The Behavioral Factors That Influence Person-Centered Social Care: A Literature Review and Conceptual Framework

Eugene Tay, Ivo Vlaev and Sebastiano Massaro
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Eugene Tay: NUS Care Unit, Office of the Senior Deputy President and Provost, National University of Singapore, Singapore 119077, Singapore
Ivo Vlaev: Department of Behavioural Science, Warwick Business School, University of Warwick, Coventry CV4 7AL, UK
Sebastiano Massaro: Surrey Business School, University of Surrey, Guildford GU2 7XH, UK

IJERPH, 2022, vol. 19, issue 7, 1-14

Abstract: The last decade has seen numerous policy reforms to emplace person-centered social care. Consequently, the public has been given more information, choice, and autonomy to decide how best they want to be cared for later in life. Despite this, adults generally fail to plan or prepare effectively for their future care needs. Understanding the behavioral antecedents of person-centered decision-making is thus critical for addressing key gaps in the provision of quality social care. To this end, we conducted a literature review of the psychological and health sciences with the aim of identifying the aspects that influence person-centered decision-making in social care. Using an established theoretical framework, we distilled nine behavioral factors―knowledge, competency, health, goal clarity, time discounting, familiarity, cognitive biases, cognitive overload, and emotion―associated with “Capability,” “Opportunity,” “Motivation,” and “Behavior” that explained person-centered decision-making in social care. These factors exist to different degrees and change as a person ages, gradually impacting their ability to obtain the care they want. We discuss the role of carers and the promise of shared decision-making and conclude by advocating a shift from personal autonomy to one that is shared with carers in the delivery of quality social care.

Keywords: elderly care; advance planning; decision-making; aging population; nudging (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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