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Canadian Community-Dwelling Young-Old and Old-Old: Determinants of Satisfaction with Health Care

Published online by Cambridge University Press:  29 November 2010

Dorothy A. Forbes
Dorothy A. Forbes
Affiliation:
University of Saskatchewan
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Abstract

The purpose of the study was to identify the determinants of satisfaction with health care for Canadian community-dwelling older adults. A correlational design was used to examine the relationships between socio-demographic indicators, psychosocial variables, health services utilization, and satisfaction with health care in the young-old and old-old. A subsample (N = 2,413) from the 1994/95 National Population Health Survey Supplement was analysed. Hierarchical regression analyses revealed that socio-demographic variables were the best predictors of satisfaction with the national health care system in the young-old. Consultation with health care professionals was the best predictor of satisfaction with the Canadian health care system in the old-old and of health care personally received in both cohorts. Consultations with alternative practitioners was negatively related to satisfaction with health care in Canada and to care personally received in the old-old. The identification of the best determinants of satisfaction with health care can provide useful direction to policy makers, program planners, and practitioners so that more appropriate and effective services can be made available to this population.

Résumé

Cette étude visait à déterminer les facteurs de satisfaction à l'égard des soins de santé chez les aîné(e)s canadien(ne)s vivant dans la communauté. On a utilisé un concept corrélationnel pour examiner les relations entre les facteurs sociodémographiques, les variables psychosociales, l'utilisation des services de santé et la satisfaction à l'égard des soins de santé chez les jeunes aîné(e)s et chez les aîné(e)s plus âgés. On a analysé un sous-échantillonage (N = 2 413) de l'Enquête nationale sur la santé de la population de 1994/95. Des analyses de régression hiérarchique ont révélé que les variables socio-démographiques constituaient les meilleurs prédicteurs de satisfaction à l'égard du système de santé national chez les jeunes aîné(e)s. La consultation des professionnels de la santé était le meilleur prédicteur de satisfaction à l'égard du système de soins de santé canadien chez les aîné(e)s âgé(e)s et des soins de santé reçus dans les deux groupes. La consultation des praticiens de médecines parallèles indiquait l'insatisfaction envers les soins de santé canadiens et des soins reçus par les aîné(e)s âgé(e)s. La détermination des plus importants facteurs de satisfaction à l'égard des soins de santé peut fournir des indices utiles aux responsables des politiques, aux planificateurs de programmes et aux praticiens de sorte que l'on puisse offrir des services plus appropriés et plus efficaces à ce groupe de population.

Keywords

National Population Health SurveyHealth Services UtilizationAlternative PractitionersClient-Professional RelationshipsEnquête nationale sur la santé de la populationutilisation des services de santépraticiens de médecines parallèlesrelations clients-spécialistes
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 20 , Issue 1 , Printemps/Spring 2001 , pp. 113 - 126
Copyright
Copyright © Canadian Association on Gerontology 2001

