Skip to main content Accessibility help
×
Home

Research Note: Describing Canada's Residential Continuing Care Population through an Analysis of a National Mortality Dataset and a Provincial Hospital Dataset*

  • Donna M. Wilson (a1) and Corrine D. Truman (a2)

Abstract

While there are 157,000 designated continuing care (CC) beds in Canada – beds that are only used by a rather distinct group of individuals – no comprehensive description of the CC resident population exists. An analysis of 1974–1997 Statistics Canada mortality data and 1992/93–1996/97 Alberta hospital utilization data was undertaken to provide a description of one segment of this population, those at the end of life. Statistics Canada data indicate that only a small (<3%) proportion of deaths take place each year in CC facilities, with these persons 84.5 years of age on average, and most often female (62.5%), widowed (61.9%), and Canadian born (61.8%). The primary cause of death/diagnosis varied considerably, as it did for CC residents in Alberta who were transferred to acute care hospitals before dying there. The average hospital stay for transferred persons was 14.0 days in length, with these hospitalizations normally characterized by few diagnostic tests or treatments (mean=0.9).

Quoique l'on retrouve 157000 lits de soins permanents au Canada, et que ces lits soient utilisés pour un groupe précis d'individus, il n'y a aucune vue d'ensemble de cette population. Une analyse des données de mortalité de Statistique Canada datant de 1974 à 1997, en plus des données de l'utilisation d'hôpitaux de l'Alberta datant de 1992–1993 à 1996–1997 a été entreprise afin de fournir une description d'une partie de cette population, soit ceux à la fin de la vie. Les données de Statistique Canada démontrent que seulement une faible proportion (<3%) de décés surviennent chaque année dans les installations de soins permanents, et ce à des personnes d'âge moyenne de 84,5 ans, souvent de sexe féminin (62,5%), veuves (61,9%) et nées au Canada (61,8%). La cause premiére du décés/diagnostic varie considérablement, de même pour les résidents de l'Alberta qui ont été transférés à des hôpitaux de soins intensifs où ils sont subséquemment décédés. La durée moyenne du séjour des personnes transférées était de 14,0 jours; ces séjours étaient caractérisés de trés peu d'examens diagnostics ou de traitements (médiane=0,9).

Copyright

Corresponding author

Requests for offprints should be sent to: / Les demandes de tirés-a-part doivent être adressées à: Donna M. Wilson, RN, PhD, Faculty of Nursing, Third Floor Clinical Sciences Building, University of Alberta, Edmonton, Alberta, T6G 2G3. donna.wilson@ualberta.ca

Footnotes

Hide All
*

This study is based in part on data provided by Alberta Health and Wellness. The interpretation and conclusions contained herein are those of the researchers and do not necessarily represent the view of the Government of Alberta. Neither the Government nor Alberta Health and Wellness expresses any opinion in relation to this study.

Footnotes

References

Hide All
Alberta Health and Wellness. (1999). Accessing data for research purposes. A researcher's handbook. Edmonton: Author.
Anderson, G.M., Pulcins, I.R., Barer, M.L., Evans, R.G., & Hertzman, C. (1990). Acute care hospital utilization under Canadian national health insurance: The British Columbia experience from 1969 to 1988. Inquiry, 27, 352358.
Barer, M.L., Evans, R.G., Hertzman, C., & Lomas, J. (1987). Aging and health care utilization: New evidence on old fallacies. Social Science and Medicine, 24(10), 851862.
Bergman, H., Beland, F., Lebel, P., Contandriopoulos, A., Tousignant, P., Brunelle, Y., Kaufman, T., Leibovich, E., Rodriguez, R., & Clarfield, M. (1997). Care for Canada's frail elderly population: Fragmentation or integration? The Canadian Medical Association Journal, 157(8), 11161121.
Black, C., Roos, N.P., Havens, B., & MacWilliam, L. (1995). Rising use of physician services by the elderly: The contribution of mortality. Canadian Journal on Aging, 14(2), 225244.
Burke, M.A., Lindsay, J., McDowell, I., & Hill, G. (1997). Dementia among seniors. Canadian Social Trends, Summer, 24–27.
Canadian Healthcare Association. (1998). Directory of hospitals and long term care facilities in Canada. Ottawa: Author.
Canadian Institute for Health Information. (1999). Abstracting manual. Toronto: Author.
DeCoster, C., Roos, N.P., & Bogdanovic, B. (1995). Utilization of nursing home resources. Medical Care, 33(12), DS73DS83.
Hertzman, C., Pulcins, I.R., Barer, M.L., Evans, R.G., Anderson, G.M., & Lomas, J. (1990). Flat on your back or back in your flat? Sources of increased hospital services utilization among the elderly in BC. Social Science and Medicine, 30(7), 819828.
Lindsay, C. (1999). Seniors: A diverse group aging well. Canadian Social Trends, 52, 2426.
McKie, C. (1993). Population aging. Baby boomers into the 21st century. Canadian Social Trends, Summer, 2–6.
Roos, N.P., Havens, B., & Black, C. (1993). Living longer but doing worse: Assessing health status of elderly persons at two points of time in Manitoba, Canada, 1971 and 1983. Social Science and Medicine, 36(3), 273282.
Rosenberg, M.W., & Moore, E.G. (1997). The health of Canada's elderly population: Current status and future implications. Canadian Medical Association Journal, 157(8), 10251032.
Shapiro, E., Tate, R., & Roos, N.P. (1987). Do nursing homes reduce hospital use? Medical Care, 25(1), 18.
Statistics Canada. Statistics Canada relies on many groups and individuals to carry out virtually all its programs. Retrieved February 6, 2003 from http://www.statcan.ca/english/about/ensur.htm.
Tully, P., & Mohl, C. (1995). Older residents of health care institutions. Health Reports, 7(3), 2730.
Wilkins, K., & Park, E. (1998). Home care in Canada. Health Reports, 10(1), 2937.
Wilson, D.M., Anderson, M.C., Fainsinger, R.L., Northcott, H.C., Smith, S.L., & Stingl, M.J. (1998, December). Social and health care trends influencing palliative care and the location of death in twentieth-century Canada. Final Report. Edmonton: University of Alberta.
Wilson, D.M., Northcott, H.C., Truman, C.D., Smith, S.L., Anderson, M.C., Fainsinger, R.L., & Stingl, M.J. (1998). Location of death in Canada: A comparison of 20th-century hospital and non-hospital locations of death and corresponding population trends. Evaluation and the Health Professions, 24, 385403.

Keywords

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