Care willingness and demand of residents under 60 years of age in western China: a cross-sectional study

Abstract

Objectives: The objective was to examine care willingness and demand of residents under 60 years of age after retirement.

Setting: The staged cluster sampling method was used between August and October 2018 in Dujiangyan, Sichuan Province, China.

Participants: 2282 participants under 60 years of age were surveyed in 2018 by the staged cluster sampling method in China.

Primary and secondary outcome measures: The results of care willingness and demand were assessed by multiple comparisons of χ² test and multivariable logistic regression.

Results: The respondents who preferred institution-based care, home-based care and community-based care accounted for 39.5%, 38.3% and 20.2% respectively, whereas only 2.1% preferred home-based self-care. The main reasons for the respondents to choose institution-based care included better medical care (31.9%), better daily care (27.0%), burden reduction for children (26.3%), better accommodation (22.8%), satisfied living environment (21.6%) and low consumption (12.3%). The factors that affected care willingness and demand included age, ethnicity, educational attainment, marital status, occupation and the current type of residence.

Conclusions: The results revealed the care willingness and demand of residents under 60 years of age after retirement and relevant decision factors. This study provides a certain theoretical and practical significance for the development of the care willingness mode and promotes the cognition of policy-makers and researchers, and also provides the basis for decision-making.

Keywords: anaesthetics; health policy; public health; social medicine.