Expenditure projections for community home-based care services for older adults with functional decline in China
Abstract Introduction Difficulty in identifying the functional status of older adults creates an imbalance between the supply and demand for community home-based care. Using a multi-level functional classification system to guide care cost measurement may optimize care resources and meet diverse eld...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-07-01
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| Series: | International Journal for Equity in Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12939-023-01954-y |
| _version_ | 1797769631656574976 |
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| author | Ying Han Chuanhai Xu Liangwen Zhang Yafei Wu Ya Fang |
| author_facet | Ying Han Chuanhai Xu Liangwen Zhang Yafei Wu Ya Fang |
| author_sort | Ying Han |
| collection | DOAJ |
| description | Abstract Introduction Difficulty in identifying the functional status of older adults creates an imbalance between the supply and demand for community home-based care. Using a multi-level functional classification system to guide care cost measurement may optimize care resources and meet diverse eldercare demands. Methods The Markov model was used to project the older population size in different functional decline (FD) statuses. The project cost and the man-hour costing method were combined to forecast the cost of community home-based care for older adults with FD. Results The projected cost of eldercare increased from 1668.623 billion yuan in 2020 to 2836.754 billion yuan in 2035. By 2035, the total cost for community-based home care for those in pathological development of FD statuses such as “viability disorder,” “acute disease,” “somatic functional disorder,” and “sub-disorder” was projected to be 1094.591 billion, 433.855 billion, 1256.236 billion, and 52.072 billion yuan, respectively, which is 1.24, 1.58, 1.78, and 0.49 times higher than the results by the man-hour costing method. Family caregiving costs are about three times those of professional caregivers. Conclusion The escalating cost of providing graded care for older adults, particularly by family caregivers, presenting a significant evidence for the need to optimize resource allocation and develop a robust human resources plan for community home-based care. |
| first_indexed | 2024-03-12T21:10:54Z |
| format | Article |
| id | doaj.art-4ebb3dc8b3954faf82448f0b9b425f23 |
| institution | Directory Open Access Journal |
| issn | 1475-9276 |
| language | English |
| last_indexed | 2024-03-12T21:10:54Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal for Equity in Health |
| spelling | doaj.art-4ebb3dc8b3954faf82448f0b9b425f232023-07-30T11:10:13ZengBMCInternational Journal for Equity in Health1475-92762023-07-0122112210.1186/s12939-023-01954-yExpenditure projections for community home-based care services for older adults with functional decline in ChinaYing Han0Chuanhai Xu1Liangwen Zhang2Yafei Wu3Ya Fang4State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen UniversityState Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen UniversityState Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen UniversityState Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen UniversityState Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen UniversityAbstract Introduction Difficulty in identifying the functional status of older adults creates an imbalance between the supply and demand for community home-based care. Using a multi-level functional classification system to guide care cost measurement may optimize care resources and meet diverse eldercare demands. Methods The Markov model was used to project the older population size in different functional decline (FD) statuses. The project cost and the man-hour costing method were combined to forecast the cost of community home-based care for older adults with FD. Results The projected cost of eldercare increased from 1668.623 billion yuan in 2020 to 2836.754 billion yuan in 2035. By 2035, the total cost for community-based home care for those in pathological development of FD statuses such as “viability disorder,” “acute disease,” “somatic functional disorder,” and “sub-disorder” was projected to be 1094.591 billion, 433.855 billion, 1256.236 billion, and 52.072 billion yuan, respectively, which is 1.24, 1.58, 1.78, and 0.49 times higher than the results by the man-hour costing method. Family caregiving costs are about three times those of professional caregivers. Conclusion The escalating cost of providing graded care for older adults, particularly by family caregivers, presenting a significant evidence for the need to optimize resource allocation and develop a robust human resources plan for community home-based care.https://doi.org/10.1186/s12939-023-01954-yCommunity home-based careMarkov modelMan-hour costingProject cost methodFunctional decline |
| spellingShingle | Ying Han Chuanhai Xu Liangwen Zhang Yafei Wu Ya Fang Expenditure projections for community home-based care services for older adults with functional decline in China International Journal for Equity in Health Community home-based care Markov model Man-hour costing Project cost method Functional decline |
| title | Expenditure projections for community home-based care services for older adults with functional decline in China |
| title_full | Expenditure projections for community home-based care services for older adults with functional decline in China |
| title_fullStr | Expenditure projections for community home-based care services for older adults with functional decline in China |
| title_full_unstemmed | Expenditure projections for community home-based care services for older adults with functional decline in China |
| title_short | Expenditure projections for community home-based care services for older adults with functional decline in China |
| title_sort | expenditure projections for community home based care services for older adults with functional decline in china |
| topic | Community home-based care Markov model Man-hour costing Project cost method Functional decline |
| url | https://doi.org/10.1186/s12939-023-01954-y |
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