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- Publisher Website: 10.1177/01640275231226228
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Article: Utilizing Consumer-Directed Care Among Older Adults: Identifying Barriers From Behavioral Economics Perspectives
Title | Utilizing Consumer-Directed Care Among Older Adults: Identifying Barriers From Behavioral Economics Perspectives |
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Authors | |
Keywords | access behavioral economics cash-for-care long-term care insurance participant-directed care self-direction |
Issue Date | 8-Jan-2024 |
Publisher | SAGE 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 Identifier | http://hdl.handle.net/10722/348380 |
ISSN | 2023 Impact Factor: 1.8 2023 SCImago Journal Rankings: 0.949 |
DC Field | Value | Language |
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dc.contributor.author | Zhang, Jinbao | - |
dc.contributor.author | Wang, Julia Shu Huah | - |
dc.contributor.author | Chan, Wing Kit | - |
dc.date.accessioned | 2024-10-09T00:31:08Z | - |
dc.date.available | 2024-10-09T00:31:08Z | - |
dc.date.issued | 2024-01-08 | - |
dc.identifier.citation | Research on Aging, 2024, v. 46, n. 5-6, p. 275-286 | - |
dc.identifier.issn | 0164-0275 | - |
dc.identifier.uri | http://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.language | eng | - |
dc.publisher | SAGE Publications | - |
dc.relation.ispartof | Research on Aging | - |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.subject | access | - |
dc.subject | behavioral economics | - |
dc.subject | cash-for-care | - |
dc.subject | long-term care insurance | - |
dc.subject | participant-directed care | - |
dc.subject | self-direction | - |
dc.title | Utilizing Consumer-Directed Care Among Older Adults: Identifying Barriers From Behavioral Economics Perspectives | - |
dc.type | Article | - |
dc.identifier.doi | 10.1177/01640275231226228 | - |
dc.identifier.scopus | eid_2-s2.0-85181880766 | - |
dc.identifier.volume | 46 | - |
dc.identifier.issue | 5-6 | - |
dc.identifier.spage | 275 | - |
dc.identifier.epage | 286 | - |
dc.identifier.eissn | 1552-7573 | - |
dc.identifier.issnl | 0164-0275 | - |