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An exploration of older Hong Kong residents’ willingness to make copayments toward vouchers for community care
Authors:Yuan Yuan Fu  Ernest Wing-tak Chui  Chi Kin Law  XinYi Zhao  Vivian W Q Lou
Institution:1. School of Social Development and Public Policy, Beijing Normal University, Beijing, China;2. Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong;3. The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong;4. Institute for Medical Humanities, Peking University, Beijing, China;5. University of Hong Kong
Abstract:Because of its rapidly aging population, Hong Kong faces great challenges in the provision and financing of long-term care (LTC) and needs to explore sustainable funding mechanisms. However, there is a paucity of research on older people’s willingness to pay (WTP) for LTC services in Hong Kong. This study utilizes data collected in Hong Kong in 2011 (N = 536) to investigate older people’s receptivity to this financing mode by assessing their co-payments for a community care service voucher scheme and then testing how potential factors affect respondents’ amount of co-payment. Results show that respondents’ WTP was positively associated with family financial support, financial condition, and positive attitudes toward this novel policy and negatively associated with family caregiving support. Direct and moderating effects of family financial support on WTP were found. The policy-related implications of LTC financing to improve older people’s acceptance of co-payment mechanisms, financial condition, and shared responsibility of care are discussed.
Keywords:Financing long-term care  willingness to pay  voucher system  home and community care services  co-payment
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