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Rationing home care resources
 — how discharged seniors cope
Author(s)Georgia Livadiotakis, Gloria Gutman, Marcus J Hollander
Journal titleHome Health Care Services Quarterly, vol 22, no 2, 2003
PublisherHaworth Press, 2003
Pagespp 31-42
Sourcehttp://www.tandfonline.com
KeywordsDomiciliary services ; Grant allocation ; Consumer ; Discharge ; Self care capacity ; Social surveys ; Canada.
AnnotationRationing home care services has become a common strategy used by Canadian state and provincial governments to control escalating health care costs, particularly at a time when very little new funding has been redirected to the home care sector. Across British Columbia, regional health authorities had implemented service reforms that call for the discharge of higher functioning clients from home support service. This paper describes the coping strategies of 137 senior clients 19 to 21 months after they had been discharged from home support services and from the Continuing Care Program in the Simon Fraser Health Region of British Columbia. Of these clients, 34.4% are characterised as being "at home alone and suffering in silence". 29.2% reported receiving assistance from informal sources or paying out-of-pocket for private care. It is suggested that functional status together with age are important criteria when rationing home care services. (KJ/RH).
Accession NumberCPA-031007221 A
ClassmarkN: QCG: WY: QKJ: CA: 3F: 7S

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