Hostname: page-component-5c6d5d7d68-tdptf Total loading time: 0 Render date: 2024-08-19T07:15:06.192Z Has data issue: false hasContentIssue false
  • English
  • Français

Determinants of Home Care Utilization: Who Uses Home Care in Ontario?

Published online by Cambridge University Press:  29 November 2010

Ruth Hall  and
Peter Coyte
Ruth Hall
Affiliation:
University of Toronto
Peter Coyte
Affiliation:
University of Toronto
Get access Rights & Permissions [Opens in a new window]

Résumé

Échantillonnage des ménages de l'Ontario de la section de la santé de l'Enquête nationale sur la santé de la population de 1994–1995 a été relié à la base de données du Ontario Home Care Administrative System et l'on a exploré la relation entre les réponses des personnes interrogées et l'utilisation des soins à domicile dans les années qui ont suivi l'enquête dans le but d'évaluer les variables prédictives des soins à domicile. La prévalence de l'utilisation des soins à domicile chez les sujets de l'enquète s'élevait à 4,3 pour cent. Les facteur indépendants associés à une augmentation probable des soins à domicile étaient un age de 75 et plus, une contrainte des activités quotidiennes (AVQ) et des activités instrumentales de la vie quotidienne (AIVQ), une détérioration de la santé et l'utilisation antérieure de soins à domicile. Il faudra approfondir les travaux pour mieux comprendre les facteurs associés à l'utilisation des soins à domicile si l'on souhaite mieux définir le but et les objectifs des soins à domicile et contribuer à l'élaboration de modèles de financement de ces soins.

Keywords

Home CareNPHSUtilizationIndividual PredictorsLogistic RegressionSoins à domicileEnquête nationale sur la santé de la populationutilisationprédicteursrégression logistique
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 20 , Issue 2 , Été/Summer 2001 , pp. 175 - 192
Copyright
Copyright © Canadian Association on Gerontology 2001

