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Centre for Policy on Ageing | |
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Home-care utilization within the year of death
— trends, predictors and changes in access equity during a period of health policy reform in British Columbia, Canada | | Author(s) | M E Brackley, M J Penning |
| Journal title | Health and Social Care in the Community, vol 17, no 3, May 2009 |
| Pages | pp 283-294 |
| Source | http://www.blackwellpublishing.com/hsc |
| Keywords | Domiciliary services ; Usage [services] ; Terminal illness ; Health services ; Social policy ; Social surveys ; Canada. |
| Annotation | Healthcare policy reforms enacted during the 1990s in British Columbia, Canada explicitly endorsed expanded community care and enhanced equitable access to care. This is a population-based, retrospective study of home-care utilisation by adults aged 50+ in British Columbia, Canada who died in the last 6 months of each year from 1991 to 2000 (n = 98237). Data were drawn from the British Columbia Linked Health Data (BCLHD) resource. The authors examined both receipt and extent of care, using logistic and standard regression models. Independent variables included year of death, age, gender, area of residence and income quintile. Year of death was not significantly associated with receipt of home care in general. However, the odds of receiving home support services declined significantly over time, while annual home support hours increased. In contrast, receipt of home nursing increased, while annual home nursing visits did not change. Social factors frequently emerged as significant predictors of both receipt and extent of care. However, the authors found only limited evidence for interactions between these factors and year of death acting as determinants of receipt or extent of service. Results suggest that end-of-life home care services did not expand, but instead were re-allocated and intensified in the 1990s. There was also little evidence to suggest enhanced equity in access to care. (RH). |
| Accession Number | CPA-090728204 A |
| Classmark | N: QLD: CV: L: TM2: 3F: 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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