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A Population-Based Analysis of Manitoba's Nursing Home Sector

Published online by Cambridge University Press:  29 November 2010

Carolyn DeCoster ,
Noralou Roos  and
Evelyn Shapiro
Carolyn DeCoster
Affiliation:
Manitoba Centre for Health Policy and Evaluation, Univeristy of Manitoba
Noralou Roos
Affiliation:
Manitoba Centre for Health Policy and Evaluation, Univeristy of Manitoba
Evelyn Shapiro
Affiliation:
Manitoba Centre for Health Policy and Evaluation, Univeristy of Manitoba
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Abstract

This paper describes the nursing home component of the population-based health information system developed in Manitoba, and four years (1989/90 to 1992/93) of data produced by this information system. The study presents regional comparisons of nursing home bed ratios, admissions per 1,000 elderly, days of care per capita, mean expected length of stay for new admissions and median length of waiting time prior to admission. Selected hospital indicators for long-stay patients are also presented. The study indicates that a population-based information system is a useful tool for managing the nursing home sector by highlighting the degree to which a province achieves distributional equity and equality of access to nursing home beds.

Résumé

Cet article décrit la partie du système d'information sur la santé des populations du Manitoba sur les centres d'hébergement, ainsi que les données compilées par ce système sur une période de quatre ans (de 1989–90 à 1992–93). L'étude présente des comparaisons régionales de ratios de lits d'hébergement, de taux d'entrée par 1000 personnes âgées, de journées de soins par personne, de la durée moyenne du séjour des nouvelles admissions et de la durée médiane des périodes d'attente avant l'entrée. Des indicateurs sur les séjours de longue durée en hôpitaux y sont également présentés. L'étude révèle qu'un système d'information socio-démographique constitue un outil pratique pour la gestion du secteur des centres d'hébergement, car il permet de mettre en lumière dans quelle mesure une province obtient une distribution et un accès équitables aux lits d'hébergement.

Keywords

Nursing HomeClaims-Administrative DataInformation SystemsNeeds Based PlanningNursing Home-Waiting ListPopulation Health.Centre d'hébergementdossiers administratifssystèmes d'informationplanification par les besoinsliste d'attentesanté des populations.
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 14 , Issue 2 , Été/Summer 1995 , pp. 319 - 334
Copyright
Copyright © Canadian Association on Gerontology 1995

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References

Alberta Premier's Commission on Future Health Care for Albertans. (1989). The Rainbow Report: Our Vision for Health. Edmonton, AB: Government of Alberta.Google Scholar
Dever, G.E.A. (1991). Community Health Analysis, Global Awareness at the Local Level (2nd ed.). Gaithersburg, MD: Aspen.Google Scholar
Evans, R.G., & Stoddart, G.L. (1990). Producing health, consuming health care. Social Science Medicine, 31(12), 1347–1363.CrossRefGoogle ScholarPubMed
Eyles, J., Birch, S., Chambers, S., Hurley, J., & Hutchison, B. (1991). A needs-based methodology for allocating health care resources in Ontario, Canada: development and an application. Social Science Medicine, 33(4), 489–500.CrossRefGoogle ScholarPubMed
Gross, J.M., & Schwenger, C.W. (1981). Health Care Costs for the Elderly in Ontario: 1976–2026. Toronto, ON: Ontario Economic Council.Google Scholar
Guralnik, J., & Kaplan, G. (1989). Predictors of healthy aging: prospective evidence from the Alameda County study. American Journal of Public Health, 79(6), 703–708.CrossRefGoogle ScholarPubMed
Hollander, M.J. (1989). Towards the Year 2011: A Strategic Action Plan for the Allocation of Continuing Care Resources. Victoria, BC: B.C. Ministry of Health.Google Scholar
Manitoba Health. (1992). Quality Health for Manitobans, The Action Plan: A strategy to assure the future of Manitoba's health services system. Winnipeg, MB: Government of Manitoba.Google Scholar
Manitoba Health Services Commission. (1991–1992a). Annual Report. Winnipeg, MB: Government of Manitoba.Google Scholar
Manitoba Health Services Commission. (1991–1992b). Annual Statistics. Winnipeg, MB: Government of Manitoba.Google Scholar
New Brunswick Commission on Selected Health Care Programs. (1989). Report of the Commission on Selected Health Care Programs. Fredericton, NB: Government of New Brunswick.Google Scholar
Nova Scotia Provincial Health Council. (1992). Developing Health Goals and a Comprehensive Health Strategy for Nova Scotia. Halifax, NS: Government of Nova Scotia.Google Scholar
Nova Scotia Royal Commission on Health Care. (1989). The Report of the Nova Scotia Royal Commission on Health Care, Towards a New Strategy. Halifax, NS: Government of Nova Scotia.Google Scholar
Quebec, . (1990). Bill 120: An Act Respecting Health Services and Social Services and Amending Various Legislation. Quebec City, PQ: Quebec Official Publisher.Google Scholar
Roos, N.P., & Shapiro, E. (1994). Monitoring the Winnipeg Hospital System: The First Report, 1990–1992. Winnipeg, MB: Manitoba Centre for Health Policy and Evaluation.Google Scholar
Shapiro, E. (1993). Manitoba's single-entry system to long-term care. Journal of Ambulatory Care Management, 26(3), 69–74.CrossRefGoogle Scholar
Shapiro, E., & Tate, R. (1988a). Survival patterns of nursing home admissions and their policy implications. Canadian Journal of Public Health, 79, 268–274.Google ScholarPubMed
Shapiro, E., & Tate, R. (1988b). Who is really at risk of institutionalization? The Gerontologist, 28(2), 237–245.CrossRefGoogle ScholarPubMed
Shapiro, E., & Tate, R.B. (1989). Is health care use changing? A comparison between physician, hospital, nursing home and home care use of two elderly cohorts. Medical Care, 27, 1002–1014.CrossRefGoogle ScholarPubMed
Walker, A. (1987). Meeting the needs of Canada's elderly with limited health resources: some observations based on British experience. Aging with Limited Health Resources. Proceedings of a Colloquium on Health Care, May 1986. Ottawa: Minister of Supply and Services Canada, Economic Council of Canada, 1987.Google Scholar
Weissert, W.G., & Cready, C.M. (1989). Toward a model for improved targeting of aged at risk of institutionalization. Health Services Research, 24(4), 485–510.Google Scholar
Wennberg, J.E., & Gittelsohn, A. (1982). Variations in medical care among small areas. Scientific American, 246, 120–134.CrossRefGoogle ScholarPubMed
Wilson, D. (1993). B.C. to overhaul health-care system. The Globe and Mail. February 3, 1993.Google Scholar