Resources and costs associated with disabilities of elderly people living at home and in institutions

Citation
R. Hebert et al., Resources and costs associated with disabilities of elderly people living at home and in institutions, CAN J AGING, 20(1), 2001, pp. 1-21
Citations number
47
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Public Health & Health Care Science
Journal title
CANADIAN JOURNAL ON AGING-REVUE CANADIENNE DU VIEILLISSEMENT
ISSN journal
0714-9808 → ACNP
Volume
20
Issue
1
Year of publication
2001
Pages
1 - 21
Database
ISI
SICI code
0714-9808(200121)20:1<1:RACAWD>2.0.ZU;2-M
Abstract
This study was carried out on a representative sample of elderly people Liv ing at home (n = 300), in intermediate facilities (n = 271) and nursing hom es (n = 774) from metropolitan, urban and rural areas in the Province of Qu ebec (Canada) in order to: 1) determine the level of disabilities and resou rces involved in the care of elderly people living at home or in institutio nal settings; 2) estimate the costs (public, private, voluntary) of these r esources; 3) compare the costs according to the level of disability; and 4) predict the costs associated with disabilities. Results show that there we re significant differences but large overlap in the disability level, cogni tive status and nursing care needed and received between participants from the three settings. The disability score explained 85 per cent of the varia nce in nursing care time and 55 per cent (home), 15 per cent (intermediate facilities) and 68 per cent (nursing homes) of the variance in the cost. Nu rsing care was responsible for most of the cost in all settings. The total societal cost of home care was greater than the cost of intermediate facili ties for elderly participants with a disability score over 7.4 and greater even than the cost of nursing homes for a score over 38.7.