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Use of Home Care Services among the Elderly in Eastern Canada*

Published online by Cambridge University Press:  29 November 2010

Sandra J. Crowell ,
Kenneth Rockwood ,
Paul Stolee ,
Sharon K. Buehler ,
Bonnie M. James ,
Albert Kozma  and
John M. Gray
Sandra J. Crowell
Affiliation:
Dalhousie University
Kenneth Rockwood
Affiliation:
Dalhousie University
Paul Stolee
Affiliation:
University of Waterloo
Sharon K. Buehler
Affiliation:
Memorial University of Newfoundland
Bonnie M. James
Affiliation:
Memorial University of Newfoundland
Albert Kozma
Affiliation:
Memorial University of Newfoundland
John M. Gray
Affiliation:
Dalhousie University
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Abstract

Objective: To compare demographic and functional characteristics of elderly users and non-users of home care services in urban Nova Scotia (n = 533) and Newfoundland (n = 449) using a cross sectional study design.

Results: More Nova Scotians (24%) than Newfoundlanders (11%) received home care services. In both provinces, most ADL-dependent people do not receive home care services, and most home care users are not ADL dependent. In Newfoundland, home care users were more likely to be ADL dependent and to have dementia; this was not the case in Nova Scotia. In Nova Scotia being over age 85 without a supporter in the same residence, not being married, and having an IADL limitation significantly increased the likelihood of home care use. IADL impaired subjects in Newfoundland were also more likely to receive home care.

Conclusions: If home care is to substitute for institutional care, existing home care programs must be prepared to adapt to a new type of user.

Résumé

But: Comparer au moyen d'un plan d'étude transversale les caractéristiques démographiques et fonctionnelles des utilisateurs âgés et des non-utilisateurs de services de soins à domicile dans les centres urbains de la Nouvelle-Écosse (n = 533) et de la Terre-Neuve (n = 449).

Résultats: Plus de Néo-Écossais et Néo-Écossaises (24%) que de Terre-Neuviens et Terre-Neuviennes (11%) reçoivent des services de soins à domicile. Dans les deux provinces, la plupart des gens dépendants par rapport aux activités de la vie quotidienne (AVQ) ne reçoivent pas des services de soins à domicile, et la plupart des utilisateurs de soins à domicile n'ont pas de dépendence par rapport aux AVQ. À Terre-Neuve, la dépendence et la démence sont plus fréquentes chez les utilisateurs de soins à domicile, contrairement aux utilisateurs en Nouvelle-Écosse ou le fait d'avoir 85 ans ou plus, de ne pas avoir de soutien dans la même habitation, de ne pas être marié et d'être limité par rapport aux activitiés instrumentales de la vie quotidienne (ATVQ) a pour conséquence une augmentation importante de la probabilité d'utilisation de soins à domicile. À Terre-Neuve, la tendance à recourir à des soins à domicile est plus forte chez les gens ayant une dépendence par rapport aux AIVQ.

Conclusions: Si les soins à domicile doivent se substituer à des soins en établissement, il faut être prêt à adapter à un nouveau type d'utilisateur les programmes existants de soins à domicile.

Keywords

AgedHome CareFunctionLong-term CareAînéssoins à domicilefonctionsoins de longue durée
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 15 , Issue 3 , Automne/Fall 1996 , pp. 413 - 426
Copyright
Copyright © Canadian Association on Gerontology 1996

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