title: Location, Location, Location: Characteristics and Services of Long-Stay Home Care Recipients in Retirement Homes Compared to Others in Private Homes and Long-Term Care Homes.
abstract: We examine recipients of publicly funded ongoing care in a single Ontario jurisdiction who reside in three different settings: long-stay home care patients in private homes and apartments, other patients in retirement homes and residents of long-term care homes, using interRAI assessment instruments. Among home care patients, those in retirement homes have higher proportions of dementia and moderate cognitive impairment, less supportive informal care systems as well as more personal care and nursing services above those provided by the public home care system, more frequent but shorter home support visits and lower than expected public home care expenditures. These lower expenditures may be because of efficiency of care delivery or by retirement homes providing some services otherwise provided by the public home care system. Although persons in each setting are mostly older adults with high degrees of frailty and medical complexity, long-term care home residents show distinctly higher needs. We estimate that 40% of retirement home residents are long-stay home care patients, and they comprise about one in six of this Community Care Access Centre's long-stay patients.
authors.affiliation: Associate Adjunct Professor, School of Public Health and Health Systems, University of Waterloo, Waterloo, ON.
authors.forename: Jeffrey W
authors.initials: JW
authors.lastname: Poss
authors.affiliation: PhD Candidate, Aging, Health, and Well-Being, School of Public Health and Health Systems, University of Waterloo, Waterloo, ON.
authors.forename: Chi-Ling Joanna
authors.initials: CJ
authors.lastname: Sinn
authors.affiliation: Manager, Decision Support, Hamilton Niagara Haldimand Brant Community Care Access Centre, Hamilton, ON.
authors.forename: Galina
authors.initials: G
authors.lastname: Grinchenko
authors.affiliation: Director of Decision Support, Hamilton Niagara Haldimand Brant Community Care Access Centre, Hamilton, ON.
authors.forename: Jane
authors.initials: J
authors.lastname: Blums
authors.affiliation: Vice President Quality, Performance & Chief Innovation Officer, Hamilton Niagara Haldimand Brant Community Care Access Centre, Hamilton, ON.
authors.forename: Tom
authors.initials: T
authors.lastname: Peirce
authors.affiliation: Professor, School of Public Health and Health Systems, University of Waterloo, Waterloo, ON.
authors.forename: John
authors.initials: J
authors.lastname: Hirdes
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006699:Home Care Services / Q000458:organization & administration* / Q000706:statistics & numerical data; D006707:Homes for the Aged / Q000458:organization & administration* / Q000706:statistics & numerical data; D006801:Humans; D008134:Long-Term Care / Q000458:organization & administration* / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes / Q000458:organization & administration* / Q000706:statistics & numerical data; D009864:Ontario