Regional variations of care in home care and long-term care: a retrospective cohort study.

ABSTRACT: BACKGROUND:Many aging adults undergo progressive loss of autonomy, develop increasingly complex medical needs and experience multiple care transitions. We sought to determine the degree of variation in rates of transfer from home care services and long-term care in several Canadian jurisdictions. METHODS:In this retrospective cohort study, we examined transitions from home care services and long-term care to different possible end states: change in health stability (getting better or worse), transfer to hospital, transfer to another care setting or death. We used standardized interRAI assessments from long-term care and home care linked to hospital records (data from the Discharge Abstract Database and National Ambulatory Care Reporting System) from 2010 to 2016. Multistate modelling was u

SUBMITTER: Hebert PC 

PROVIDER: S-EPMC6527434 | biostudies-literature | 2019 Apr-Jun

REPOSITORIES: biostudies-literature