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Community-Based Home Support Agencies: Comparing the Quality of Care of Cooperative and Non-profit Organizations*

Published online by Cambridge University Press:  01 June 2009

Catherine Leviten-Reid  and
Ann Hoyt
Catherine Leviten-Reid*
Affiliation:
Centre for the Study of Co-operatives, University of Saskatchewan
Ann Hoyt
Affiliation:
School of Human Ecology, University of Wisconsin–Madison
*
†Correspondence to: / Correspondance à : Catherine Leviten-Reid Centre for the Study of Co-operatives University of Saskatchewan 101 Diefenbaker Place Saskatoon, Saskatchewan S7N 5B8 Email: [email protected].
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Abstract

In the province of Québec, services focusing on the instrumental activities of daily living are delivered to seniors by a combination of non-profit organizations and cooperatives. But do these organizations perform differently? This study asks whether home support cooperatives deliver higher-quality care than non-profit home support agencies. The specific effects of consumer and worker participation on the board of directors are also tested. Data were collected in 2006 and 2007 from 831 individuals receiving home support services from nine cooperatives and nine non-profits. Two consumer-centered measures of quality were used: a summated, 39-point satisfaction score and a 4-point overall quality score. Data were analyzed using ordered logistic regression. Results show that although organizational type was not a predictor of the two quality outcomes, worker involvement in governance was positively associated with the satisfaction score, while consumer involvement was positively associated with the overall quality score.

Résumé

Au Québec, une combinaison d’organismes sans but lucratif et de coopératives offre des services d’entretien ménager, de préparation de repas et d’aide aux courses aux personnes âgées. Dans la présente étude, on pose la question suivante : les services offerts par les coopératives de services à domicile sont-ils de meilleure qualité que les services offerts par les organismes sans but lucratif? Cette étude permet également d’examiner les répercussions déterminées de la participation des bénéficiaires et des travailleurs et travailleuses au conseil d’administration. Les données ont été recueillies en 2006 et 2007 auprès de 831 personnes bénéficiaires de services à domicile, assurés par 9 coopératives et 9 organismes sans but lucratif. Deux instruments de mesure de la qualité centrés sur les bénéficiaires ont été utilisés : une échelle d’évaluation sommative de la qualité en 39 points et une note globale de qualité en 4 points. Les données ont été analysées par régression logistique. Les résultats révèlent que la structure organisationnelle n’est pas une variable explicative de la qualité, mais que la participation des travailleurs et des travailleuses au conseil d’administration est associée positivement à la note de satisfaction. De plus, la participation des bénéficiaires est associée positivement à la note de qualité globale.

Keywords

aide et soins à domicileservices à domicilecoopérativesorganismes sans but lucratifparticipationhome carehome supportcooperativesnon-profitsparticipation
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 28 , Issue 2 , June 2009 , pp. 107 - 120
Copyright
Copyright © Canadian Association on Gerontology 2009

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Footnotes

*

We would like to thank Judith Bartfeld, Gary Green, Brent Hueth, and Roberta Riportella for their helpful feedback. Catherine Leviten Reid also acknowledges the funding sources that helped cover data collection costs. These include the School of Human Ecology, the Department of Consumer Science, and the Urban Cooperative Initiative, all at the University of Wisconsin–Madison. We would also like to thank those home support agencies and individuals who participated in this research.

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