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Use of Community Services by Seniors Before and After an Emergency Visit*

Published online by Cambridge University Press:  29 November 2010

Jane McCusker ,
Orly Ardman ,
François Bellavance ,
Éric Belzile ,
Sylvie Cardin  and
Josée Verdon
Jane McCusker
Affiliation:
St. Mary's Hospital Center McGill University
Orly Ardman
Affiliation:
CLSC René-Cassin
François Bellavance
Affiliation:
Ecole des Hautes Études Commerciales
Éric Belzile
Affiliation:
St. Mary's Hospital Center
Sylvie Cardin
Affiliation:
Université de Montréal Hospital Center
Josée Verdon
Affiliation:
Cité de la Santé, Laval.
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Résumé

À l'aide de données provenant d'une cohorte de 1 352 personnes àgées demeurant dans la communauté et ayant visité l'urgence d'un centre hospitalier, nous avons étudié la prévalence (avant la visite à l'urgence) et l'incidence (pendant une période de suivi de six mois) de l'utilisation des services communautaires de santé ainsi que les facteurs reliés à l'utilisation de ces services. Les données ont été recueillies lors d'entrevues à l'urgence et au téléphone lors du suivi. Avant la visite à l'urgence, 59,8 pour cent des patients avaient au moins une incapacité en regard aux activités de la vie quotidienne (AVQ); 16,8 pour cent des patients ayant une incapacité recevaient des services communautaires. Parmi les patients qui ne recevaient pas ces services auparavant, 45,4 pour cent ont développé une nouvelle incapacité pour les AVQ pendant les trois mois suivant la visite à l'urgence; et 23,5 pour cent des patients avec une nouvelle incapacité ont commencé à recevoir des services communautaires. En contrôlant pour l'ampleur des besoms, les patients admis à l'hôpital se sont avérés être plus susceptibles de recevoir des services pendant la période de suivi que ceux ayant reçu leur congé de l'urgence. Il existe probablement de nombreux besoins non comblés pour les services communautaires dans cette population.

Keywords

AgedEmergency DepartmentUtilizationPersonnes agéesurgenceutilisation
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 20 , Issue 2 , Été/Summer 2001 , pp. 193 - 210
Copyright
Copyright © Canadian Association on Gerontology 2001

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