Determinants of institutional care willingness among Chinese older adults: an Andersen’s model-based analysis in Jiangning District, Nanjing

Compared with other regions in China, older adults in Jiangning currently have a relatively high willingness toward institutional care, which is influenced by multiple factors. Specifically, after incorporating predisposing factors, enabling factors, and need factors simultaneously into the model, older adults who held an open attitude toward institutional care, had endowment insurance and medical insurance, perceived their children's positive attitudes toward care institutions, had easier access to institutional care resources, reported relatively good self-rated physical health, and had no chronic diseases demonstrated a stronger willingness toward institutional care.