Can Informal Care Be a Substitute for Formal Care? Evidence from Older People with Disabilities in Beijing, China

Background: The demand for long-term care is increasing as the elderly population continues to grow, prompting a critical examination of care modalities. Methods: This study employs data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS) to assess the relationship between informal and formal care for older people with disabilities in Beijing. The analysis employs the Probit model and incorporates the application of instrumental variable techniques and propensity score matching to ensure robustness in the results. Results: The findings highlight the important role of informal care. Conclusions: Policymakers should incorporate support policies for informal care into the overall design of the system, provide support to informal caregivers, and reduce their burden. Our research conclusions provide empirical reference for cities with similar characteristics to Beijing.