Wang Jinhan, Wang Ziyan, Niu Bing
Graduate School of Economics, Osaka Metropolitan University, Osaka 599-8531, Japan.
Healthcare (Basel). 2023 Jun 25;11(13):1843. doi: 10.3390/healthcare11131843.
Japan is advancing into a super-aged society at an unprecedented speed, and the proportion of the elderly population will continue to rise. The number of older adults needing nursing care will also increase with the aging population. We used a cross-sectional dataset of older Japanese adults to examine their future preferences for care facilities and their relationship with individual characteristics, household structure, and economic status. We further focused on a subgroup of those who lived alone and were experiencing poverty and examined their care needs through their choice of care facilities. We found the following results from multinomial logit and probit regressions. First, compared with living alone, older adults who live with their spouses or other members prefer to live in their own houses. Second, older adults experiencing poverty preferred to choose facilities geared towards low-income groups, while wealthy older adults preferred to choose fee-based nursing homes/nursing homes with diverse services and high costs. Third, single older adults in poverty were less likely to choose to live in facilities. Covariates such as sex, age, and health status also mattered in their choices. Therefore, tailoring the formal care services to the preferences and actual needs of older adults is imperative.
日本正以前所未有的速度步入超老龄化社会，老年人口比例将持续上升。随着人口老龄化，需要护理的老年人数量也会增加。我们使用了日本老年人群体的横断面数据集，来研究他们未来对护理机构的偏好以及这些偏好与个人特征、家庭结构和经济状况之间的关系。我们进一步关注了独居且贫困的亚群体，并通过他们对护理机构的选择来研究他们的护理需求。我们通过多项逻辑回归和概率回归得出了以下结果。第一，与独居相比，与配偶或其他成员同住的老年人更倾向于住在自己家中。第二，贫困的老年人更倾向于选择面向低收入群体的机构，而富裕的老年人则更倾向于选择收费的养老院/提供多样化服务且费用高昂的养老院。第三，贫困的单身老年人选择入住机构的可能性较小。性别、年龄和健康状况等协变量在他们的选择中也很重要。因此，根据老年人的偏好和实际需求定制正式护理服务势在必行。
