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Waiting Time for Nursing Home Admission in a Voluntary Single-Entry System

Published online by Cambridge University Press:  29 November 2010

Laurence Thompson
Laurence Thompson
Affiliation:
Health Services Utilization and Research Commission, Saskatoon
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Abstract

As community services replace institutional beds, clients must be ensured ready access to nursing home care when truly required. This study explores predictors of waiting time for nursing home admission in a typical voluntary single-entry system in Saskatchewan. The study examined a district-wide cohort of 777 clients awaiting a first nursing home admission over two years in Saskatoon, Saskatchewan. Median waiting time was 107 days. In multivariate time-to-event analysis, independently assessed priority status predicted a three times greater rate of admission. Living alone, living in seniors housing attached to a nursing home, and being ambulatory only with assistance also shortened waiting time. Co-operation problems increased waiting time. The study shows that in a voluntary single-entry system, admission is not solely by priority status.

Résumé

La substitution des services communautaires aux lits en établissements doit s'accompagner d'un accès rapide aux centres d'accueil en cas de nécessité pressante. Cette étude explore les variables prédictives du délai d'admission en centre d'accueil dans un cas type d'admission simple volontaire en Saskatchewan. L'étude examine, sur une période de deux ans, un groupe de 777 sujets d'un même district attendant leur admission en centre d'accueil à Saskatoon, Saskatchewan. Le délai d'attente moyen s'elève à 107 jours. Dans cette analyse multivariable temps-événement, des facteurs de priorité évalués séparément donnaient lieu à un taux d'admission trois fois plus rapide. Vivre seul, vivre en résidence pour aînés adjacente à un centre d'accueil et ne pouvoir marcher sans aide raccourcissaient également le temps d'attente. Le manque de collaboration augmentait le délai d'admission. L'étude signale que dans un système d'admission volontaire simple, l'admission ne repose pas seulement sur les facteurs de priorité.

Keywords

Soins de longue duréeliste d'attentepoint d'accès uniqueanalyse de délai d'admissionSaskatchewancentres d'hébergementLong-term CareWaiting ListsSingle EntryTime-to-Event AnalysisSaskatchewanNursing Homes
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 16 , Issue 1 , Printemps/Spring 1997 , pp. 17 - 29
Copyright
Copyright © Canadian Association on Gerontology 1997

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