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Alternate housing models for older people with disabilities
 — their clientele, structures and resources in relation to the quality of and satisfaction with care delivery
Author(s)Nicole Dubuc, Marie-France Dubois, Louis Demers
Journal titleAgeing and Society, vol 34, no 9, October 2014
PublisherCambridge University Press, October 2014
Pagespp 1575-1600
Sourcejournals.cambridge.org/aso
KeywordsPhysical disabilities ; Care homes ; Nursing homes ; Management [care] ; Cross sectional surveys ; Canada.
AnnotationThis paper reports on the study of a subsidy programme that was established in Quebec for alternate housing models (AHMs), which allows private and community organisations to offer housing services within the framework of a partnership with public health-care services. The research had three objectives. The first was to compare how facility characteristics and services provided by AHMs and nursing homes (NHs) differ. The second was to examine the personal characteristics of residents living in AHMs. The third was to compare residents with similar characteristics within AHMs and NHs in terms of unmet needs, quality of care, satisfaction with care and services, and psycho-social adaptation to the residence. A cross-sectional study was undertaken with individually matched groups to assess whether AHMs meet older people's needs in a way similar to NHs. Overall, residents in both groups had moderate to severe levels of disability; and about 60 per cent had mild to severe cognitive problems. While their general features were heterogeneous, the AHMs were more comfortable and homelike than the NHs. The quality of and satisfaction with care was appropriate in both settings, though AHMs performed better. However, only a quarter of residents in both settings evidenced a good level of psycho-social adaptation to their residence. This partnership approach is a good strategy in providing a useful range of housing types in communities that can respond to the needs of older people with moderate to severe disabilities. (RH).
Accession NumberCPA-150609006 A
ClassmarkBN: KW: LHB: QA: 3KB: 7S

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