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Centre for Policy on Ageing | |
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Home-care programmes for older adults with disabilities in Canada
— how can we assess the adequacy of services provided compared with the needs of users? | | Author(s) | M Tousignant, N Dubuc, R Hébert |
| Journal title | Health and Social Care in the Community, vol 15, no 1, January 2007 |
| Pages | pp 1-7 |
| Source | http://www.blackwellpublishing.com/hsc |
| Keywords | Physical disabilities ; Domiciliary services ; Needs [elderly] ; Evaluation ; Cross sectional surveys ; Canada. |
| Annotation | The need for care homes will probably continue to increase over the next decade as one response to innovative health practices designed to help people receive services at home instead of in institutions. However, there are no data for determining whether home-care programmes can meet user needs. This cross-sectional study describes the functional autonomy profile of the users of public home-care programmes in Quebec, Canada; and compares the level of adequacy between required and provided services in public home-care programmes for older people with disabilities. The population studied consists of all users of public home-care services in one administrative region of Quebec over the period September-December 2002. Each user was assessed with the Functional Autonomy Measurement System (SMAF) and then classified into one of the 14 Iso-SMAF profiles. The total number of hours of care required was determined using the median number of hours of nursing care, personal care and support services associated with each profile. For the sake of comparison with the services required, the services provided were calculated from an administrative databank that included statistics of the time sent by health professionals on caring for home-care users. The ratio of hours of services provided to the number of hours of service required by home-care users highlights a discrepancy between the services provided and user needs. The results of this study show the feasibility of describing users of public home-care programmes and the adequacy of services provided in relation to user needs. Based on these results, public home-care programmes in the province of Quebec appear to be under-funded. (RH). |
| Accession Number | CPA-070413240 A |
| Classmark | BN: N: IK: 4C: 3KB: 7S |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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