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Regional Variation in Home Care Use in Manitoba

Published online by Cambridge University Press:  31 March 2010

Sandra Peterson ,
Evelyn Shapiro  and
Noralou P. Roos
Sandra Peterson*
Affiliation:
University of Manitoba
Evelyn Shapiro
Affiliation:
University of Manitoba
Noralou P. Roos
Affiliation:
University of Manitoba
*
Requests for offprints should be sent to: / Les demandes de tirés-à-part doivent être addressées à : Sandra Peterson, M.Sc., Manitoba Centre for Health Policy, Department of Community Health Sciences, University of Manitoba, 727 McDermot Avenue, Suite 408, Winnipeg, MB R3E 3P5. ([email protected])
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Abstract

Previous studies report geographic variation in the use of home care services. In the province of Manitoba, home care is a core service that Manitoba' twelve regional health authorities (RHAs) are obligated to deliver. Manitoba' RHAs range from remote northern and rural southern regions to a major city, resulting in different challenges for delivering home care. Given this potential for inconsistent delivery and the previous findings of regional variation in other settings, the objective of this study was to measure and assess variation in the use of home care across Manitoba' RHAs. We used data from the Provincial Home Care Program' client registry, other health care administrative databases, and Vital Statistics. Home care use was measured using multiple indicators, including rates of population use, use after hospitalization, before entry to a long-term care facility, and before death. While some important differences emerged, overall we found comparable use of home care across Manitoba.

Résumé

Des recherches antérieures avaient fait état de variations géographiques en ce qui a trait à l'utilisation des services de soins à domicile. Au Manitoba, les soins à domicile font partie des services essentiels que les douze autorités régionales des soins de santé (RHA) du Manitoba sont tenues de fournir. Les RHA du Manitoba gèrent aussi bien des régions rurales du nord et du sud qu'une grande ville, ce qui entraîne des défis différents pour la prestation de soins à domicile. Compte tenu de l'inégalité potentielle en matière de prestation de services ainsi que des conclusions préalables en matière de variation régionale dans un autre contexte, l'objectif de cette étude était de mesurer et d'évaluer la variation dans l'utilisation des soins à domicile dans l'ensemble des RHA du Manitoba. Les chercheurs se sont servis de données tirées du registre des clients du Provincial Home Care Program, d'autres bases de données administratives en santé ainsi que du Bureau de l'état civil. L'utilisation des soins à domicile a été mesurée au moyen de multiples indicateurs, notamment la fréquence de l'utilisation dans la population, de l'utilisation après une hospitalisation, avant l'admission dans un établissement de soins de longue durée et avant un décès. Bien que l'étude ait révélé certaines différences importantes, dans l'ensemble, nous avons constaté que les soins à domicile étaient utilisés de façon comparable partout au Manitoba.

Keywords

home careregional variationaccesshealth services researchadministrative dataagingsoins à domicilevariation régionaleaccèsrecherches sur les soins de santédonnées administrativesvieillissement
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 24 , Issue S1: Health and Health Care Use Among Older Adults: Using Population-Based Information Systems to Inform Policy in Manitoba , Spring/Printemps 2005 , pp. 69 - 80
Copyright
Copyright © Canadian Association on Gerontology 2005

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References

Association des CLSC et des CHSLD du Québec. (2001). État de situation des programmes de soutien à domicile: CLSC, centres de jour et hôpitaux de jour. Montreal: Association des CLSC et des CHSLD du Québec.Google Scholar
Coyte, P.C., & Axcell, T. (1998). The use of and regional variations in post-acute rehabilitation services for mus-culoskeletal patients. In Badley, E.M. and Williams, J.I. (Eds.), Patterns of health care in Ontario: Arthritis and related conditions: An ICES practice atlas. Toronto: Institute for Clinical Evaluative Sciences, 157–170.Google Scholar
Coyte, P.C., & Young, W. (1999). Regional variations in the use of home care services in Ontario, 1993/95. Canadian Medical Association Journal, 161, 376–380.Google ScholarPubMed
De Coster, C., Peterson, S., Carrière, K.C., & Kasian, P. (1999). Assessing the extent to which hospitals are used for acute care purposes. Medical Care, 37(Suppl. 6), JS151–JS166.Google ScholarPubMed
Kenney, G.M. (1993a). Is access to home health care a problem in rural areas? American Journal of Public Health, 83, 412–414.CrossRefGoogle ScholarPubMed
Kenney, G.M. (1993b). Rural and urban differentials in Medicare home health use. Health Care Financing Review, 14, 39–57.Google Scholar
Kenney, G.M., & Dubay, L.C. (1992). Explaining area variation in the use of Medicare home health services. Medical Care, 30, 43–57.CrossRefGoogle ScholarPubMed
Mitchell, L., Roos, N.P., & Shapiro, E. (2005). Patterns in home care use in Manitoba. Canadian Journal on Aging, 24 (Suppl. 1), 59–68.CrossRefGoogle ScholarPubMed
Muhajarine, N., Mustard, C.A., Roos, L.L., Young, T.K., & Gelskey, D.E. (1997). Comparison of survey data and physician claims data for detecting hypertension. Journal of Clinical Epidemiology, 50, 711–718.CrossRefGoogle ScholarPubMed
Nyman, J.A., Sen, A., Chan, B.Y., & Commins, P.P. (1991). Urban/rural differences in home health patients and services. Gerontologist, 31, 457–466.CrossRefGoogle ScholarPubMed
Roos, L.L., Nicol, J.P., & Cageorge, S.M. (1987). Using administrative data for longitudinal research: Comparisons with primary data collection. Journal of Chronic Diseases, 40, 41–49.CrossRefGoogle ScholarPubMed
Roos, N.P., Roos, L.L., Mossey, J., & Havens, B. (1988). Using administrative data to predict important health outcomes: Entry to hospital, nursing home, and death. Medical Care, 26, 221–239.CrossRefGoogle ScholarPubMed
Roos, N.P., Stranc, L., Peterson, S., Mitchell, L., Bogdanovic, B., & Shapiro, E. (2001). A look at home care in Manitoba. Winnipeg: Manitoba Centre for Health Policy.Google Scholar
Stewart, D.K., Tate, R., Finlayson, G., MacWilliam, L., & Roos, N.P. (2002). Projecting hospital bed needs for 2002. Winnipeg: Manitoba Centre for Health Policy.Google Scholar
Welch, H.G., Wennberg, D.E., & Welch, W.P. (1996). The use of Medicare home health care services. New England Journal of Medicine, 335, 324–329.CrossRefGoogle ScholarPubMed
Young, W., Coyte, P.C., Jaglal, S., DeBoer, D., & Naylor, C.D. (1999). Home Care utilization following a hospitalization for cardiovascular disease. In Naylor, C.D. (Ed.), Patterns of health care in Ontario: Cardiovascular disease and related conditions: An ICES practice atlas. Toronto: Institute for Clinical Evaluative Sciences, 319–333.Google Scholar