Skip to content
  • Home
  • Our Story
  • Features
    • What’s New
    • Core Features
  • User Guide
  • FAQ
  • Pricing
  • More
    • Disuse Syndrome
    • Home Care Calculator: What score keeps you out of hospital?
  • Blog
  • Home
  • Our Story
  • Features
    • What’s New
    • Core Features
  • User Guide
  • FAQ
  • Pricing
  • More
    • Disuse Syndrome
    • Home Care Calculator: What score keeps you out of hospital?
  • Blog

Home Care Calculator: What score keeps you out of hospital?

Home Care Calculator:

What score keeps you out of hospital?

Full Overview Elderly Care Options

In Hong Kong, 1 in 3 seniors faces the choice between ageing at home or entering a care home. According to SWD statistics, about 150,000 seniors are waiting for subsidised care home places, with an average wait of up to 3 years — while over 70% of seniors clearly say they want to age at home. Many families feel lost choosing between a care home and home care.

To help more families find clarity, follow this structured assessment process: work through each key factor step by step — from the elder's health and wishes to the family's support capacity and resources — to give the home-vs-care-home decision a scientific direction.

1. Four Types of Elderly Care

1. Four Types of Elderly Care

Care for seniors can be divided into four types:

Home Care

Preferred: independent home ageing

Home + Community Support

For mild impairment with limited family care resources

Care Homes

Moderate-to-severe impairment + insufficient family manpower + adequate finances

Premium Care Facilities

High financial capacity + clear quality-of-life needs

2. The Home Care Assessment Process:

Assessment process:

To arrange care well and realise these advantages, follow this process: three steps (shown in orange-brown) using five assessment tools (shown in green).

Step 1:

Assess the elder's health and self-care ability

Complete here:

Independent Living Assessment >>
ADL Grading Assessment >>
Mental Health Assessment >>

Assess self-care ability

  • Mild impairment (slower but independent, e.g. walks with a cane): prioritise home care. Combined with day care centres (124 across Hong Kong) and meal delivery, monthly costs can be 40% lower than a care home.
  • Moderate-to-severe impairment (long-term bedridden, cognitive impairment): assess whether the family can provide 24-hour care, or combine professional in-home nursing (physiotherapy, wound care).
  • Sudden health deterioration (post-stroke rehab): needs short-term intensive support (carers at home, rehab equipment rental) plus a long-term plan.

If the elder's independent living ability, basic self-care and mental state are good, they can choose to live independently at home or elsewhere. With partial impairment, further assess family care resources and home safety, then seek community or institutional support accordingly.

 ∨ Estimated Costs 
  • Local carers at home: $100–150/hour, subsidised by the government's Community Care Service Voucher  
  • Equipment rental:
    • Wheelchair: $200–500/month
    • Cane: $50–100/month
    • Walker: $100–300/month
    • Hospital bed: $800–1,500/month
    • Oxygen concentrator: $500–1,000/
    • Rehab equipment (e.g. gait trainer): $300–600/month

Step 2:

Assess home safety and family support capacity

Complete here:

Family Care Resources Assessment >>
Home Environment Safety Assessment >>

Review family support capacity

  • Full-time caregivers: over 35 care hours per week raises depression risk 3×.
  • Working caregivers: with long hours or living apart, rely on flexible community services (extended day care, respite services).
  • No caregiver: hire a domestic helper combined with smart monitoring (emergency call devices, fall sensors).
 ∨ Estimated Costs 
  • Apply for respite care($120/day, book 2 weeks ahead)  
  • Use technology:Fall-detection wristband ($300/month) + 24-hour call alarm  
  • Hire a helper:~$6,000/month + living space  

Assess home safety

  • High-risk areas (slippery bathrooms, stairs without railings): carry out anti-slip work or accessibility modifications. If the home is too small to modify, consider moving or switching to a care home.
  • Basic equipment: handrails, shower chairs, electric care beds, etc.
  • Advanced equipment: health monitoring systems, emergency call devices.
 ∨ Estimated Costs 
  • Low-cost options:Anti-slip strips ($200/metre), portable handrails ($800)  
  • High-risk area renovation:  
    • Bathroom:Remove threshold + ramp (from $3,000)  
    • Bed area: electric care bed rental $1,500/month, saving 60% vs purchase

Step 3:

Integrate community resources with the elder's wishes

Seek community support

Accessibility:Only 38% of home care services offer weekend support  

  • Day care centres: check waiting time (average 10 months) and whether service hours match your needs.
  • Home support services: apply for Integrated Home Care Services (meal delivery, rehab) — note holiday service gaps.
 ∨ Solutions:    
  • Combine Integrated Home Care Services (general/disability categories)  
  • Join district elderly centre mutual-aid groups to share care resources  
    • Strong preference for home: try a 'hybrid model' (e.g. part-time care home respite).
    • Resists care homes: strengthen psychological support and reduce loneliness through social activities (e.g. the Elderly Volunteer Scheme).
    • Mental health assessment: if the elder shows depressive tendencies, intervene early with counselling or a psychiatrist.
 ∨ New-model solutions: 
A third path between home and care home

