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Patterns in Home Care Use in Manitoba

Published online by Cambridge University Press:  31 March 2010

Lori Mitchell ,
Noralou P. Roos  and
Evelyn Shapiro
Lori Mitchell*
Affiliation:
Centre on Aging, University of Manitoba
Noralou P. Roos
Affiliation:
Department of Community Health Sciences, University of Manitoba
Evelyn Shapiro
Affiliation:
Department of Community Health Sciences, University of Manitoba
*
Requests for offprints should be sent to: / Les demandes de tirés-à-part doivent être addressées à : Lori Mitchell, M.A., Centre on Aging, University of Manitoba, 338 Isbister Building, Winnipeg, MB R3T 2N2. ([email protected])
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Abstract

Administrative home care data from the Manitoba Support Services Payroll (MSSP) system for fiscal years 1995/1996 to 1998/1999 were utilized to study home care client characteristics and changes in home care use over time. Patterns in home care access and use after hospitalization, before admission to a nursing home, and before death were examined. The study found that the majority of home care clients were female, aged 65 and over, and not married. The proportion of Manitobans using home care increased slowly, but significantly, over the 4 years. The greatest increases were found among the older age groups. The average number of days that clients received home care before death or before admission to a nursing home was stable over time, while a significant increase over time in home care use after hospitalization was experienced. These findings can be useful to regional health authorities for planning and budgeting.

Résumé

Des données administratives relatives aux soins à domicile tirées du système MSSP (Manitoba Support Services Payroll) pour les exercices 1995/1996 à 1998/1999 ont été utilisées pour étudier les caractéristiques de clients recevant des soins à domicile ainsi que les changements dans l'utilisation des soins à domicile au cours du temps. Les auteurs ont étudié les tendances relatives à l'accès aux soins à domicile ainsi que l'utilisation de ces soins après une hospitalisation, avant l'admission dans une maison de soins infirmiers et avant un décès. L'étude révèle que la plupart des clients des soins à domicile étaient de sexe féminin, âgés de 65 ans ou plus et n'étaient pas mariés. La proportion de Manitobains utilisant les soins à domicile a augmenté lentement, mais de façon significative, au cours des quatre années. Les augmentations les plus notables ont été remarquées parmi les gens les plus âgés. Est resté stable le nombre moyen de journées pendant lesquelles les clients ont reçu des soins à domicile avant leur décès ou avant leur admission dans une maison de soins infirmiers au cours du temps, tandis que l'on constatait une augmentation appréciable de l'utilisation des soins à domicile après une hospitalisation. Ces conclusions peuvent être utiles aux autorités régionales pour la planification et l'attribution des ressources financières.

Keywords

agedhealth services researchhome careManitobapopulationutilizationpersonnes âgéesrecherches sur les soins de santésoins à domicileManitobapopulationutilisation des services
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 24 , Issue S1: Health and Health Care Use Among Older Adults: Using Population-Based Information Systems to Inform Policy in Manitoba , Spring/Printemps 2005 , pp. 59 - 68
Copyright
Copyright © Canadian Association on Gerontology 2005

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