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The Overseas Service Veteran At Home Pilot: How Choice of Care May Affect Use of Nursing Home Beds and Waiting Lists

Published online by Cambridge University Press:  31 March 2010

David Pedlar  and
John Walker
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Abstract

In 1999 Veterans Affairs Canada (VAC) implemented the Overseas Service Veterans (OSV) At Home Pilot Project in response to the problem that a growing number of clients were on waiting lists for beds in long-term care facilities. The At Home pilot offered certain clients on waiting lists, who met nursing-level care and military-service requirements, access to home care and treatment services for which they had previously been ineligible. A review of the pilot showed that a large majority of clients preferred to remain at home, with support, rather than accept a long-term care placement, even when a bed became available. The pilot has helped reduce waiting times for nursing home beds and may have important implications for reducing costs and the demand for long-term care beds.

Résumé

En 1999, Anciens Combattants Canada (ACC) a lancé le Projet pilote des soins à domicile pour les anciens combattants ayant servi outre-mer (ACSO) pour pallier une lacune flagrante : le nombre croissant de clients attendant un lit dans un établissement de soins de longue durée. Le Projet pilote des soins à domicile permettait à certains clients inscrits sur une liste d'attente, qui remplissaient les exigences en matière de soins infirmiers et de service militaire, d'obtenir chez eux les soins et traitements auxquels ils n'avaient pas droit auparavant. L'examen du projet pilote révèle qu'une grande majorité de clients préfèrent rester chez eux, avec de l'aide, plutôt que d'être placés en établissement de soins de longue durée, même lorsqu'un lit se libère. Ce projet a permis de raccourcir les délais d'attente dans les maisons de soins infirmiers et pourrait considérablement réduire les coûts et la demande en lits de soins de longue durée.

Keywords

agingveteranshomecarewaiting listslong-term carenursing home bedsvieillissementanciens combattantssoins à domicilelistes d'attentesoins de longue duréelits en maison de soins infirmiers
Type
Brief Report
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 23 , Issue 4 , Winter/Hiver 2004 , pp. 367 - 369
Copyright
Copyright © Canadian Association on Gerontology 2004

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References

Hollander, M.J. (1994). The costs, and cost-effectiveness of continuing care services in Canada. Ottawa: Queens—University of Ottawa Economic Projects.Google Scholar
Hollander, M.J. (2001). Substudy 1: Final report of the Study on the Comparative Cost Analysis of Home Care and Residential Care Services. Victoria, BC: National Evaluation of the Cost-Effectiveness of Home Care.Google Scholar
Hollander, M.J. (2003). Unfinished business—The case for chronic home care services: A policy paper. Victoria, BC: Hollander Analytical Services.Google Scholar
Hollander, M.J., Chappell, N.L., Havens, B., McWilliam, C., & Miller, J.A. (2002). Substudy 5: Study of the costs and outcomes of home care and residential long-term care services. Victoria, BC: National Evaluation of the Cost-Effectiveness of Home Care.Google Scholar
Mathematica Policy Research. (1986). The evaluation of the national long-term care demonstration (Final Report). Princeton, NJ: Author.Google Scholar
Weissert, W.G., Lesnick, T., Musliner, M., & Foley, K.A. (1997). Cost savings from home and community-based services: Arizona's capitated Medicaid long-term care program. Journal of Health Politics, Policy and Law, 22(6), 1329–1357.CrossRefGoogle ScholarPubMed
Weissert, W.G. (1985). Seven reasons why it is so difficult to make community-based long-term care cost-effective. Health Services Research, 20(4), 423–433.Google ScholarPubMed