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Resources and Costs Associated with Disabilities of Elderly People Living at Home and in Institutions*

Published online by Cambridge University Press:  29 November 2010

Réjean Hébert ,
Nicole Dubuc ,
Martin Buteau ,
Johanne Desrosiers ,
Gina Bravo ,
Lise Trottier ,
Carole St-Hilaire  and
Chantale Roy
Réjean Hébert
Affiliation:
Sherbrooke Geriatric University Institute University of Sherbrooke.
Nicole Dubuc
Affiliation:
Sherbrooke Geriatric University Institute University of Sherbrooke.
Martin Buteau
Affiliation:
Sherbrooke Geriatric University Institute University of Sherbrooke.
Johanne Desrosiers
Affiliation:
Sherbrooke Geriatric University Institute University of Sherbrooke.
Gina Bravo
Affiliation:
Sherbrooke Geriatric University Institute University of Sherbrooke.
Lise Trottier
Affiliation:
Sherbrooke Geriatric University Institute
Carole St-Hilaire
Affiliation:
Sherbrooke Geriatric University Institute
Chantale Roy
Affiliation:
University of Sherbrooke.
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Abstract

This study was carried out on a representative sample of elderly people living at home (n = 300), in intermediate faculties (n = 271) and nursing homes (n = 774) from metropolitan, urban and rural areas in the Province of Quebec (Canada) in order to: 1) determine the level of disabilities and resources involved in the care of elderly people living at home or in institutional settings; 2) estimate the costs (public, private, voluntary) of these resources; 3) compare the costs according to the level of disability; and 4) predict the costs associated with disabilities. Results show that there were significant differences but large overlap in the disability level, cognitive status and nursing care needed and received between participants from the three settings. The disability score explained 85 per cent of the variance in nursing care time and 55 per cent (home), 15 per cent (intermediate facilities) and 68 per cent (nursing homes) of the variance in the cost. Nursing care was responsible for most of the cost in all settings. The total societal cost of home care was greater than the cost of intermediate facilities for elderly participants with a disability score over 7.4 and greater even than the cost of nursing homes for a score over 38.7.

Résumé

Cette étude a été réalisée auprès d'un échantillon représentatif de sujets âgées vivant à domicile (n = 300), dans des ressources de type familial (RTF) ou des pavilions (n = 271) et dans des institutions d'hébergement (n = 774) de zones métropolitaine, urbaines et rurales du Québec afin de: 1) déterminer le niveau d'incapacité et les ressources consacrés aux soins des personnes âgées vivant à domicile ou en institution; 2) estimer les coûts (publics, privés et bénévoles) de ces ressources; 3) comparer les coûts à autonomie égale; 4) prédire les coûts selon le niveau d'incapacité. Les principaux résultats montrent que les sujets des trois milieux de vie présentent des différences significatives quant au niveau d'incapacité, à l'état cognitif et aux soins requis et fournis, bien que des chevauchements importants étaient notables. Le score d'incapacité explique 85 pour cent de la variance du temps de soins ainsi que, respectivement, 55, 15 et 68 pour cent des coûts à domicile, en RTF et pavilions et en institutions. Les soins infirmiers et d'assistance sont responsables de la majorité des coûts dans tous les milieux de vie. Le coût social total des soins à domicile étaient plus élevé que ceux en RTF et pavilions pour les sujets avec un score d'incapacité de 7,4 et plus et même supérieur à ceux en institutions pour un score au-dessus de 38,7.

Keywords

Cost AnalysisHome CareInstitutionsDisabilitiesNursing CareAnalyse économiquesoins à domicileinstitutionsincapacité physiquesoins infirmières
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 20 , Issue 1 , Printemps/Spring 2001 , pp. 1 - 22
Copyright
Copyright © Canadian Association on Gerontology 2001

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