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L'Évaluation de la politique des services à domicile du ministère des affaires sociales: étude de cas

Published online by Cambridge University Press:  29 November 2010

François Béland
François Béland
Affiliation:
Cité de la Santé de Laval
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Abstract

A partial evaluation of the comprehensive home care and home aid policy of the Ministry of Social Affairs (MAS) of Quebec was undertaken. Three different home care and/or home aid programs serving three urban catchment areas were compared for this purpose. Two of these programs offer comprehensive home care and home aid programs, while the third one offers nursing services at home only. One hundred clients from each program were interviewed at their admission and six months later. Three random samples of elderly from each of the catchment areas were also drawn to take into account local characteristics in the comparison of the clienteles. The study has shown that 1) the three clienteles do not differ except on a few variables. These differences are not systematically related to the type of program (comprehensive/nursing only). 2) That the clients who, on admission, have the profile closest to the client profile established by MAS, were among those that the interviewers could not find for the second interview. And, 3) a comparison of the clients of three programs (on living arrangements, functional impairments and chronic illness), with that of a random subsample of the elderly population, have shown that the former have a higher probability than the latter to wish to leave home. Thus the two comprehensive home care programs seem to experience difficulties in reaching the goals that the ministerial policy has set forth for them.

Résumé

Une évaluation partielle de la politique des services à domicile du Ministère des Affaires sociales du Québec (MAS) a été entreprise en comparant la clientèle de trois programmes de services ou de soins à domicile de trois milieux urbains du Québec. Deux de ces programmes offrent des services globaux à domicile, tandis que le troisième programme n'ofrre que des services infirmiers. Une observation de 100 clients de chacun des programmes à leur admission et six mois plus tard, avec contrôle, à l'aide d'échantillons de population âgée locale, sur les idiosyncrasies locales permet de conclure que 1) les clientèles des programmes globaux ne diffèrent pas entre elles, 2) que les clients qui, àl'admission, sont les plus proches de la clientèlecible définit par le MAS du Québec, sont introuvables six mois plus tard et 3) que les clients des trois programmes désirent plus quitter le domicile qu'un sous-échantillon de population âgée, présentant des caractéristiques isomorphes à celles de la clientèle. En somme, les deux programmes de services globaux à domicile ont éprouvé de la difficulté à atteindre les buts que s'était fixé le MAS dans son énoncé de politique.

Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 3 , Issue 4 , December 1984 , pp. 175 - 192
Copyright
Copyright © Canadian Association on Gerontology 1984

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References

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