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Andersen, R. (1995). Revisiting the behavioural model and access to medical care: Does it matter? Journal of Health and Social Behaviour, 36(March), 1–10.CrossRefGoogle ScholarPubMed
Andersen, R., & Newman, J.F. (1973). Societal and individual determinants of medical care utilization. The Milbank Quarterly, 51, 95–124.CrossRefGoogle ScholarPubMed
Auslander, G.K., & Litwin, H. (1990). Social support networks and formal help seeking: Differences between applicants to social services and a nonapplicant sample. Journal of Gerontology: Social Sciences, 45, S112–S119.CrossRefGoogle Scholar
Bass, D.M., & Noelker, L.S. (1987). The influence of family caregivers on elder's use of in-home services: An expanded conceptual framework. Journal of Health and Social Behaviour, 28(Jvne), 184–196.CrossRefGoogle ScholarPubMed
Bass, D.M., Looman, W.J., & Ehrlich, P. (1992). Predicting the volume of health and social services: Integrating cognitive impairment into the modified Andersen framework. The Gerontologist, 32(1), 33–43.CrossRefGoogle ScholarPubMed
Branch, L., Jette, A., Evashwick, C., Polansky, M., Rowe, G., & Diehr, P. (1981). Toward understanding elders' health service utilization. Journal of Community Health, 7(2), 80–91.CrossRefGoogle ScholarPubMed
Cafferata, G.L. (1987). Marital status, living arrangements, and the use of health services by elderly persons. Journal of Gerontology, 42(6), 613–618.CrossRefGoogle ScholarPubMed
Chappell, N.L. (1985). Social support and the receipt of home care services. The Gerontologist, 25, 47–54.CrossRefGoogle ScholarPubMed
Chappell, N.L. (1991). Living arrangements and sources of caregiving. Journal of Gerontology: Social Sciences, 46(1), S1–S8.CrossRefGoogle ScholarPubMed
Chappell, N.L. (1994). Home care research: What does it tell us? The Gerontologist, 34(34), 1–120.CrossRefGoogle ScholarPubMed
Chumbler, N.R., Beverly, C.J., & Beck, C. (1998). Determinants of in-home health and support service utilization for rural older adults. Research in the Sociology of Health Care, 15, 205–227.Google Scholar
Coulton, C., & Frost, A.K. (1982). Use of social and health services by the elderly. Journal of Health and Social Behaviour, 23(December), 330–339.CrossRefGoogle ScholarPubMed
Coyte, P.C. (1999). Homecare spending in Canada. Ensuring best practices. Home care for the new millennium: Building a smarter system. Insight Conference, Toronto.Google Scholar
Coyte, P.C, & Young, W. (1996). An overview of Ontario's home care program and suggestions for a national home care research agenda. Briefing Document, Institute for Clinical Evaluative Sciences.Google Scholar
Fortinsky, R.H., Granger, C.V., & Seltzer, G.B. (1981). The use of functional assessment in understanding home care needs. Medical Care, 14(5), 489–497.CrossRefGoogle Scholar
Frederiks, C., et Weirik, M.J.M., Visser, A., & Sturmans, F. (1990). The functional status and utilization of care of elderly people living at home. Journal of Community Health, 15(5), 307–317.CrossRefGoogle ScholarPubMed
Goel, V. (1999) Analysis without complex survey software (personal communication).Google Scholar
Goel, V., Williams, J.I., Andersen, G.M., Blackstein-Hirsch, P., Fookes, C., & Naylor, C.D. (1996). Patterns of health care in Ontario, The ICES practice atlas. 2nd ed., Ottawa: CMA.Google Scholar
Hornbrook, M.C., & Goodman, M.J. (1996). Chronic disease, functional health status, and demographics: A multi-dimensional approach to risk adjustment. Health Services Research, 31(3), 283–307.Google ScholarPubMed
Hosmer, D.W., & Lemeshow, S. (1989). Assessing fit. In Hosmer, D.W. & Lemeshow, S., Applied logistic regression. Toronto: John Wiley and Sons.Google Scholar
Kempen, G.I.J.M., & Suurmeijer, Th.P.B.M. (1991). Factors influencing professional home care utilization among the elderly. Social Science and Medicine, 32(1), 77–81.CrossRefGoogle ScholarPubMed
Kemper, P. (1992). The use of formal and informal home care by the disabled elderly. Health Services Research, 27(4), 421–451.Google ScholarPubMed
Logan, J.R., & Spitze, G. (1994). Informal support and use of formal services by older Americans. Journal of Gerontology: Social Sciences, 49(1), S25–S34.CrossRefGoogle ScholarPubMed
McAuley, W.J., & Arling, G. (1984). Use of in-home care by very old people. Journal of Health and Social Behaviour, 25(March), 54–64.CrossRefGoogle ScholarPubMed
Miller, B., & McFall, S. (1991). The effect of caregiver's burden on change in frail older persons' use of formal helpers. Journal of Health and Social Behaviour, 32(June), 165–179.CrossRefGoogle ScholarPubMed
National Population Health Survey (NPHS). (1995). NPHS public use microdata documentation. Ottawa: Statistics Canada.Google Scholar
Penning, M.J. (1995). Health, social support, and the utilization of health services among older adults. Journal of Gerontology: Social Sciences, 50B(5), S330–S339.CrossRefGoogle Scholar
Starrett, R.A., Rogers, D., & Walters, G. (1988). Home health care utilization: A causal model. Home Health Care Quarterly, 3(4), 125–140.Google Scholar
Tepper, S., Sutton, J., Beatty, P., & DeJong, G. (1997). Alternative definitions of disability: relationship to health-care expenditures. Disability and Rehabilitation, 19(12), 556–558.CrossRefGoogle ScholarPubMed
Thorslund, M., Norstrom, T., & Wernberg, K. (1991). The utilization of home help in Sweden: A multivariate analysis. The Gerontologist, 31(1), 116–119.CrossRefGoogle ScholarPubMed
Wilkins, K., & Park, E. (1998). Home care in Canada. Health Reports, 10(1), 29–37.Google ScholarPubMed
Williams, B.C., Phillips, K.E., Tomer, J.C., & Irvine, A.A. (1990). Predicting utilization of home health resources — important data from routinely collected information. Medical Care, 28(5), 379–391.CrossRefGoogle ScholarPubMed
Wolinsky, F.D., & Johnson, R.J. (1991). The use of health services by older adults. Journal of Gerontology: Social Sciences, 46(6), S345–S357.CrossRefGoogle ScholarPubMed