Pathway to Accessing Social Care Service Among Older Adults: A Perspective of Demand Spillover Theory.

There is a serious mismatch in China's social care system for older adults. To address the issue of imprecise service targeting, this study employs the demand spillover theory and survey data from three cities and six counties in China. Results from logistic regression analysis identify a hierarchic...

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Publicado en:Health & Social Care in the Community Vol. 2025; pp. 1 - 12
Autores principales: Li, Xuena, Zhang, Hengyuan, Wan, Jiahui, Chauhan, Anjali
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell 12/28/2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 12/28/2025
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Pathway to Accessing Social Care Service Among Older Adults: A Perspective of Demand Spillover Theory.
      aug:
        au:
          Li, Xuena
          Zhang, Hengyuan
          Wan, Jiahui
          Chauhan, Anjali
        affil: School of Public Policy and Administration,, Xi'an Jiaotong University,, Xi'an, China, xjtu.edu.cn
      sug:
        subj:
          Health Services Accessibility In Old Age
          Gerontologic Care China
          Social Work Service In Old Age
          Health Services Needs and Demand
          Human
          China
          Logistic Regression
          Marital Status
          Socioeconomic Factors
          Urban Areas
          Funding Source
          Random Sample
          Cluster Sample
          Middle Age
          Aged
          Aged, 80 and Over
          Descriptive Statistics
          Structured Questionnaires
          Data Analysis Software
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
      ab: There is a serious mismatch in China's social care system for older adults. To address the issue of imprecise service targeting, this study employs the demand spillover theory and survey data from three cities and six counties in China. Results from logistic regression analysis identify a hierarchical structure of influencing factors. The analysis shows that family care resources, particularly marital status and living arrangements, exert the strongest effect on care choices. Meanwhile, socioeconomic resources such as urban residence and higher income serve as key enablers for accessing formal care. These findings reveal a resource‐based screening mechanism that channels older adults with different needs into distinct care pathways, ultimately explaining the paradox of insufficient effective demand amid a rapidly aging population.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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