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The impact of different care dependencies on people’s willingness to provide informal care: a discrete choice experiment in Germany
BACKGROUND: Informal care provided by family members, friends, or neighbors is a major pillar in the German long-term care system. As the number of care-dependent older adults grow, ensuring their future care still relies on the willingness of family members, friends, or neighbors to assume the role...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10239163/ https://www.ncbi.nlm.nih.gov/pubmed/37269446 http://dx.doi.org/10.1186/s13561-023-00448-5 |
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author | de Jong, Lea Schmidt, Torben Carstens, Ann-Katrin Damm, Kathrin |
author_facet | de Jong, Lea Schmidt, Torben Carstens, Ann-Katrin Damm, Kathrin |
author_sort | de Jong, Lea |
collection | PubMed |
description | BACKGROUND: Informal care provided by family members, friends, or neighbors is a major pillar in the German long-term care system. As the number of care-dependent older adults grow, ensuring their future care still relies on the willingness of family members, friends, or neighbors to assume the role of an informal caregiver. This study aimed to investigate the impact on people’s willingness to provide informal care to a close relative with predominately cognitive compared to physical impairments. METHODS: An online survey was distributed to the general population in Germany, which resulted in 260 participants. A discrete choice experiment was created to elicit and quantify people’s preferences. A conditional logit model was used to investigate preferences and marginal willingness-to-accept values were estimated for one hour of informal caregiving. RESULTS: Increased care time per day (hours) and expected duration of caregiving were negatively valued by the participants and reduced willingness to care. Descriptions of the two care dependencies had a significant impact on participants’ decisions. Having to provide care to a close relative with cognitive impairments was slightly preferred over caring for a relative with physical impairments. CONCLUSIONS: Our study results show the impact of different factors on the willingness to provide informal care to a close relative. How far the preference weights as well as the high willingness-to-accept values for an hour of caregiving can be explained by the sociodemographic structure of our cohort needs to be investigated by further research. Participants slightly preferred caring for a close relative with cognitive impairments, which might be explained by fear or discomfort with providing personal care to a relative with physical impairments or feelings of sympathy and pity towards people with dementia. Future qualitative research designs can help understand these motivations. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13561-023-00448-5. |
format | Online Article Text |
id | pubmed-10239163 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-102391632023-06-04 The impact of different care dependencies on people’s willingness to provide informal care: a discrete choice experiment in Germany de Jong, Lea Schmidt, Torben Carstens, Ann-Katrin Damm, Kathrin Health Econ Rev Research BACKGROUND: Informal care provided by family members, friends, or neighbors is a major pillar in the German long-term care system. As the number of care-dependent older adults grow, ensuring their future care still relies on the willingness of family members, friends, or neighbors to assume the role of an informal caregiver. This study aimed to investigate the impact on people’s willingness to provide informal care to a close relative with predominately cognitive compared to physical impairments. METHODS: An online survey was distributed to the general population in Germany, which resulted in 260 participants. A discrete choice experiment was created to elicit and quantify people’s preferences. A conditional logit model was used to investigate preferences and marginal willingness-to-accept values were estimated for one hour of informal caregiving. RESULTS: Increased care time per day (hours) and expected duration of caregiving were negatively valued by the participants and reduced willingness to care. Descriptions of the two care dependencies had a significant impact on participants’ decisions. Having to provide care to a close relative with cognitive impairments was slightly preferred over caring for a relative with physical impairments. CONCLUSIONS: Our study results show the impact of different factors on the willingness to provide informal care to a close relative. How far the preference weights as well as the high willingness-to-accept values for an hour of caregiving can be explained by the sociodemographic structure of our cohort needs to be investigated by further research. Participants slightly preferred caring for a close relative with cognitive impairments, which might be explained by fear or discomfort with providing personal care to a relative with physical impairments or feelings of sympathy and pity towards people with dementia. Future qualitative research designs can help understand these motivations. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13561-023-00448-5. Springer Berlin Heidelberg 2023-06-03 /pmc/articles/PMC10239163/ /pubmed/37269446 http://dx.doi.org/10.1186/s13561-023-00448-5 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research de Jong, Lea Schmidt, Torben Carstens, Ann-Katrin Damm, Kathrin The impact of different care dependencies on people’s willingness to provide informal care: a discrete choice experiment in Germany |
title | The impact of different care dependencies on people’s willingness to provide informal care: a discrete choice experiment in Germany |
title_full | The impact of different care dependencies on people’s willingness to provide informal care: a discrete choice experiment in Germany |
title_fullStr | The impact of different care dependencies on people’s willingness to provide informal care: a discrete choice experiment in Germany |
title_full_unstemmed | The impact of different care dependencies on people’s willingness to provide informal care: a discrete choice experiment in Germany |
title_short | The impact of different care dependencies on people’s willingness to provide informal care: a discrete choice experiment in Germany |
title_sort | impact of different care dependencies on people’s willingness to provide informal care: a discrete choice experiment in germany |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10239163/ https://www.ncbi.nlm.nih.gov/pubmed/37269446 http://dx.doi.org/10.1186/s13561-023-00448-5 |
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