The Influence of Home and Community‐Based Services Program on Healthcare Utilization Among Older Adults in China.
The Chinese government launched the Home and Community‐Based Services (HCBSs) pilot program in 2016 to tackle the unmet care needs of the aging population. This study seeks to evaluate the association between HCBS usage and healthcare utilization and to examine whether this relationship is influence...
| Publicado en: | Health & Social Care in the Community Vol. 2025; pp. 1 - 12 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
11/27/2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=189657227&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189657227 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09660410 EVX jtl: Health & Social Care in the Community issn: 09660410 maglogo: Y pubinfo: dt: 11/27/2025 vid: 2025 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 189657227 189657227 189657227 10.1155/hsc/5537557 189657227 ppf: 1 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: The Influence of Home and Community‐Based Services Program on Healthcare Utilization Among Older Adults in China. aug: au: Su, Qing Zhong, Jing Zhang, Wenjuan LeBlanc, Raeann affil: School of Population and Health,, Renmin University of China,, 59 Zhongguancun St, Beijing, 100872,, China, ruc.edu.cn sug: subj: Home Health Care Utilization Community Health Services Utilization Health Services for Older Persons Utilization Sex Factors Program Evaluation Patient Attitudes Human Funding Source China Male Female Middle Age Aged Prospective Studies Chinese Persons Probability Sample Nonexperimental Studies Quasi-Experimental Studies Community Health Nursing Government Programs Health Services Needs and Demand Aging Outpatients Retirement Planning Health Care Costs Stakeholder Participation Readmission Risk Assessment Healthcare Disparities Pilot Studies Health Policy Emergency Service Preventive Health Care Urban Health Services Rural Health Services Questionnaires Descriptive Statistics Comparative Studies Gerontologic Nursing Data Analysis Software Middle Aged: 45-64 years Aged: 65+ years Male Female ab: The Chinese government launched the Home and Community‐Based Services (HCBSs) pilot program in 2016 to tackle the unmet care needs of the aging population. This study seeks to evaluate the association between HCBS usage and healthcare utilization and to examine whether this relationship is influenced by place of residence and gender. We used data from the 2015 and 2018 waves of the China Health and Retirement Longitudinal Study and applied propensity score matching with difference‐in‐differences (PSM‐DID) to investigate the link between HCBS usage and healthcare utilization. The final sample comprised 9280 older adults. Findings revealed a significant positive association between HCBS usage and the number of outpatient visits in the past month (β = 0.031, p < 0.05), outpatient out‐of‐pocket (OOP) expenditure (β = 0.223, p < 0.01), and total outpatient expenditure (β = 0.220, p < 0.01). However, HCBS usage showed no association with the number of hospitalizations in the past year, inpatient OOP expenditure, or total inpatient expenditure (all p > 0.05). Heterogeneity analysis indicated that the urban–rural background significantly moderated the association between HCBS and inpatient care, while these associations between HCBS and healthcare utilization did not vary by gender. Policymakers should prioritize integrating HCBS with healthcare services when designing and implementing healthcare and HCBS policies to optimize resource utilization and improve service efficiency. Moreover, additional efforts are warranted to ensure the equitable distribution of HCBS and healthcare resources between urban and rural areas. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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