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References

Anderson, M., & Parent, K. (1999). Putting a face on home care: CARP's report on home care in Canada in 1999. Kingston, ON: Queen's Health Policy Research Unit and the Canadian Association for the Fifty-Plus.Google Scholar
Antonovsky, A. (1987). Unraveling the mystery of health. San Francisco: Jossey-Bass.Google Scholar
Canadian Home Care Association. (1998). Investing in home care: A wise priority: Briefing document submitted to the Standing Committee on Finance. Ottawa: Author.Google Scholar
Carmel, S. (1985). Satisfaction with hospitalization: A comparative analysis of three types of services. Social Science and Medicine, 21, 1243–1249.CrossRefGoogle ScholarPubMed
Collins, C., King, S., & Kokinakis, C. (1994). Community service issues before nursing home placement of persons with dementia. Western Journal of Nursing Research, 16(1), 40–52.CrossRefGoogle ScholarPubMed
Donabedian, A. (1988). The quality of care: How can it be assessed? Journal of American Medical Association, 260, 1743–1748.CrossRefGoogle ScholarPubMed
Durand, P.J., Krueger, P.D., Chambers, L.W., Grek, A., & Charles, C. (1995). Predictors of caregivers' dissatisfaction with community long-term care services for seniors: Results from the Canadian Study of Health and Aging. Canadian Journal of Public Health, 86, 325–332.Google ScholarPubMed
Federal, Provincial and Territorial Advisory Committee on Population Health. (1996). Report on the health of Canadians. Ottawa: Minister of Supply and Services.Google Scholar
Feeny, D.H., Furlong, W., Boyle, M., & Torrance, G.W. (1995). Multi-attribute preference health status classification systems: Health Utilities Index. Pharmacoeconomics, 7, 490–502.CrossRefGoogle ScholarPubMed
Forbes, D.A. (1996). Clarification of the constructs of satisfaction and dissatisfaction with home care. Public Health Nursing, 13, 377–385.CrossRefGoogle ScholarPubMed
Furnham, A., & Forey, J. (1994). The attitudes, behaviors, and beliefs of patients of conventional versus complementary (alternative) medicine. Journal of Clinical Psychology, 50, 458–469.3.0.CO;2-V>CrossRefGoogle Scholar
Hall, J.A., & Doran, M.C. (1990). Patient sociodemographic characteristics as predictors of satisfaction with medical care: A meta-analysis. Social Science and Medicine, 30, 811–818.CrossRefGoogle ScholarPubMed
Lee, Y., & Kasper, J.D. (1998). Assessment of medical care by elderly people: General satisfaction and physician quality. Health Services Research, 32(6), 741–758.Google ScholarPubMed
Marshall, V.W., & McPherson, B.D. (1994). Introduction: Aging: Canadian perspectives. In Marshall, V. & McPherson, B. (Eds.), Aging: Canadian perspectives (pp. 7–19). Peterborough, ON: Broadview Press.Google Scholar
Martin, Matthews A., & Wakefield, S. (1992). Final report: Homemaking services to the elderly: Provider characteristics and client benefit. Guelph, ON: University of Guelph.Google Scholar
Millar, W., & Beaudet, M.P. (1996). Health facts from the 1994 National Population Health Survey. Canadian Social Trends, Spring, 24–27. (Catalogue 11–008E).Google Scholar
Millar, W.J. (1997). Use of alternative health care practitioners by Canadians. Canadian Journal of Public Health, 88, 154–158.CrossRefGoogle ScholarPubMed
Moore, E.G., & Rosenberg, M.W. (1997). Growing old in Canada: Demographic and geographic perspectives. Toronto: Statistics Canada & ITP Nelson.Google Scholar
National Advisory Council on Aging. (1990). The NACA position on community services in health care for seniors. Ottawa: Author.Google Scholar
National Advisory Council on Aging. (1995). The NACA position on community services in health for seniors: Progress and challenges. Ottawa: Author.Google Scholar
National Forum on Health. (1997). Canada health action: Building on the legacy: Final report of the National Forum on Health: Volume 1. Ottawa: Minister of Public Works and Government Services.Google Scholar
Newcomer, R., Preston, S., & Harrington, C. (1996). Health plan satisfaction and risk of disenrollment among Social/HMO and fee-for-service recipients. Inquiry, 33, 144–154.Google ScholarPubMed
Norusis, M.J. (1994). SPSS® 6.1 base system user's guide, part 2. Chicago, IL: SPSS Inc.Google Scholar
Pearlin, L.I., & Schooler, C. (1978). The structure of coping. Journal of Health and Social Behaviour, 19, 2–21.CrossRefGoogle ScholarPubMed
Rabiner, D.J. (1992). The relationship between program participation, use of formal in-home care, and satisfaction with care in an elderly population. The Gerontologist, 32, 805–812.CrossRefGoogle Scholar
Rosenberg, M. (1979). Conceiving the self. New York: Basic Books.Google Scholar
Rosenthal, C.J. (1994). Editorial: Long-term care reform and “family” care: A worrisome combination. Canadian Journal on Aging, 13(4), 419–427.CrossRefGoogle Scholar
Statistics Canada, & Health Canada. (1996). NPHS public use microdata documentation. In Statistics Canada & Health Canada, National Population Health Survey: Special research initiative – 1996. Ottawa: Author.Google Scholar
Weingarten, S.R., Stone, E., Green, A., Pelter, M., Nessim, S., Huang, H., & Kristopaitis, R. (1995). A study of patient satisfaction and adherence to preventive care practice guidelines. American Journal of Medicine, 99, 590–596.CrossRefGoogle ScholarPubMed