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Transferring to an Institution — An Analysis of Factors behind the Transfer to Institutional Long-Term Care

Published online by Cambridge University Press:  29 November 2010

Mårten Lagergren
Mårten Lagergren
Affiliation:
Kronan Health Centre
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Abstract

An analysis is made concerning the relation of different factors to client transfer between levels of care in an area-based system of long-term care for the elderly and the disabled. Special emphasis is given to the transfer from non-institutional to institutional care. The analysis uses data collected through the application of the ASIM monitoring system from 1985 to 1991 in the municipality of Solna, Sweden. Factors analysed include age, sex, marital status, co-habitation, accessibility of housing, informal social support and different aspects of disability. Multivariate analysis regarding factors related to institutionalization — i.e. transfer from domiciliary care or sheltered housing to residential home or long-term hospital care/nursing home — showed level of disability, staff assessment of appropriate level of care and age to be the most significant factors. Dementia was the strongest individual disability factor with functional disability and incontinence also having some influence on the probability of transfer. Deficiencies in the social environment in terms of living alone, inadequate housing accessibility or lack of social support did not show up — presumably because they were adequately compensated for by the public home help services

Résumé

L'analyse vise à déterminer l'incidence de divers facteurs sur le transfert de patients entre les différents niveaux de soins d'un système local de soins de longue durée aux personnes âgées et aux invalides. Une attention particulière est attachée au passage de soins non-institutionnels aux soins instutionnels. Cette analyse utilise des données recueillies, entre 1985 et 1991, dans la commune de Solna, Suède, au moyen de l'application du système de contrôle ASIM. L'analyse porte sur les facteurs âge, sexe, situation de famille, cohabitation, accessibilité au logement, soutien social informel et différentes forme d'invalidité. Il résulte de l'analyse à multivariées portant sur les facteurs relatifs à l'institutionnalisation — c'est-à-dire le transfert de personnes ayant bénéficié de soins à domicile ou ayant occupé un appartement dans un immeuble à services intégrés à une maison de retraite ou à un établissement hospitalier de soins de longue durée ou à une maison de soins — que le niveau d'invalidité, le jugement porté par le personnel sur le niveau de soins approprié et l'âge étaient les facteurs les plus significatifs. La démence sénile était le facteur d'invalidité individuel le plus important, des handicaps fonctionnels et l'incontinence influant également dans une certaine mesure sur la probabilité de transfert. La déficience de l'environnement social, telles que célibat, accessibilité insuffisante au logement ou manque de soutien social ne semblaient pas pertinents — probablement parce qu'elles étaient compensées de manière adéquate par le service public d'aide familiale.

Keywords

Long-term CareElderlyDisabledInstitutionalizationSoins de longue duréepersonnes âgéesinvalidesinstitutionnalisation
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 15 , Issue 3 , Automne/Fall 1996 , pp. 427 - 441
Copyright
Copyright © Canadian Association on Gerontology 1996

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