people are not unboundedly rational in making care-related decisions. Policymakers could employ cost-effective tools to facilitate CDC utilization and optimize resources to address the most crucial service barriers.</p>-
dc.languageeng-
dc.publisherSAGE Publications-
dc.relation.ispartofResearch on Aging-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectaccess-
dc.subjectbehavioral economics-
dc.subjectcash-for-care-
dc.subjectlong-term care insurance-
dc.subjectparticipant-directed care-
dc.subjectself-direction-
dc.titleUtilizing Consumer-Directed Care Among Older Adults: Identifying Barriers From Behavioral Economics Perspectives-
dc.typeArticle-
dc.identifier.doi10.1177/01640275231226228-
dc.identifier.scopuseid_2-s2.0-85181880766-
dc.identifier.volume46-
dc.identifier.issue5-6-
dc.identifier.spage275-
dc.identifier.epage286-
dc.identifier.eissn1552-7573-
dc.identifier.issnl0164-0275-

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