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Financing the future of elderly care: Understanding public acceptance of social insurance for long-term care

Nurul Afidah Mohamad (), Tan Chi Hau (), Seow Ai Na (), Looi Sing Yan (), Syarah Syahira Mohd Yusoff () and Halimah Awang ()

International Journal of Innovative Research and Scientific Studies, 2025, vol. 8, issue 5, 1736-1746

Abstract: With traditional family-based old-age care declining due to shrinking family structures, formal financial protection for the aging population is increasingly crucial. This is especially given the high cost of long-term care. Acknowledging the limitations of private insurance and tax-based systems, this study explores the potential of social insurance in Malaysia by examining factors influencing its public acceptance. Data collected from a total of 450 respondents were analyzed using SPSS for descriptive statistics and SmartPLS for hypothesis testing. The findings revealed that knowledge-based factors such as financial literacy and financial awareness do not exhibit a significant influence on financial attitude. In contrast, psychological factors such as precautionary motives and trust demonstrate a significant and positive influence on financial attitude. Furthermore, attitude emerges as a significant mediating variable that bridges the relationship between precautionary motives and acceptance, as well as between trust and acceptance. In a nutshell, this study contributes to the existing literature on long-term care financing from the lens of consumer behavior and offers valuable insights for policymaking in navigating the nation’s aging population.

Keywords: Ageing population; Community development; Elderly; financing; Long-term care; Social insurance. (search for similar items in EconPapers)
Date: 2025
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