Hostname: page-component-cd9895bd7-fscjk Total loading time: 0 Render date: 2024-12-23T10:36:07.638Z Has data issue: false hasContentIssue false
  • English
  • Français

Les besoins non comblés de services à domicile chez les aînés canadiens*

Published online by Cambridge University Press:  10 August 2012

Marc-Antoine Busque  and
Jacques Légaré
Marc-Antoine Busque*
Affiliation:
Institut de recherche Robert-Sauvé en santé et en sécurité du travail (IRSST)
Jacques Légaré
Affiliation:
Université de Montréal
*
†La correspondance et les demandes de tirés-à-part doivent être adressées à: / Correspondence and requests for offprints should be sent to : Marc-Antoine Busque, M.Sc. Institut de recherche Robert-Sauvé en santé et en sécurité du travail 505, boul. De Maisonneuve Ouest Montréal, QC H3A 3C2 ([email protected])
Get access Rights & Permissions [Opens in a new window]

Abstract

Based on data from the 2002 General Social Survey, this research presents a global portrait of unmet needs for home care services among Canadians aged 65 and over. It shows that 26.8% of seniors need assistance, accounting for approximately 1,024,000 individuals. Among these, just over 180,000 (17.7%) had at least one unmet need. In nearly half the cases, elderly with unmet needs receive insufficient support for 2 activities or more. Furthermore, house cleaning, house maintenance and outdoor work are the three activities with the highest prevalence of unmet needs. Finally, the younger seniors, those who require assistance for 3 or 4 activities and those living in Quebec and British Columbia are most likely to have unmet needs.

Résumé

S’appuyant sur les données de l’Enquête sociale générale 2002, cette recherche brosse un portrait global des besoins non comblés (BNC) de services à domicile parmi les Canadiens âgés de 65 ans et plus. Il en ressort que 26,8% des aînés ont besoin d’assistance, soit environ 1 024 000 individus et que, parmi ceux-ci, un peu plus de 180 000 (17,7%) ont des BNC. Dans près de la moitié des cas, ces individus avec des BNC reçoivent une aide insuffisante pour au moins 2 activités. Par ailleurs, les travaux ménagers, l’entretien de la maison et les travaux extérieurs sont les trois activités où l’on retrouve la plus grande prévalence de BNC. Enfin, les aînés les moins âgés, ceux ayant besoin d’assistance pour 3 ou 4 activités et ceux habitant le Québec et la Colombie-Britannique sont les plus susceptibles d’avoir des BNC.

Keywords

unmet needsneed for assistancehome care servicesseniorsactivity limitationsGSS 2002besoins non comblésbesoin d’assistanceservices à domicilepersonnes âgéslimitations d’activitésESG 2002
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 31 , Issue 3 , September 2012 , pp. 271 - 283
Copyright
Copyright © Canadian Association on Gerontology 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

*

Nous aimerions remercier Mme Janice Keefe et son équipe du Mount St-Vincent University (MSVU) financée par les Instituts de recherche en santé du Canada (IRSC) pour leur soutien intellectuel et pécuniaire. Merci également à Mme Joëlle Gaymu pour la supervision d’un stage de M-A Busque à l’Institut national d’études démographiques (Ined) financé par le Population Change and Lifecourse Strategic Knowledge Cluster.

