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Indicators of Home Care Use in Urban and Rural Settings*

Published online by Cambridge University Press:  31 March 2010

Lori A. Mitchell ,
Laurel A. Strain  and
Audrey A. Blandford
Lori A. Mitchell*
Affiliation:
Department of Community Health Sciences, University of Manitoba
Laurel A. Strain
Affiliation:
Alberta Centre on Aging, University of Alberta, Edmonton
Audrey A. Blandford
Affiliation:
Centre on Aging University of Manitoba
*
Requests for offprints should be sent to:/Les demandes de tirés-à-part doivent être adressées à: Lori A. Mitchell, Department of Community Health Sciences, University of Manitoba, Winnipeg, MB R3T 2N2. (lori_mitchell@umanitoba.ca)
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Abstract

This study employs a longitudinal design to examine rural–urban differences in home care service use over time, drawing on data from the Manitoba Study of Health and Aging (MSHA). Characteristics of community-dwelling, cognitively intact adults aged 65 years or older not receiving home care services in the province of Manitoba (n = 855) were collected in 1991/1992. Place of residence was categorized as urban/small-town zone or predominantly rural area. A 5-year follow-up determined subsequent home care use. Urban residents were more likely to receive home care than those in small-town zones or predominantly rural areas. Characteristics associated with use differed according to place of residence, with the exception of baseline physical functioning and changes in physical functioning that consistently emerged as significant. Directions for future research are discussed.

Résumé

Cette étude emploie un modèle longitudinal pour l'examen des différences rurales-urbaines en matière d'utilisation de services de soins à domicile au fil du temps, et s'inspire des données de l'Étude sur la santé et le vieillissement au Manitoba (ESVM). Des paramètres ont été recueillis en 1991–92 sur des adultes de 65 ans et plus, vivant dans la communauté et ne souffrant d'aucun trouble cognitif, qui ne reçoivent pas de services de soins à domicile dans la province du Manitoba, Canada (n = 855). Le lieu de résidence était classé soit petite ville urbaine ou zone principalement rurale. Un suivi de cinq ans a permis de déterminer l'utilisation subséquente de soins à domicile. Les résidents urbains étaient plus susceptibles de recevoir des soins à domicile que ceux des petites villes ou des zones principalement rurales. Les caractéristiques associées à l'usage étaient différentes selon le lieu de résidence, à l'exception du fonctionnement physique de base et des changements au plan du fonctionnement physique qui ressortaient constamment en raison de leur importance. L'orientation de la recherche ultérieure fait l'objet de discussion.

Keywords

agingagedhome care serviceslongitudinal studiesrural health servicesManitobavieillissementaînésservices de soins à domicileétudes longitudinalesservices de santé ruraleManitoba
Type
Research Note/Note de recherche
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 26 , Issue 3 , Fall/Automne 2007 , pp. 275 - 280
Copyright
Copyright © Canadian Association on Gerontology 2007

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Footnotes

*

The Manitoba Study of Health and Aging (MSHA) was funded primarily by Manitoba Health (1990–1993) and Manitoba Health's Healthy Communities Development Fund (1995–1999). Additional funding was provided through the Canadian Study of Health and Aging (CSHA) by the Seniors Independence Research Program of the National Health Research and Development Program of Health Canada (Project No. 6606-3954-MC(S)). The analysis reported here was supported by a New Emerging Team (Net) grant funded by CIHR's Institute of Aging and the Rural and Northern Health Research Initiative (HAS-63179). The results and conclusions are those of the authors and no official endorsement by Manitoba Health is intended or should be inferred. The contributions of MSHA Research Group members are gratefully acknowledged.

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