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Use of Home Care Services among the Elderly in Eastern Canada*

  • Sandra J. Crowell (a1), Kenneth Rockwood (a1), Paul Stolee (a2), Sharon K. Buehler (a3), Bonnie M. James (a3), Albert Kozma (a3) and John M. Gray (a1)...

Abstract

Objective: To compare demographic and functional characteristics of elderly users and non-users of home care services in urban Nova Scotia (n = 533) and Newfoundland (n = 449) using a cross sectional study design.

Results: More Nova Scotians (24%) than Newfoundlanders (11%) received home care services. In both provinces, most ADL-dependent people do not receive home care services, and most home care users are not ADL dependent. In Newfoundland, home care users were more likely to be ADL dependent and to have dementia; this was not the case in Nova Scotia. In Nova Scotia being over age 85 without a supporter in the same residence, not being married, and having an IADL limitation significantly increased the likelihood of home care use. IADL impaired subjects in Newfoundland were also more likely to receive home care.

Conclusions: If home care is to substitute for institutional care, existing home care programs must be prepared to adapt to a new type of user.

But: Comparer au moyen d'un plan d'étude transversale les caractéristiques démographiques et fonctionnelles des utilisateurs âgés et des non-utilisateurs de services de soins à domicile dans les centres urbains de la Nouvelle-Écosse (n = 533) et de la Terre-Neuve (n = 449).

Résultats: Plus de Néo-Écossais et Néo-Écossaises (24%) que de Terre-Neuviens et Terre-Neuviennes (11%) reçoivent des services de soins à domicile. Dans les deux provinces, la plupart des gens dépendants par rapport aux activités de la vie quotidienne (AVQ) ne reçoivent pas des services de soins à domicile, et la plupart des utilisateurs de soins à domicile n'ont pas de dépendence par rapport aux AVQ. À Terre-Neuve, la dépendence et la démence sont plus fréquentes chez les utilisateurs de soins à domicile, contrairement aux utilisateurs en Nouvelle-Écosse ou le fait d'avoir 85 ans ou plus, de ne pas avoir de soutien dans la même habitation, de ne pas être marié et d'être limité par rapport aux activitiés instrumentales de la vie quotidienne (ATVQ) a pour conséquence une augmentation importante de la probabilité d'utilisation de soins à domicile. À Terre-Neuve, la tendance à recourir à des soins à domicile est plus forte chez les gens ayant une dépendence par rapport aux AIVQ.

Conclusions: Si les soins à domicile doivent se substituer à des soins en établissement, il faut être prêt à adapter à un nouveau type d'utilisateur les programmes existants de soins à domicile.

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References

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Analytical Software Inc. (1992). Statistix, v. 4.0, St. Paul, MN.
Canadian Study of Health and Aging Working Group. (1994). The Canadian Study of Health and Aging: Study Methods and Prevalence of Dementia. Canadian Medical Association Journal, 150, 899913.
Fillenbaum, G.G. (1988). Multidimensional functional assessment of older adults: the Duke Older Americans Resources and Services Program. Hillsdale, NJ: L. Erilbaum Associates Inc.
Fredericks, C.M.A., et Wierik, M.J.M., vanRossum, M.J.L., Visser, A.Ph., Volovics, A., & Sturmans, F. (1992). Why do elderly people seek professional home care? Methodologies compared. Journal of Community Health, 17, 131141.
Glazebrook, K., Rockwood, K., Stolee, P., Fisk, J., & Gray, J.M. (1994). A case control study of the risks for institutionalization of elderly people in Nova Scotia. Canadian Journal on Aging, 13(1), 104117.
Gordon, M. (1993). Community care for the elderly: Is it really better? Canadian Medical Association Journal, 148, 393396.
Health and Welfare Canada. (1990). Federal/Provincial/Territorial Working Group on Home Care. Report on Home Care. Health Services and Promotion Branch, Health and Welfare Canada, Minister of Supply and Services Canada, Cat. No. H39–186/1990E.
Health and Welfare Canada. (1992). Working Group on Client Classification in Home Care. Classification of Long Term Care Clients in Home Care: Proposal for the Development of a National Framework. Health Services and Promotion Branch, Minister of Supply and Services Canada, Cat. No. H39–267/1993E.
Kempen, G.I.J.M., & Suurmeijer, Th.P.B.M. (1991). Factors influencing professional home care utilization among the elderly. Social Science Medicine, 32, 7781.
Kemper, P. (1988). The evaluation of the National Long Term Care Demonstration. Overview of the findings. Health Services Research, 23, 161174.
Kleinbaum, D.G., Kupper, L.L., & Morgenstern, H. (1982). Epidemiologic research: Principles and quantitative analysis. New York: Van Nostrand-Reinhold.
Marshall, V.W. (1987). Factors affecting responses and completion rates in some Canadian studies. Canadian Journal on Aging, 6(3), 217227.
Mossey, J.M., & Shapiro, E. (1982). Self-rated health: A predictor of mortality among the elderly. American Journal of Public Health, 72, 800808.
Shapiro, E. (1985). There's no place like home. In Deber, R.B. & Thompson, G.G. (Eds.), Restructuring Canada's health services system. How do we get there from here? Proceedings of the Fourth Canadian Conference on Health Economics; 1990 Aug 27–29. Toronto: University of Toronto Press.
Statistics Canada. (1993). Dwellings and Households. The Nation. Ottawa: Minister of Supply and Services, Canada. Cat. No. 93–311: Table 2, pp. 1137.
Stolee, P., Rockwood, K., & Robertson, D. (1982). The Saskatchewan Health Status Survey of the Elderly. Report II. The elderly in the community. Saskatoon, SK: Division of Geriatric Medicine, University of Saskatchewan. (Unpublished.)
Teng, E.L., & Chui, H.C. (1987). The Modified Mini-Mental State (3MS) Examination. Journal of Clinical Psychiatry, 48, 314318.
Tennestedt, S.L., Sullivan, L.M., McKinlay, J.B., & D'Agostino, R.B. (1990). How important is functional status as a predictor of service use by older people? Journal of Aging and Health, 2, 439461.

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