Location, Location, Location: Characteristics and Services of Long-Stay Home Care Recipients in Retirement Homes Compared to Others in Private Homes and Long-Term Care Homes

TitleLocation, Location, Location: Characteristics and Services of Long-Stay Home Care Recipients in Retirement Homes Compared to Others in Private Homes and Long-Term Care Homes
Publication TypeJournal Article
Year of Publication2017
AuthorsPoss J.W, Sinn C.J, Grinchenko G., Blums J., Peirce T., Hirdes J.
JournalHealthc Policy
Volume12
Issue3
Pagination80-93
Date PublishedFeb
ISBN Number1715-6572 (Print)<br/>1715-6572
Accession Number28277206
KeywordsAdult, Aged, Aged, 80 and over, Female, Home Care Services/*organization & administration/statistics & numerical data, Homes for the Aged/*organization & administration/statistics & numerical data, Humans, Long-Term Care/*organization & administration/statistics & numerical data, Male, Middle Aged, Nursing Homes/*organization & administration/statistics & numerical data, Ontario
Abstract

We examine recipients of publicly funded ongoing care in a single Ontario jurisdiction who reside in three different settings: long-stay home care patients in private homes and apartments, other patients in retirement homes and residents of long-term care homes, using interRAI assessment instruments. Among home care patients, those in retirement homes have higher proportions of dementia and moderate cognitive impairment, less supportive informal care systems as well as more personal care and nursing services above those provided by the public home care system, more frequent but shorter home support visits and lower than expected public home care expenditures. These lower expenditures may be because of efficiency of care delivery or by retirement homes providing some services otherwise provided by the public home care system. Although persons in each setting are mostly older adults with high degrees of frailty and medical complexity, long-term care home residents show distinctly higher needs. We estimate that 40% of retirement home residents are long-stay home care patients, and they comprise about one in six of this Community Care Access Centre's long-stay patients.

PMCID

PMC5344365

Short TitleHealthcare policy = Politiques de santeHealthcare policy = Politiques de sante
Alternate JournalHealthcare policy = Politiques de sante
Original PublicationTout est une question d'emplacement: caracteristiques et services pour les beneficiaires de soins a domicile de longue duree dans les maisons de retraite en comparaison aux autres residences privees et aux foyers de soins de longue duree.