The Role of Community-Based Care Capacity in Shaping Risk of Long-Term Care Facility Placement

Abstract

The Role of Community-Based Care Capacity in Shaping Risk of Long-Term Care Facility Placement AbstractObjectives: Across the developed world, wait lists for facility-based long-term care (LTC) beds continue to grow. Wait lists are primarily driven by the needs of aging populations (demandside factors). Less attention has been given to system capacity to provide community alternatives to LTC (supply-side factors). We examine the role of both demand-and supply-side factors by comparing the characteristics of individuals who have been assessed and deemed eligible for LTC in urban and rural/underserviced parts of northwestern Ontario, Canada.Methods: Home care assessment data were analyzed for all individuals waiting for LTC in northwestern Ontario as of march 2008 (n=858). for the analysis, the sample was separated into urban and rural groups to account for geographical differences in wait list location. Characteristics between these two groups were compared. Results: Individuals on LTC wait lists in the rural areas were significantly less impaired in activities of daily living and cognition than their counterparts in the urban area. However, in both areas, impairments in lighter-care activities appeared to be a key wait list driver, and few people had an informal caregiver living in the home. Conclusions: Our data suggest that LTC wait lists reflect, at least to some extent, insufficient community capacity, not just need for LTC.

Trust in a viable real estate economy with disruption and blockchain

“…In short, a growing number of oldest old Canadians will require increasingly comprehensive health and support services for daily living, and the government and personal pension and capital income to pay for such services. In Canada, with 36 million people spread across geographically the second largest country in the world, access to and provision of health and other support services will be unequally distributed across rural, northern and urban areas, with the oldest-old in rural areas more likely to at some point be resident in government-funded supported living and long-term care facilities, while those in urban areas will be more likely to be resident in their own homes for a lengthier time due to accessibility to home care supports, or living in corporate-owned supported living and long-term care facilities (Kulusky et al, 2012). This paper will examine the relationships between population aging and the growth of the oldest old population in Canada, access to health care and support services, and real estate decision making both for the individual oldest old individual, and for the providers of services to this population.…”

“…In the larger cities and surrounding areas, the range of health and social support services available to the oldest old population will be extensive, though one-quarter will already be living in some form of collective housing, increasing to more than 50% by age 95 (Statistics Canada, 2017b;Kulusky et al, 2012. In smaller cities, towns and rural areas, where those aged 85 and older will make up proportionately more of the local population, the range of health and support services will be more restricted, leading to even higher proportions of the oldest old living in some form of collective housing (Kulusky et al, 2012;Kitchen et al, 2011).…”

“…In smaller cities, towns and rural areas, where those aged 85 and older will make up proportionately more of the local population, the range of health and support services will be more restricted, leading to even higher proportions of the oldest old living in some form of collective housing (Kulusky et al, 2012;Kitchen et al, 2011).…”

Impact of the Community-Based Active Monitoring Program on the Long Term Care Services Use and In-Patient Admissions of the Over-74 Population

“…Social isolation increases in the over-74 population and it is a risk factor for death and Long Term Care (LTC) use [1]- [4]. In the summer of 2003 the heat wave that hit Southern Europe provoked about 20,000 of unexpected deaths [5] [6], mainly among over-74 citizens living alone.…”

Towards a Community-Based Dementia Care Strategy: How do We Get There from Here?

“…While proactive community-based care is highly important to help maintain the independence of frail and vulnerable older adults, it is not always easily accessible, with access varying considerably within and across jurisdictions and becoming particularly problematic outside of urban centres (Kuluski et al 2012a(Kuluski et al , 2012bMorton-Chang 2015;Morton 2010).…”