Older Adults' Reports of Formal Care Hours and Administrative Records (original) (raw)
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Objective: to analyze older adults receiving Home Care provided by Primary Health Care regarding the sociodemographic variables, morbidities, and access to the health services, according to gender and to age group. Method: an analytical and cross-sectional study with 124 older adults on Type 1 Home Care, conducted between 2018 and 2019 through home visits. A questionnaire on socioeconomic data, morbidities, and access to the services was applied. The Student’s t, Mann-Whitney’s, chi-square, and Fisher’s exact tests were used. Results: the mean age was 82.8 years old and there was predominance of the female gender. Most of the longer-lived older adults had from zero to four years of study and were widowed. Among the comorbidities, hypertension prevailed and arthrosis presented a significant association with the female gender (p=0.004). In relation to access to the health services, the women received less frequent home visits (p=0.033). Conclusion: these data will be able to support t...
The Canadian Journal of Nursing Research Revue Canadienne De Recherche En Sciences Infirmieres, 2006
Research has typically supported the concern that health services utilization increases with aging.Yet most health services utilization studies have focused on the use of 1 as opposed to all health services, the use of health services over 1 year as opposed to a longer period, and the use of health services during the 1970s or 1980s. Current, comprehensive utilization studies are needed in order to better inform health policy and health services decision-making.This study was designed to compare the health services utilization of 3 groups of seniors: those residing in long-term-care (LTC) facilities, those receiving home care, and those neither institutionalized nor receiving home care. Individual-anonymous and population-based inpatient hospital data, ambulatory care (day surgery, outpatient clinic, and emergency room) data, and physician services data collected by the health ministry of the Canadian province of Alberta over a 2year period were analyzed using descriptive and comparative statistical tests available in the SPSS computer program.With the exception of physician and LTC services, LTC residents were the least likely to use health services. Furthermore, and despite concerns that LTC residents may be stigmatized or rationed with regard to access to tertiary care, the data indicate that LTC residents are not disadvantaged in terms of type or scope of hospital services. These and other findings suggest an appreciation for LTC in managing both the health and the care needs of the oldest seniors.The findings also raise concerns about the adequacy of formal home care and of the health care received by the well elderly.
Home health and skilled nursing facility use: 1982-90
Health care financing review, 1994
In this article, analyses are made of home health and skilled nursing facility (SNF) use for the period 1982-90 using Medicare records linked to data on community and institutional residents from the National Long-Term Care Surveys (NLTCSs) of 1982, 1984, and 1989. The combined survey and administrative data analyses are performed to ascertain how the chronic health and functional characteristics of community and institutional residents using Medicare-reimbursed services changed during the period. During this period, changes had been made in the Medicare system that affected the use of services for persons with specific health and functional problems.
Scandinavian Journal of Caring Sciences, 2009
Utilization of medical healthcare among people receiving long-term care at home or in special accommodation Aim: To investigate the utilization of medical healthcare, hospital care and outpatient care, during a 1-year period in relation to informal care, multimorbidity, functional status and health complaints and to long-term care at home or in special accommodation among people aged 65+, with one or more hospital admissions and receiving long-term care. Method: A total of 694 people receiving long-term care during the year 2001 were studied. Data were collected by means of the administrative registers Patient Administrative Support in Skå ne and PrivaStat and through the study Good Ageing in Skå ne. Those at home and those in special accommodation were compared regarding utilization of medical healthcare, informal care, multimorbidity, functional status and health complaints. Multiple logistic regression analysis was performed using at home vs. in special accommodation as the dependent variable and also two multiple linear regression analyses using the number of hospital stays and the number of contacts with the physician in outpatient care separately as dependent variables. Findings: Those at home were significantly younger (mean age: 81 vs. 84 years) and less dependent in personal and instrumental activities of daily living (PADL/IADL) than those in special accommodation. A larger proportion of those at home was admitted to hospital three times or more (21 vs. 14%) and they had significantly more contacts with physicians in outpatient care (md: 10 vs. md: 7). Informal care was associated with care at home (OR = 0.074) and with utilization of outpatient care (B = 2.045). Dependency in PADL was associated with care in special accommodation (OR = 1.375) and with utilization of hospital care (B = )0.060) and outpatient care (B = )0.581). Conclusion: Medical healthcare seems more accessible to those who live at home are younger, less dependent and who have access to informal caregivers.
Home Care for the Elderly: Family, Friends, and the State
2009
ABSTRACT This paper uses data from the Survey of Health, Ageing and Retirement in Europe to examine the home care received by elderly in Western Europe. Specifically, we relate the demand for home care to the health status of the elderly household members and like previous studies find that health limitations, age, and marital status are important determinants of home care.
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Journal of the American Geriatrics Society, 1993
Objective: To prospectively study the incidence of and risk factors for home health care (HHC) use in a cohort of elderly medical and surgical patients discharged from acute care. Although HHC is commonly received by patients in this group, its predictors have not been well studied. Design: Prospective cohort study. Setting: Medical and surgical wards at a university teaching hospital, followed by 23 Medicare-certified HHC agencies in the study catchment area. Patients: 226 medical and surgical patients aged 70 years and older immediately after discharge from acute care. Measurements: HHC initiated within 14 days after hospital discharge, measured by direct review of HHC agency records. Results: The incidence of HHC initiated within 2 weeks postdischarge was 75/226 (34%). The median duration of service was 30 days (range 3-483) with a median of 3 visits per week. Four independent predictors of HHC were identified
Home Care Provision and Quality of Life among Older Adults
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