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An empirical study on purchase intention for home-based care services and its influencing factors in Liaoning Province, China

Bibliographic Data

ID22086273
AuthorsQin Sen (Ningxia Medical University, corresponding author), Liu Duoduo (Ningxia University)
Year2026
Volume14
Publication date2026-06-30
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2026.1821105
OpenAlexW7166655939
LanguageEN
References cited25

Background Home-based care services are becoming the predominant model of older adult care in China, with a vast market potential. However, challenges such as insufficient service demand and hindered industrial development persist, requiring urgent attention to the transformation of older adults’ service needs into consumption behaviors. Methods Using survey data collected from 14 cities in Liaoning Province, China, by a research team from Ningxia University, binary logistic regression and Shapley value decomposition were employed to investigate older adults’ purchase intention (i.e., willingness to pay for services, not actual utilization behavior) for home-based care services and its influencing factors. Results The findings reveal that older adults with younger age, higher education level, strong individual needs, sufficient resource endowments, or diversified perceptions of caregiving responsibilities had a higher likelihood of purchasing services. Community resources emerged as the most critical factor influencing purchase intention. Of the service categories, the intention to purchase life care services ranked highest, followed by healthcare services, while information advisory services had the lowest intention. Discussion To enhance the quality of life for older adults and optimize service provision, the study recommends: (1) expanding the supply scope of home-based care services and promoting the development of community-embedded care service facilities; (2) improving the income levels of older adults to strengthen their purchasing capacity; and (3) optimizing the supply structure of service programs based on differentiated needs

China · Empirical research · Exploratory factor analysis · Health care · Logistic regression · Purchasing · Geriatric Care and Nursing Homes · Healthcare Systems and Reforms · Intergenerational Family Dynamics and Caregiving

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