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Inhome Service Use by Caregivers and Their Elders: Does Cognitive Status Make a Difference?

Published online by Cambridge University Press:  31 March 2010

Pamela Hawranik
Pamela Hawranik*
Affiliation:
University of Manitoba*
*
Requests, etc., Pamela Hawranik, Faculty of Nursing, Helen Glass Centre for Nursing, University of Manitoba, Winnipeg, MB R3T 2N2. Email: [email protected]
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Abstract

The intent of this study was to examine the effect of cognitive status on the use of inhome services by caregivers and their elders. Data from the screening, clinical and community-caregiver phases of the Manitoba Study on Health and Aging (MSHA-1) were analysed utilizing a modified Andersen-Newman model. The findings indicated that those with dementia were more likely to use personal care services and use two or more inhome services than caregivers and their elders with no cognitive impairment and those with cognitive impairment but no dementia. Functional status of the elder and living arrangement of the caregiver and elder were strongly associated with the use of specific inhome services and with overall use. Policy and research implications of the findings including other significant factors such as caregiver employment, are presented.

Résumé

L'étude visait à examiner la relation entre l'état cognitif et l'utilisation des services en établissement par les soignants et leurs aîné(e)s. À l'aide d'une version modifiée du modèle Andersen-Newman, on a analysé des données reliées à la présélection, à la période clinique et aux soins en milieu communautaire provenant du Manitoba Study on Health and Aging (MSHA-1). Les résultats indiquent que les personnes atteintes de démence ont plus souvent tendance à recourir aux services de soins personnels et à deux ou plusieurs services en établissement que les soignants et leurs aîné(e)s qui n'éprouvent pas de difficultés cognitives ou que ceux qui éprouvent des difficultés cognitives sans être atteints de démence. L'état fonctionnel des aîné(e)s et les conditions de logement des soignants et des aîné(e)s sont fortement reliés à l'utilisation de services en établissement particuliers et à leur utilisation générale. L'étude présente les conséquences sur les politiques et les recherches tirées des résultats des analyses et d'autres importants facteurs, notamment la situation des soignants occupant un emploi.

Keywords

Home Care UseCognitiveCommunity Care UseDyadsInformal CaregiverUtilizationUtilisation des soins à domicilecognitifutilisation des soins communautairesdyadessoignant informelutilisation
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 21 , Issue 2 , Summer/Été 2002 , pp. 257 - 271
Copyright
Copyright © Canadian Association on Gerontology 2002

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Footnotes

*The Manitoba Study of Health and Aging (MSHA) was funded in part by Manitoba Health's Healthy Communities Development Fund. Additional funding was provided through the Canadian Study of Health and Aging (CSHA) by the Seniors Independence Research Program of the National Health Research and Development Program of Health Canada (Project No. 6606-3954-MC(S)). The MSHA results and conclusions are those of the author and no official endorsement by Manitoba Health is intended or should be inferred.

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