Skip to main content Accessibility help
×
Home

Les besoins non comblés de services à domicile chez les aînés canadiens*

  • Marc-Antoine Busque (a1) and Jacques Légaré (a2)

Abstract

Based on data from the 2002 General Social Survey, this research presents a global portrait of unmet needs for home care services among Canadians aged 65 and over. It shows that 26.8% of seniors need assistance, accounting for approximately 1,024,000 individuals. Among these, just over 180,000 (17.7%) had at least one unmet need. In nearly half the cases, elderly with unmet needs receive insufficient support for 2 activities or more. Furthermore, house cleaning, house maintenance and outdoor work are the three activities with the highest prevalence of unmet needs. Finally, the younger seniors, those who require assistance for 3 or 4 activities and those living in Quebec and British Columbia are most likely to have unmet needs.

S’appuyant sur les données de l’Enquête sociale générale 2002, cette recherche brosse un portrait global des besoins non comblés (BNC) de services à domicile parmi les Canadiens âgés de 65 ans et plus. Il en ressort que 26,8% des aînés ont besoin d’assistance, soit environ 1 024 000 individus et que, parmi ceux-ci, un peu plus de 180 000 (17,7%) ont des BNC. Dans près de la moitié des cas, ces individus avec des BNC reçoivent une aide insuffisante pour au moins 2 activités. Par ailleurs, les travaux ménagers, l’entretien de la maison et les travaux extérieurs sont les trois activités où l’on retrouve la plus grande prévalence de BNC. Enfin, les aînés les moins âgés, ceux ayant besoin d’assistance pour 3 ou 4 activités et ceux habitant le Québec et la Colombie-Britannique sont les plus susceptibles d’avoir des BNC.

Copyright

Corresponding author

La correspondance et les demandes de tirés-à-part doivent être adressées à: / Correspondence and requests for offprints should be sent to : Marc-Antoine Busque, M.Sc. Institut de recherche Robert-Sauvé en santé et en sécurité du travail 505, boul. De Maisonneuve Ouest Montréal, QC H3A 3C2 (marc-antoine.busque@irsst.qc.ca)

Footnotes

Hide All
*

Nous aimerions remercier Mme Janice Keefe et son équipe du Mount St-Vincent University (MSVU) financée par les Instituts de recherche en santé du Canada (IRSC) pour leur soutien intellectuel et pécuniaire. Merci également à Mme Joëlle Gaymu pour la supervision d’un stage de M-A Busque à l’Institut national d’études démographiques (Ined) financé par le Population Change and Lifecourse Strategic Knowledge Cluster.