References

Bibliographie

Allen, S.M., & Mor, V. (1997a). Unmet need in the community: The Springfield study. In To improve health and health care 1997: The Robert Wood Johnson Foundation anthology (pp. 132–160). San Francisco, CA: Jossey-Bass.Google Scholar
Allen, S.M., & Mor, V. (1997b). The prevalence and consequences of unmet need: Contrasts between older and younger adults with disability. Medical Care, 35(11), 1132–1148.Google Scholar
Chen, J., & Wilkins, R. (1998). Les besoins des personnes âgées en matière d’aide personnelle. Statistique Canada, Rapports sur la santé, 10(1), 41–53.Google Scholar
Davin, B., Joutard, X., Moatti, J.P., Paraponaris, A., & Verger, P. (2006). Besoins et insuffisance d’aide humaine aux personnes âgées à domicile: Une approche à partir de l’enquête “Handicaps, incapacités, dépendance. Sciences sociales et santé, 24(3), 59–93.Google Scholar
Denton, M. (1997). The Linkages between Informal and Formal Care of the Elderly. Canadian Journal on Aging / La Revue canadienne du vieillissement, 16(1), 30–50.Google Scholar
Desai, M.M., Lentzner, H.R., & Dawson Weeks, J. (2001). Unmet need for personal assistance with activities of daily living among older adults. The Gerontologist, 41(1), 82–88.CrossRefGoogle ScholarPubMed
Fast, J., Keating, N., Otfinowski, P., & Derksen, L. (2004). Characteristics of family/friend care networks of frail seniors. Canadian Journal on Aging, 23(1), 5–19.Google Scholar
Gibson, M.J., & Verma, S.K. (2006). Just getting By: Unmet need for personal assistance services among persons 50 or older with disabilities. AARP Public Policy Institute, Issue Paper #2006-25.Google Scholar
Grabbe, L., Demi, A., Whittington, F., Jones, J., Branch, L., & Lambert, R. (1995). Functional status and the use of formal home care in the year before death. Journal of Aging and Health, 7(3), 339–364.CrossRefGoogle ScholarPubMed
Harrow, B., Tennstedt, S., & Mckinlay, J. (1995). How costly is it to care for disabled elders in a community setting? The Gerontologist, 35(6), 803–813.Google Scholar
Havens, B., Donovan, C., & Hollander, M. (2001). Policies that have positive or negative impacts on informal care in Canada. Presentation to the International Association of Gerontology, Vancouver, BC.Google Scholar
Hébert, R., Dubuc, N., Buteau, M., Roy, C., Desrosiers, J., Bravo, G., et al. . (1997). Services requis par les personnes âgées en perte d’autonomie: Évaluation clinique et estimation des coûts selon le milieu de vie. Collection Études et analyses, no 33. Québec, Canada: Ministère de la Santé et des Services sociaux, Direction de la recherche et de l’évaluation.Google Scholar
Jackson, M.E. (1991). Prevalence and correlates of unmet need among the elderly with ADL disabilities. Washington, DC: US Department of Health and Human Services, Assistant Secretary of Planning and Evaluation, Office of Disability, Aging and Long-Term Care Policy.Google Scholar
Johnson, R.W., Toohey, D., & Wiener, J.M. (2007). Meeting the long-term care needs of the baby boomers: How changing families will affect paid helpers and institutions. The Retirement Project, Discussion Paper 07–04, Urban Institute.Google Scholar
Johnson, R.J., & Wolinsky, F.D. (1993). The structure of health status among older adults: Disease, disability, functional limitation, and perceived health. Journal of Health and Social Behavior, 34(2), 105–121.Google Scholar
Keefe, J. (1999). Human resource issues in home care: Comparative analysis of employment arrangements. Knowledge & Dissemination, Health Canada.Google Scholar
Keefe, J. (2002). Home and community care. In Sawyer, E. & Stephenson, M. (Eds.), Continuing the care: The issues and challenges for long term care (pp. 109–141). Ottawa, Ontario, Canada: CHA Press.Google Scholar
