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KMID : 1001320190460020027
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Social Welfare Policy
2019 Volume.46 No. 2 p.27 ~ p.55
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The Factors Affecting the Elderly’s Preferences for Types of Care: Focusing on Family Care, Professional Home Care, and Institutional Care
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Ha Seok-Cheol
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Abstract
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The purpose of this study is to explore factors affecting the elderly’s preferences for types of care. For this study, a sample of 1,433 the elderly aged 65 years and older in Incheon was used. In this study, types of care were divided into family care, professional home care, and institutional care. Independent variables were categorized into predisposing factors, enabling factors, and need factors based on health services utilization behavior model and multiple regression analyses were employed. The results showed that education level was negatively related to preferences for family and professional home care among predisposing factors. Housing cost burden was positively associated with preferences for family and professional home care whereas had a negative relationship with a preference for institutional care. The adequate housing was positively related to preferences for family and professional home care, on the other hand, the quality of housing was negatively associated with preference for institutional care. Living alone increased preference for institutional care compared to co-residing with their adult children, income level was positively related to preferences for formal cares. The number of institution beds had a negative relationship with a preference for institutional care. However, the number of home care worker showed a positive relationship with a preference for professional home care. The knowledge about care service was related to increased preference care by family. Among need factors, functional disability (ADL) was associated with decreased preferences for cares in the home (family and professional home care). Subjectively poor mental health was related to decreased preference for family and professional home care, however, was associated with increased preference for institutional care. Based on these findings, policy implications for elderly care were discussed.
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KEYWORD
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Aging-in-Place, Family Care, Professional Home Care, Institutional Care, Preference for, Care Types
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