Footnotes

References

Hide All
Allen, S.M., & Mor, V. (1997a). Unmet need in the community: The Springfield study. In To improve health and health care 1997: The Robert Wood Johnson Foundation anthology (pp. 132160). San Francisco, CA: Jossey-Bass.
Allen, S.M., & Mor, V. (1997b). The prevalence and consequences of unmet need: Contrasts between older and younger adults with disability. Medical Care, 35(11), 11321148.
Chen, J., & Wilkins, R. (1998). Les besoins des personnes âgées en matière d’aide personnelle. Statistique Canada, Rapports sur la santé, 10(1), 4153.
Davin, B., Joutard, X., Moatti, J.P., Paraponaris, A., & Verger, P. (2006). Besoins et insuffisance d’aide humaine aux personnes âgées à domicile: Une approche à partir de l’enquête “Handicaps, incapacités, dépendance. Sciences sociales et santé, 24(3), 5993.
Denton, M. (1997). The Linkages between Informal and Formal Care of the Elderly. Canadian Journal on Aging / La Revue canadienne du vieillissement, 16(1), 3050.
Desai, M.M., Lentzner, H.R., & Dawson Weeks, J. (2001). Unmet need for personal assistance with activities of daily living among older adults. The Gerontologist, 41(1), 8288.
Fast, J., Keating, N., Otfinowski, P., & Derksen, L. (2004). Characteristics of family/friend care networks of frail seniors. Canadian Journal on Aging, 23(1), 519.
Gibson, M.J., & Verma, S.K. (2006). Just getting By: Unmet need for personal assistance services among persons 50 or older with disabilities. AARP Public Policy Institute, Issue Paper #2006-25.
Grabbe, L., Demi, A., Whittington, F., Jones, J., Branch, L., & Lambert, R. (1995). Functional status and the use of formal home care in the year before death. Journal of Aging and Health, 7(3), 339364.
Harrow, B., Tennstedt, S., & Mckinlay, J. (1995). How costly is it to care for disabled elders in a community setting? The Gerontologist, 35(6), 803813.
Havens, B., Donovan, C., & Hollander, M. (2001). Policies that have positive or negative impacts on informal care in Canada. Presentation to the International Association of Gerontology, Vancouver, BC.
Hébert, R., Dubuc, N., Buteau, M., Roy, C., Desrosiers, J., Bravo, G., et al. . (1997). Services requis par les personnes âgées en perte d’autonomie: Évaluation clinique et estimation des coûts selon le milieu de vie. Collection Études et analyses, no 33. Québec, Canada: Ministère de la Santé et des Services sociaux, Direction de la recherche et de l’évaluation.
Jackson, M.E. (1991). Prevalence and correlates of unmet need among the elderly with ADL disabilities. Washington, DC: US Department of Health and Human Services, Assistant Secretary of Planning and Evaluation, Office of Disability, Aging and Long-Term Care Policy.
Johnson, R.W., Toohey, D., & Wiener, J.M. (2007). Meeting the long-term care needs of the baby boomers: How changing families will affect paid helpers and institutions. The Retirement Project, Discussion Paper 07–04, Urban Institute.
Johnson, R.J., & Wolinsky, F.D. (1993). The structure of health status among older adults: Disease, disability, functional limitation, and perceived health. Journal of Health and Social Behavior, 34(2), 105121.
Keefe, J. (1999). Human resource issues in home care: Comparative analysis of employment arrangements. Knowledge & Dissemination, Health Canada.
Keefe, J. (2002). Home and community care. In Sawyer, E. & Stephenson, M. (Eds.), Continuing the care: The issues and challenges for long term care (pp. 109141). Ottawa, Ontario, Canada: CHA Press.
Keefe, J. (2004). Policy profile for compensating family caregivers: Canada. “Hidden Costs/Invisible Contributions: The Marginalization of Dependant Adults” research program.
Kennedy, J. (2001). Unmet and undermet need for activities of daily living and instrumental activities of daily living assistance among adults with disabilities: Estimates from the 1994 and 1995 disability follow-back surveys. Medical Care, 39(12), 13051312.
Komisar, H.L., Feder, J., & Kasper, J. (2005). Unmet long-term care needs: An analysis of Medicare-Medicaid dual eligibles. Inquiry, 42, 171182.
Lafrenière, S., Carrière, Y., Martel, L., & Bélanger, A. (2003). Personnes âgées à domicile - sources d’aide. Rapports sur la santé, 14(4), 3140.
Laplante, M.P., Kaye, S., Kang, T., & Harrington, C. (2004). Unmet need for personal assistance services: Estimating the shortfall in hours of help and adverse consequences. Journal of Gerontology: Social Sciences, 59B(4), S98S108.
Le Goff, P. (2002a). Les soins à domicile au Canada: problèmes économiques (PRB 02-29F). Direction de la recherche parlementaire, Bibliothèque du Parlement, 13 p.
Le Goff, P. (2002b). Les soins à domicile au Québec et en Ontario: structures et dépenses (PRB 02-31F). Direction de la recherche parlementaire, Bibliothèque du Parlement, 17 p.
Le Goff, P. (2002c). Les soins à domicile au Manitoba, en Saskatchewan, en Alberta et en Colombie-Britannique (PRB 02-32F). Direction de la recherche parlementaire, Bibliothèque du Parlement, 26 p.
Lévesque, L., Wolfson, C., Bergman, H., Béland, F., Trahan, L., & Perrault, A. (2004). Unmet needs for help and community-based services for elderly aged 75 years and over. Rapport de recherche, Fondation canadienne de la recherche sur les services de santé.
Lima, J.C., & Allen, S.M. (2001). Targeting risk for unmet need: Not enough help versus no help at all. Journal of Gerontology: Social Sciences, 56B(5), S302S310.
Manton, K.G. (1989). Epidemiological, demographic, and social correlates of disability among the elderly. Milbank Quarterly, 67(Suppl. 2, Part 1), 1358.
Morrow-Howell, N., Proctor, E., & Rozario, P. (2001). How much is enough? Perspectives of care recipients and professionals on the sufficiency of in-home care. The Gerontologist, 41(6), 723732.
Newcomer, R., Kang, T., Laplante, M., & Kaye, S. (2005). Living quarters and unmet need for personal care assistance among adults with disabilities. Journal of Gerontology: Social Sciences, 60B(4), S205S213.
Paraponaris, A., Davin, B., Verger, P., Joutard, X., & Moatti, J.P. (2005). Évaluation des besoins d’aide non satisfaits des personnes âgées dépendantes vivant à domicile: Existe-t-il un effet répondant proxy? Présenté au 25e Congrès International de la Population, Tours, France. Retrieved fromhttp://iussp2005.princeton.edu/download.aspx?submissionId=51004.
Statistique Canada. (2010). Projections démographiques pour le Canada, les provinces et les territoires – 2009 à 2036. produit no 91-520 au catalogue de Statistique Canada, Ottawa, Ministre de l’Industrie.
Tennstedt, S., McKinlay, J., & Kasten, L. (1994). Unmet need among disabled elders: A problem in access to community care? Social Science and Medicine, 38(7), 915924.
Williams, J., Lyons, B., & Rowland, D. (1997). Unmet long-term care needs of elderly people in the community: A review of the literature. Home Health Care Services Quarterly, 16(1, 2), 93119.
Wolinsky, F.D., Callahan, C.M., Fitzgerald, J.F., & Johnson, R.J. (1992). The risk of nursing home placement and subsequent death among older adults. Journal of Gerontology: Social Sciences, 47, S173S182.

Keywords

Les besoins non comblés de services à domicile chez les aînés canadiens*

  • Marc-Antoine Busque (a1) and Jacques Légaré (a2)

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed