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Centre for Policy on Ageing | |
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Can a publicly funded home care system successfully allocate service based on perceived need rather than socioeconomic status?
— a Canadian experience | | Author(s) | Audrey Laporte, Ruth Croxford, Peter C Coyte |
| Journal title | Health and Social Care in the Community, vol 15, no 2, March 2007 |
| Pages | pp 108-119 |
| Source | http://www.blackwellpublishing.com/hsc |
| Keywords | Domiciliary services ; Finance [care] ; Needs [elderly] ; Usage [services] ; Economic status [elderly] ; Quantitative studies ; Canada. |
| Annotation | The degree to which socio-economic status (SES) as opposed to perceived need determines utilisation of publicly funded home care in Ontario, Canada is evaluated in this quantitative study. The Registered Persons Data Base of the Ontario Health Insurance Plan was used to identify the age, sex and place of residence for all Ontarians who had coverage for the complete calendar year 1998. Utilisation was characterised by two dimensions: propensity - the probability that an individual received service, which was estimated using a multinomial logit equation; and intensity - the amount of service received, conditional on receipt. Short- and long-term service intensity were modelled separately using ordinary least squares regression. Age, sex and co-morbidity were the best predictors of whether or not an individual received publicly funded home care as well as how much care was received, with sicker individuals having increased utilisation. The propensity and intensity of service receipt increased with lower SES, and decreased with the proportion of recent immigrants in the region, after controlling for age, sex and co-morbidity. Although the allocation of publicly-funded home care service was primarily based on perceived need rather than ability to pay, barriers to utilisation for those from areas with a high proportion of recent immigrants were identified. Future research is needed to assess whether the current mix and level of publicly funded resources are indeed sufficient to offset the added costs associated with the provision of high-quality home care. (RH). |
| Accession Number | CPA-070413535 A |
| Classmark | N: QC: IK: QLD: F:W: 3DQ: 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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