The effects of Quebec home aid services on the utilization profile of sociosanitory resources: A substitution study

Seniors at Risk: The Association between the Six-Month Use of Publicly Funded Home Support Services and Quality of Life and Use of Health Services for Older People

“…Our findings support and extend the findings of Hollander & Tessaro (2001) that home support services can play an important role in reducing the need for acute care resources and in keeping older people at home and out of (more expensive) institutions. Previous studies have focused only on the use of institutional care and selected community services as measures of cost (Contandriopoulos et al, 1986;Hollander & Tessaro, 2001;HSURC, 2000;Parent et al, 1999). Thus, what makes our study unique is that it measured the use and costs of the full range of health and social services.…”

“…Other studies have used health service utilization and mortality data as a proxy for health status, rather than measuring health status directly (Contandriopoulos et al, 1986;Hollander & Tessaro, 2001;HSURC, 2000). Thus, our study is unique in that we directly measured functional health status and related quality of life using a standardized instrument.…”

“…In the absence of the resources that best correspond to their needs, frail older people-who frequently experience a loss of autonomy, a lessening of their physical capabilities, or a chronic condition that prevents them from satisfying their own needsmust be directed toward specialized and often costly resources (Contandriopoulos et al, 1986).…”

“…Parent, Anderson, and Keresztes (1999) examined the effect of reducing home support services on home care clients in Ontario and found little effect on clients' health, use of other healthcare services, or mortality rates. Contandriopoulos, Tessier, and Larouche (1986), in a study with a pre/post design, reported that the use of home support services was not a significant variable with regard to the use of hospitals or other health services. On the other hand, Hollander and Tessaro (2001) compared individuals in British Columbia who received home support services with those who had had their services cut and found that the latter not only cost the health system more but also had higher mortality rates.…”

Seniors at Risk: The Association between the Six-Month Use of Publicly Funded Home Support Services and Quality of Life and Use of Health Services for Older People

“…Our findings support and extend the findings of Hollander & Tessaro (2001) that home support services can play an important role in reducing the need for acute care resources and in keeping older people at home and out of (more expensive) institutions. Previous studies have focused only on the use of institutional care and selected community services as measures of cost (Contandriopoulos et al, 1986;Hollander & Tessaro, 2001;HSURC, 2000;Parent et al, 1999). Thus, what makes our study unique is that it measured the use and costs of the full range of health and social services.…”

“…Other studies have used health service utilization and mortality data as a proxy for health status, rather than measuring health status directly (Contandriopoulos et al, 1986;Hollander & Tessaro, 2001;HSURC, 2000). Thus, our study is unique in that we directly measured functional health status and related quality of life using a standardized instrument.…”

“…In the absence of the resources that best correspond to their needs, frail older people-who frequently experience a loss of autonomy, a lessening of their physical capabilities, or a chronic condition that prevents them from satisfying their own needsmust be directed toward specialized and often costly resources (Contandriopoulos et al, 1986).…”

“…Parent, Anderson, and Keresztes (1999) examined the effect of reducing home support services on home care clients in Ontario and found little effect on clients' health, use of other healthcare services, or mortality rates. Contandriopoulos, Tessier, and Larouche (1986), in a study with a pre/post design, reported that the use of home support services was not a significant variable with regard to the use of hospitals or other health services. On the other hand, Hollander and Tessaro (2001) compared individuals in British Columbia who received home support services with those who had had their services cut and found that the latter not only cost the health system more but also had higher mortality rates.…”

Influence of Home Care on Life Satisfaction, Loneliness, and Perceived Life Stress

“…In part, this has been due to difficulty in obtaining a comparison group, combined with a lack of outcome measures that capture the full range of potential benefits. For instance, one of the first studies on home aid in Quebec, which used a non-equivalent control group design, found no evidence of the effectiveness of home support services (Contandriopoulos, Tessier, & Larouche, 1986). Moreover, the Health Services Utilization and Research Commission (HSURC, 2000) discovered that older adults receiving home support services had higher rates of mortality and health care costs than older adults not receiving them.…”

Seniors at Risk: The Association between the Six-Month Use of Publicly Funded Home Support Services and Quality of Life and Use of Health Services for Older People

