Understanding the Context for Long-Term Care Planning.

Journal Article (Journal Article)

Evolving family structure and economic conditions may affect individuals' ability and willingness to plan for future long-term care (LTC) needs. We applied life course constructs to analyze focus group data from a study of family decision making about LTC insurance. Participants described how past exposure to caregiving motivated them to engage in LTC planning; in contrast, child rearing discouraged LTC planning. Perceived institutional and economic instability drove individuals to regard financial LTC planning as either a wise precaution or another risk. Perceived economic instability also shaped opinions that adult children are ill-equipped to support parents' LTC. Despite concerns about viability of social insurance programs, some participants described strategies to maximize gains from them. Changing norms around aging and family roles also affected expectations of an active older age, innovative LTC options, and limitations to adult children's involvement. Understanding life course context can inform policy efforts to encourage LTC planning.

Full Text

Duke Authors

Cited Authors

  • Broyles, IH; Sperber, NR; Voils, CI; Konetzka, RT; Coe, NB; Van Houtven, CH

Published Date

  • June 2016

Published In

Volume / Issue

  • 73 / 3

Start / End Page

  • 349 - 368

PubMed ID

  • 26553887

Pubmed Central ID

  • PMC6448579

Electronic International Standard Serial Number (EISSN)

  • 1552-6801

Digital Object Identifier (DOI)

  • 10.1177/1077558715614480


  • eng

Conference Location

  • United States