Study On The Influence Of Family Intergenerational Support On The Choice Of Long-term Care Model For The Disabled Elderly

With the aging of the population,the incapacitation of the elderly and the miniaturization of the family,the problem of long-term care for the disabled elderly in China has become increasingly prominent.If the elderly can't receive the proper care for a long time,it will bring both physical and mental suffering to the elderly and their families,and will also bring great challenges and pressures to the society.Family intergenerational support is an important part of social support,which is highly related to the living standard and quality of disabled elderly,and affects the choice of long-term care model for disabled elderly.Therefore,how to improve the family support system of long-term care for the disabled is the key to solve the problem that we have faced.Based on the above background,this paper is based on the welfare pluralism theory,the demand hierarchy theory and the social support theory,which dividing the family intergenerational support of disabled elderly into three dimensions: intergenerational care support,intergenerational economic support and intergenerational emotional support from the perspective of family intergenerational support.Based on the data of Chinese Longitudinal Healthy Longevity Survey(CLHLS)of the Center for Healthy Aging and Development of Peking University in 2014,the basic characteristics of the sample data were grasped through descriptive statistical analysis,and then the role of intergenerational support in the selection of long-term care model was studied by using binary logistic regression analysis.At the same time,according to the degree of disability,the samples of the elderly were classified,and the influencing factors of the selection of long-term care mode for the elderly with different disability levels were discussed.The following conclusions were found:(1)The intergenerational care support and the institutional long-term care ratio for the disabled elderly were negatively correlated.Institutional long-term care ratio for the disabled elderly would be decreased by 11% when the intergenerational care support was increased one hour per week;(2)The influence of intergenerational economic support on the institutional long-term care ratio showed a decreasing trend.For each additional unit of intergenerational economic support,the institutional long-term care ratio for the disabled will decrease by 9%;(3)The intergenerational emotional support and the institutional long-term care ratio for the disabled elderly were negatively correlated.The likelihood of choosing institutional long-term care of the elderly who can obtain intergenerational emotional support was 0.8 times lower than that who can't get intergenerational emotional support;(4)The influence of family intergenerational support on long-term care model selection is heterogeneous with different degree of disability.For the elders with mild disability and severe disability,the choice of long-term care model was influenced by intergenerational care support and intergenerational emotional support.For the elders with moderate disability,the choice of long-term care model was influenced by intergenerational economic support.According to the above conclusions,this paper puts forward the following suggestions: develop supportive policies,provide tax incentives,financial subsidies,and care holidays,and encourage families to provide care services within their capabilities;vigorously develop community care services,improve the construction of nursing facilities,provide diversified services to meet the personalized needs of the elderly such as day care,psychological counseling,nursing training,breathing services;establish and perfect the institutional longterm care service system for the disabled elderly,innovate the way of government purchasing services,establish the long-term care insurance system for the elderly,and promote the construction of long-term care institutions run by the public or privately funded by the public;according to the different degree of disability,provide the long-term care service system which integrating family care,community care and institutional care and provide diversified care services for the disabled elderly.