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Family caregivers' preferences for Home-Based Care Services: Evidence From a Discrete Choice Experiment
Qiyan Zeng1,2, Shuyi Jin2, Zhipeng He3
1Research Academy for Rural Revitalization of Zhejiang Province, Zhejiang A&F University, Hangzhou City, Zhejiang Province, China.
Summary
Family caregivers prioritize medical home-based care services (HBCS) and prefer frequent, local services from public organizations. Preferences vary significantly among different caregiver groups.
Area of Science:
- Gerontology
- Health Services Research
- Sociology
Background:
- Home-based care services (HBCS) are crucial for aging populations.
- A gap exists between HBCS supply and demand.
- Family caregivers significantly influence HBCS decisions but are understudied.
Purpose of the Study:
- To investigate family caregivers' preferences for HBCS in China.
- To identify key attributes influencing caregiver choices in HBCS.
- To understand heterogeneity in caregiver preferences for tailored service design.
Main Methods:
- A discrete choice experiment was conducted with 567 family caregivers.
- Caregivers evaluated various HBCS attributes, including service type, frequency, personnel location, and provider type.
- Latent class analysis identified distinct caregiver preference segments.
Main Results:
- Caregivers strongly preferred medical care services over daily living, cultural, or spiritual support.
- Higher service frequency, local personnel, and public organization delivery were favored.
- Three distinct caregiver segments emerged: 'cautious entertainment demanders,' 'active demanders of basic services,' and 'price-sensitive negative demanders.'
Conclusions:
- Caregiver preferences are a critical factor in HBCS demand.
- Understanding caregiver heterogeneity is essential for effective HBCS design and policy.
- Tailoring HBCS to specific caregiver segments can improve service utilization and satisfaction.
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