Keefe, J. (2004). Policy profile for compensating family caregivers: Canada. “Hidden Costs/Invisible Contributions: The Marginalization of Dependant Adults” research program.Google Scholar
Kennedy, J. (2001). Unmet and undermet need for activities of daily living and instrumental activities of daily living assistance among adults with disabilities: Estimates from the 1994 and 1995 disability follow-back surveys. Medical Care, 39(12), 1305–1312.Google Scholar
Komisar, H.L., Feder, J., & Kasper, J. (2005). Unmet long-term care needs: An analysis of Medicare-Medicaid dual eligibles. Inquiry, 42, 171–182.Google Scholar
Lafrenière, S., Carrière, Y., Martel, L., & Bélanger, A. (2003). Personnes âgées à domicile - sources d’aide. Rapports sur la santé, 14(4), 31–40.Google Scholar
Laplante, M.P., Kaye, S., Kang, T., & Harrington, C. (2004). Unmet need for personal assistance services: Estimating the shortfall in hours of help and adverse consequences. Journal of Gerontology: Social Sciences, 59B(4), S98–S108.CrossRefGoogle Scholar
Le Goff, P. (2002a). Les soins à domicile au Canada: problèmes économiques (PRB 02-29F). Direction de la recherche parlementaire, Bibliothèque du Parlement, 13 p.Google Scholar
Le Goff, P. (2002b). Les soins à domicile au Québec et en Ontario: structures et dépenses (PRB 02-31F). Direction de la recherche parlementaire, Bibliothèque du Parlement, 17 p.Google Scholar
Le Goff, P. (2002c). Les soins à domicile au Manitoba, en Saskatchewan, en Alberta et en Colombie-Britannique (PRB 02-32F). Direction de la recherche parlementaire, Bibliothèque du Parlement, 26 p.Google Scholar
Lévesque, L., Wolfson, C., Bergman, H., Béland, F., Trahan, L., & Perrault, A. (2004). Unmet needs for help and community-based services for elderly aged 75 years and over. Rapport de recherche, Fondation canadienne de la recherche sur les services de santé.Google Scholar
Lima, J.C., & Allen, S.M. (2001). Targeting risk for unmet need: Not enough help versus no help at all. Journal of Gerontology: Social Sciences, 56B(5), S302–S310.CrossRefGoogle Scholar
Manton, K.G. (1989). Epidemiological, demographic, and social correlates of disability among the elderly. Milbank Quarterly, 67(Suppl. 2, Part 1), 13–58.Google Scholar
Morrow-Howell, N., Proctor, E., & Rozario, P. (2001). How much is enough? Perspectives of care recipients and professionals on the sufficiency of in-home care. The Gerontologist, 41(6), 723–732.Google Scholar
Newcomer, R., Kang, T., Laplante, M., & Kaye, S. (2005). Living quarters and unmet need for personal care assistance among adults with disabilities. Journal of Gerontology: Social Sciences, 60B(4), S205–S213.Google Scholar
Paraponaris, A., Davin, B., Verger, P., Joutard, X., & Moatti, J.P. (2005). Évaluation des besoins d’aide non satisfaits des personnes âgées dépendantes vivant à domicile: Existe-t-il un effet répondant proxy? Présenté au 25e Congrès International de la Population, Tours, France. Retrieved fromhttp://iussp2005.princeton.edu/download.aspx?submissionId=51004.Google Scholar
Statistique Canada. (2010). Projections démographiques pour le Canada, les provinces et les territoires – 2009 à 2036. produit no 91-520 au catalogue de Statistique Canada, Ottawa, Ministre de l’Industrie.Google Scholar
Tennstedt, S., McKinlay, J., & Kasten, L. (1994). Unmet need among disabled elders: A problem in access to community care? Social Science and Medicine, 38(7), 915–924.Google Scholar
Williams, J., Lyons, B., & Rowland, D. (1997). Unmet long-term care needs of elderly people in the community: A review of the literature. Home Health Care Services Quarterly, 16(1, 2), 93–119.Google Scholar
Wolinsky, F.D., Callahan, C.M., Fitzgerald, J.F., & Johnson, R.J. (1992). The risk of nursing home placement and subsequent death among older adults. Journal of Gerontology: Social Sciences, 47, S173–S182.CrossRefGoogle ScholarPubMed