Hong Kong is developing innovative models beyond the traditional binary:  

  • Hybrid care:
    Home on weekdays + care home respite on weekends (for working children)  
  • Co-living apartments:
    5-6 households of seniors share a living room, splitting 24-hour care costs  
  • Technology: AI behaviour detection can predict fall risk 3 hours in advance

3. When to Consider a Care Home?

Home care isn't a universal fix. When these warning signs appear, realistically consider switching:

  • Health indicators: monthly fall frequency
  • Family system:The primary caregiver shows serious physical or mental symptoms  
  • Environmental limits:A tiny flat can't fit necessary equipment (e.g. stair lifts) 

Note: the Residential Care Home Voucher Scheme lets seniors enter private homes first (~$15,000/month) and later switch to subsidised homes using the voucher — a viable bridging option.

Care homes offer comprehensive care but sacrifice autonomy. Lacking family companionship, with cramped space and rigid routines, seniors may feel lonely, lose privacy and face social isolation and psychological issues.

Around 60,000 seniors live in care homes — about 4% of those aged 65+. As of 31 January 2023, 18,145 people were waiting for subsidised residential care: 16 months average for care-and-attention homes and 19 months for nursing homes. With subsidised homes so stretched, many turn to private homes, where fees range from about $4,000 to $20,000 per month. However, private home quality varies and some lack staff. Despite tighter regulation, quality issues persist.

Private Care Home Fee Breakdown

Monthly fee $7,000–15,000/month
Nursing fee $500–2,000/month
Air conditioning $400–700/month (seasonal) $400/month (Oct–Apr) $700/month (Jun–Sep)

Diabetes care

Insulin needles $800–1,200/month

Blood test $30/time (monthly rate negotiable)

Insulin injection $30/dose (monthly rate negotiable)

Syringe/needle $4–1 each

Alcohol swabs $30/box (100)

Lancet $3 each

Glucose test strip $8 each

Feeding tube care $1,000–2,000/month

Measuring cup ×1 $40

Feeding jug ×1 $100

Forceps (oral care) ×1 $120

Plastic box $50

Syringe $40

Gastric test strip $150

Tube connector $450

Oral swabs from $20/pack

3M tape from $20/roll

Feeding bag $15 each

Peritoneal dialysis $1,200–2,200/month

Dialysis 1–2×/day $1,200

Dialysis 3–4×/day $1,800–2,200

Consumables billed at actual cost

Diapers $1,800–3,360/month
  • Syringe/needle $30/dose
  • Glucose strip $30/dose
  • Glucose strip $8/piece
Feeding tube supplies $40–450/month
Wet wipes (large) $45/pack (80) · Wet wipes (medium/small) $25/pack (80–100)
Haircut $30/time
Safety belt $30 each · Safety vest $250 each
Air-con blanket $400 each
Waterproof sheet $100 each
Pillow $100 each
Toilet paper $35 (10–12 rolls)
Bedding set $380/set
Reusable catheter $100 each
Restraint boards $250/set (2) · Restraint wrist bands $250/pair (2)
Urine bag/frame/sleeve $20 each
Alcohol cotton $30/box
Face towel $10 each
Anti-slip pants $250 each
Disposable gloves $10/pack
Suction (incl. equipment & tube) $60/session
Wound cleaning (incl. cotton & solution) $60–80/session
Emergency oxygen $100/session (30 min) · Mask & tubing $80/set
Bedding fee $1,200 (first admission) · New mattress $1,000
Annual linen replacement $500/year
Escort-to-clinic fee $500/year

Note: all fees may be adjusted annually; some items are billed at actual cost.

4. The Final Decision:

1. Home care:

'Mild impairment + adequate family support + safe home + community services in place'

2. Short-term care home support:

For caregivers needing respite or emergencies

3. Care home:

When 'health seriously deteriorates + family overwhelmed + community resources insufficient', choose a nearby home or join the Voucher Scheme.

Important Notes

  • Policy limits: caregiver allowances have few places and may conflict with other benefits — plan carefully.
  • Service flexibility: some community services have rigid hours (e.g. no weekend meal delivery) — coordinate in advance.
  • Long-term planning: regularly re-assess the elder's health changes and family load, adjusting the plan dynamically.

Home Care vs Care Home

Loading..........

The Data is Not Available

*For individualised assessment, contact DoctorNow Home for home safety checks and welfare planning advice.

'The best care plan is one that keeps choices in the elder's hands.'

AngelCare's mission is to build a care network where dignity and safety coexist. Built on an integrated medical support system, we mobilise domestic helpers as the core of the care team, monitor health data comprehensively, and intervene promptly on any abnormality — raising the quality, safety and security of ageing at home, and helping seniors realise their wish to stay home.

© 2024 Doctor Now Limited. All Rights Reserved

Terms & Conditions

Download the AngelCare App