Institutional and individual autonomy: Investigating predictors of attitudes toward institutional care in China
Institutional and individual autonomy: Investigating predictors of attitudes toward institutional care in China
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DOI：
10.2190/j162-6l63-0347-8762
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发表时间：
2007-01-01
影响因子：
2
通讯作者：
Liu, Guangya
中科院分区：
文献类型：
--
作者：
Guan, Xinping;Zhan, Heying Jenny;Liu, Guangya
本研究探讨了中国天津市养老院的制度和态度的变化。本研究以2001年61位安老院管理人员及265位长者为对象，探讨影响安老院管理人员对安老院发展看法的因素及长者对安老院品质的评价及入住意愿。研究结果显示，安老院管理者认为他们在财务和行政上的自主权是安老院行业未来发展的一个非常重要的因素。长者对安老院的整体质素评价较高。长者入住安老院舍的意愿与两个因素有关，一是他们入住安老院舍前的居住安排，二是他们对安老院舍照顾所需费用的评估。这显示私营安老院的管理和财政自主权有限，阻碍了安老院的发展。由于独生子女政策和地域流动性，成年子女越来越难以获得，对年迈父母的机构护理可能成为中国家庭护理的主要选择。政府应给予私营安老院更大的自主权，以鼓励安老院的发展。
This study examines the institutional and attitudinal changes in elder care homes in Tianjin, China. Based on a survey conducted in 2001 with 61 elder home managers and 265 elder residents, this study examines 1) factors that influence elder home managers' views about elder home development and 2) elders' evaluation of elder home quality and their levels of willingness to stay in such homes. Findings show that elder home managers view their autonomy in financing and administration as a very important factor for future development of an elder home industry. Elders' overall evaluation of elder home quality was high. Elders' willingness to stay in elder homes was related to two factors: their living arrangements prior to elder home placement and their assessment of the cost involved for such care. This suggests that the limited level of autonomy in private elder home administration and financing is hindering the development of elder homes. As adult children become increasingly unavailable due to the one-child policy and geographic mobility, institutional care for aging parents is likely to become a major option for familial care in China. The government should grant greater autonomy to private elder homes in order to encourage elder home development.