scholarly journals L'utilisation des services de centre de jour par les personnes âgées qui présentent des incapacités

2007 ◽  
Vol 26 (3) ◽  
pp. 255-274 ◽  
Author(s):  
Jacinthe Savard ◽  
Nicole Leduc ◽  
Paule Lebel ◽  
François Béland ◽  
Howard Bergman
Keyword(s):  
Home Care ◽  
Day Care ◽  
Daily Life ◽  
Secondary Analysis ◽  
Home Care Services ◽  
Adult Day Care ◽  
Catchment Population ◽  
Daily Life Activities ◽  
Care Services ◽  
University Degree

ABSTRACTThis study consists of a secondary analysis of data collected during the SIPA demonstration project. Its purpose is to identify the proportion of Adult Day Care (ADC) users as well as the determinants of use in this group of persons 65 years old and over receiving home care services in Montreal. Results show that 18.8% of the sample have at least one ADC presence during a 6 months study period. The following factors increase the probability of ADC use: being younger; not having a university degree; being born outside of Canada or for persons born in Canada, living with a caregiver; receiving help from the CLSC for daily life activities more than once a week; being in the catchment population of an ADC which fees are lower; and for men only, having had a stroke or presenting more functional incapacities.

Day Care for Sick Children

PEDIATRICS ◽  
1987 ◽  
Vol 80 (4) ◽  
pp. 598-598
Author(s):  
NEAL R. WEINBERG
Keyword(s):  
Home Care ◽  
Day Care ◽  
Parental Leave ◽  
Home Care Services ◽  
Working Parents ◽  
Full Agreement ◽  
Day Care Centers ◽  
Care Services ◽  
Sick Children ◽  
The Cost

To the Editor.— Dr Sterne's commentary (Pediatrics 1987;79:445-446) on day care for sick children presented a succinct summary of the dilemmas faced by working parents and the current options available to them when their children are ill. I am in full agreement that ideally there should be liberalized parental leave policies as well as improved understanding and acceptance of certain minor illnesses by existing day-care centers. However, because of the cost, it is doubtful that corporations can or will pay for home care services, which are twice as costly as an infirmary model, or will they be willing to grant additional paid days off to parents.

Case Manager Work and Workload: Uncovering a Wicked Problem—A Secondary Analysis Using Interpretive Description

2018 ◽  
Vol 31 (2) ◽  
pp. 83-91
Author(s):  
K. D. Fraser ◽  
L. Garland Baird ◽  
S. Labonte ◽  
H. O’Rourke ◽  
N. S. Punjani
Keyword(s):  
Home Care ◽  
Secondary Analysis ◽  
Case Manager ◽  
Home Care Services ◽  
Case Managers ◽  
Wicked Problem ◽  
Interpretive Description ◽  
Care Services ◽  
Workload Measurement ◽  
Measurement Tools

Canada’s population is aging, and by 2027, it is expected that 22 million people will be older than 65 years. Home care services were used by 2.2 million individuals, or 8% of Canadians 15 years of age and older in 2012. Home care programs are continually expanding to meet the needs of the growing number of clients, and goals include keeping people in their homes for as long as possible, delaying the need for institutional care, and maintaining quality of life. Case managers are the gatekeepers to home care in Canada. They collaborate with families to plan care, coordinate home care services and community supports, as well as monitor client progress and evaluate outcomes. The aim of our study was to conduct a qualitative secondary analysis to understand the factors that influence case manager work and workload in home care. We completed a secondary analysis of four data sets from four primary studies of related concepts that occurred between 2006 and 2013. Our study design was inductively driven using the tenets of interpretive description. Case managers’ work and workloads are messy and affected by interrelated complex structures of home care programs within health care systems. The concept of a wicked problem, which describes a problem that is complex and intractable, is a useful construct we use to gain some clarity around the work and workload problems that case managers face. Case managers aim to make a positive difference in their client’s lives, but are constantly dealing with change, and can experience feelings of being their client’s last resort with the resulting pressure ultimately impacting their workload. In addition, case managers reported health system failures, including a lack of capacity and structural integration within home care programs that increase their work and workload. Case manager work and workload requires further research including the development and refinement of accurate workload measurement tools that consider the multiple aspects of professional responsibilities and case management activities. Workload and workload measurement tools are needed to account for the unplanned and unpredictable nature of case management work and assist with the distribution of more equitable caseloads among case managers and home care teams.

scholarly journals BEHAVIORAL SYMPTOMS OF OLDER ADULTS WITH DEMENTIA: COMPARISON OF DAY CARE AND HOME CARE SERVICES

2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 136-136
Author(s):  
J Chung ◽  
T Lee ◽  
E Yim ◽  
H Choi
Keyword(s):  
Older Adults ◽  
Home Care ◽  
Day Care ◽  
Home Care Services ◽  
Behavioral Symptoms ◽  
Care Services

Confidence in Home Care Services Questionnaire

2006 ◽  
Author(s):  
Janice D. Crist ◽  
Humberto Velazquez ◽  
Ian Durnan ◽  
Diana Ramirez Figueroa
Keyword(s):  
Home Care ◽  
Home Care Services ◽  
Care Services

scholarly journals Differences in the Effectiveness of Long-Acting Injection and Orally Administered Antipsychotics in Reducing Rehospitalization among Patients with Schizophrenia Receiving Home Care Services

2019 ◽  
Vol 8 (6) ◽  
pp. 823
Author(s):  
Hsiao-Fen Hsu ◽  
Chia-Chan Kao ◽  
Ti Lu ◽  
Jeremy C. Ying ◽  
Sheng-Yu Lee
Keyword(s):  
Treatment Group ◽  
Home Care ◽  
Second Generation ◽  
Home Care Services ◽  
Rehospitalization Rate ◽  
Treatment Groups ◽  
Psychiatric Rehospitalization ◽  
Care Services ◽  
Long Acting

The current study explored the differences in the effectiveness of first and second generation long-acting injections and orally administered antipsychotics in reducing the rehospitalization rate among patients with schizophrenia receiving home care services in a medical center in Southern Taiwan. Longitudinal data between 1 January 2006, and 31 December 2015, were collected retrospectively. Patients were classified into three treatment groups: First generation antipsychotic (FGA) long-acting injection (LAI), second generation antipsychotic long-acting injection (SGA) (LAI), and oral antipsychotics. The primary outcomes were the rehospitalization rate and the follow-up time (duration of receiving home care services) until psychiatric rehospitalization. A total of 78 patients with schizophrenia were recruited. The average observation time was about 40 months. The oral treatment group tended to be older with a higher number of female patients and a lower level of education. The FGA treatment group tended to have a higher frequency and duration of hospitalization before receiving home care services. We found no significant differences in the follow-up time or psychiatric rehospitalization rate after receiving home care services among the three treatment groups. We propose that oral and LAI antipsychotics were equally effective when patients received home care services. Our results can serve as a reference for the choice of treatment for patients with schizophrenia in a home care program.

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