Factors influencing the well-being of elderly population in home care mode and optimization research

This study aims to explore the changes in well-being of the elderly population in the Guangdong-Hong Kong-Macao Greater Bay Area in terms of physical health, mental state, daily activity capability, and social interaction before and after receiving home care, as well as the main issues and challenges in the implementation of home care services. By collecting 800 valid responses through a self-designed questionnaire, dimensions including chronic disease management, daily activity capability, mental state, and social interaction were assessed. Data analysis was conducted using SPSS 26.0. The study found that the scores of the elderly in mental state and social interaction significantly improved after home care, while the scores for chronic disease management and daily activity capability slightly decreased. Additionally, the study explored the influence of different regions, genders, and economic levels on the effectiveness of home care. The results indicate that elderly individuals in the high-income group and economically developed cities showed more significant improvements in mental state and social interaction after home care, while those in the low-income group and economically disadvantaged areas showed less improvement in these aspects. Gender differences also manifested in the effectiveness of home care, with female elderly individuals showing more noticeable improvements in mental state and social interaction. These findings emphasize the necessity of developing personalized and diversified home care strategies to better meet the needs of elderly individuals from various backgrounds. © The Author(s) 2026.