时间标签：数据日期 2026-10-31 · 生成时间 2026-11-01 05:30（Asia/Shanghai）｜ 检索窗口 PubMed edat 2026/10/28–2026/10/31 ｜ 情报发生日期 2026-10-31
研究问题
It is predicted that China will become a super-aged society by 2030 (), which highlights the urgency of addressing the multifaceted challenges associated with this demographic transition.；While home-based care remains the primary option, there is growing evidence that the traditional family support system is weakening (–).；Middle-aged women, who are typically the primary home caregivers (), facing increasing challenges in providing adequate older adult care due to the conflict between extending life expectancy and their participation in the workforce ().
方法
Second, a pilot test was conducted with a small sample of 35 healthy older adult participants to evaluate the clarity and relevance of the chosen attributes and levels.；Including the “Neither” option allowed participants to indicate if neither of the provided scenarios met their preferences, thereby enhancing the robustness of the findings by ensuring that the recorded choices reflected genuine preferences ().；This method optimizes the statistical efficiency of the design by minimizing the variance of the estimated parameters, thereby improving the precision of the results ().；In addition to the DCE, the questionnaire included several sections to gather comprehensive information about the respondents.
核心结论
Specifically, 71 responses were identified as protest zeros, additional 186 responses were flagged for potential biases based on self-assessment questions, primarily due to respondents' uncertainty about their willingness to pay in a real-life context, and another 80 responses were excluded based on interviewer assessments, which highlighted issues such as lack of cooperation or insufficient understanding of the choice tasks.；The sample included a higher proportion of females (65.2%) compared to males.；Most respondents resided with their spouse or children, while approximately 15% reported significant economic pressure. ‖ 结论：In general, these findings support a broader approach to home based older adult care that includes healthy and functionally independent older adults alongside populations with greater care needs.
局限
A potential reason for this could be the lack of accessible and engaging social opportunities that cater to the interests and mobility of the older adult population, leading to a greater demand for organized social activities that foster community and connection among older adults.；This study also identifies heterogeneity in WTP through an analysis of the characteristics influencing individual WTP.；Specifically, healthy older adult citizens living alone showed a higher WTP for emotional care and household affairs, while respondents with poorer self-reported health showed a higher WTP for healthcare services.
对本项目的价值
★☆☆☆☆ 相关范围内，作为背景与横向对照收录。
全文来源
PMC JATS 全文（正文 31,496 字符，已过标题/DOI 逐字归属校验）
原文题录
- 英文标题：Healthy older adults' preferences for home care services.
- 期刊与标识：Front Public Health · PMID 42964067 · DOI 10.3389/fpubh.2026.1967098
A 级证据分级：A 级（同行评议人体研究）
本文属人体研究证据，但需注意：观察性或小样本干预的结论不等于已证实临床获益；效应量与长期安全性仍需更大规模、更长随访的试验验证。
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