Implications of changes in households and living arrangements for future home-based care needs and costs for disabled elders in China

J Aging Health. 2015 Apr;27(3):519-50. doi: 10.1177/0898264314552690. Epub 2014 Sep 10.

Abstract

Objectives: To better understand future home-based care needs and costs for disabled elders in China.

Method: To further develop and apply the ProFamy extended cohort-component method and the most recent census and survey data.

Results: (a) Chinese disabled elders and the annual growth rate of the percentage of national gross domestic product (GDP) devoted to home-based care costs for disabled elders will increase much more rapidly than the growth of total elderly population; (b) home-based care needs and costs for disabled oldest-old aged 80+ will increase much faster than that for disabled young-old aged 65-79 after 2030; (c) disabled unmarried elders living alone and their home-based care costs increase substantially faster than those disabled unmarried elders living with children; (d) percent of rural disabled oldest-old will be substantially higher than that of rural population after 2030; (e) sensitivity analyses show that possible changes in mortality and elderly disability status are the major direct factors affecting home-based care needs and costs; (f) caregivers resources under the universal two-child policy will be substantially better than that under the rigorous fertility policy unchanged.

Discussion: We discuss policy recommendations concerning pathways to healthy aging with relatively reduced care costs, including reductions of the prevalence of disability, gender equality, the universal two-child policy and resources of caregivers, encouragements of rural-to-urban family migration and elder's residential proximity to their adult children, and remarriages of not-married elders.

Keywords: disability; elderly living arrangements; home-based care costs; household projection; population aging.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • China
  • Cohort Studies
  • Disabled Persons / rehabilitation*
  • Disabled Persons / statistics & numerical data
  • Family Characteristics*
  • Female
  • Forecasting*
  • Health Care Costs / trends*
  • Health Services Needs and Demand / trends*
  • Home Care Services / economics
  • Home Care Services / trends*
  • Humans
  • Male
  • Residence Characteristics / statistics & numerical data*