“…Our findings support and extend the findings of Hollander & Tessaro (2001) that home support services can play an important role in reducing the need for acute care resources and in keeping older people at home and out of (more expensive) institutions. Previous studies have focused only on the use of institutional care and selected community services as measures of cost (Contandriopoulos et al, 1986;Hollander & Tessaro, 2001;HSURC, 2000;Parent et al, 1999). Thus, what makes our study unique is that it measured the use and costs of the full range of health and social services.…”

“…Other studies have used health service utilization and mortality data as a proxy for health status, rather than measuring health status directly (Contandriopoulos et al, 1986;Hollander & Tessaro, 2001;HSURC, 2000). Thus, our study is unique in that we directly measured functional health status and related quality of life using a standardized instrument.…”

“…In the absence of the resources that best correspond to their needs, frail older people-who frequently experience a loss of autonomy, a lessening of their physical capabilities, or a chronic condition that prevents them from satisfying their own needsmust be directed toward specialized and often costly resources (Contandriopoulos et al, 1986).…”

“…Parent, Anderson, and Keresztes (1999) examined the effect of reducing home support services on home care clients in Ontario and found little effect on clients' health, use of other healthcare services, or mortality rates. Contandriopoulos, Tessier, and Larouche (1986), in a study with a pre/post design, reported that the use of home support services was not a significant variable with regard to the use of hospitals or other health services. On the other hand, Hollander and Tessaro (2001) compared individuals in British Columbia who received home support services with those who had had their services cut and found that the latter not only cost the health system more but also had higher mortality rates.…”

Influence of Home Care on Life Satisfaction, Loneliness, and Perceived Life Stress

“…In part, this has been due to difficulty in obtaining a comparison group, combined with a lack of outcome measures that capture the full range of potential benefits. For instance, one of the first studies on home aid in Quebec, which used a non-equivalent control group design, found no evidence of the effectiveness of home support services (Contandriopoulos, Tessier, & Larouche, 1986). Moreover, the Health Services Utilization and Research Commission (HSURC, 2000) discovered that older adults receiving home support services had higher rates of mortality and health care costs than older adults not receiving them.…”

Seniors at Risk: The Association between the Six-Month Use of Publicly Funded Home Support Services and Quality of Life and Use of Health Services for Older People

“…Our findings support and extend the findings of Hollander & Tessaro (2001) that home support services can play an important role in reducing the need for acute care resources and in keeping older people at home and out of (more expensive) institutions. Previous studies have focused only on the use of institutional care and selected community services as measures of cost (Contandriopoulos et al, 1986;Hollander & Tessaro, 2001;HSURC, 2000;Parent et al, 1999). Thus, what makes our study unique is that it measured the use and costs of the full range of health and social services.…”

“…Other studies have used health service utilization and mortality data as a proxy for health status, rather than measuring health status directly (Contandriopoulos et al, 1986;Hollander & Tessaro, 2001;HSURC, 2000). Thus, our study is unique in that we directly measured functional health status and related quality of life using a standardized instrument.…”

“…In the absence of the resources that best correspond to their needs, frail older people-who frequently experience a loss of autonomy, a lessening of their physical capabilities, or a chronic condition that prevents them from satisfying their own needsmust be directed toward specialized and often costly resources (Contandriopoulos et al, 1986).…”

“…Parent, Anderson, and Keresztes (1999) examined the effect of reducing home support services on home care clients in Ontario and found little effect on clients' health, use of other healthcare services, or mortality rates. Contandriopoulos, Tessier, and Larouche (1986), in a study with a pre/post design, reported that the use of home support services was not a significant variable with regard to the use of hospitals or other health services. On the other hand, Hollander and Tessaro (2001) compared individuals in British Columbia who received home support services with those who had had their services cut and found that the latter not only cost the health system more but also had higher mortality rates.…”

Influence of Home Care on Life Satisfaction, Loneliness, and Perceived Life Stress

“…In part, this has been due to difficulty in obtaining a comparison group, combined with a lack of outcome measures that capture the full range of potential benefits. For instance, one of the first studies on home aid in Quebec, which used a non-equivalent control group design, found no evidence of the effectiveness of home support services (Contandriopoulos, Tessier, & Larouche, 1986). Moreover, the Health Services Utilization and Research Commission (HSURC, 2000) discovered that older adults receiving home support services had higher rates of mortality and health care costs than older adults not receiving them.…”