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. 2011 May;6(4):35-48.

Is it worthwhile to invest in home care?

Josée G Lavoie  1 , Evelyn L Forget, Matt Dahl, Patricia J Martens, John D O'Neil
Affiliations

Is it worthwhile to invest in home care?

Josée G Lavoie et al. Healthc Policy. 2011 May.

Abstract
in English, French

The objective of this study was to estimate the impact of the First Nations and Inuit Home and Community Care Program (FNIHCCP) on the rates of hospitalization for ambulatory care sensitive conditions (ACSCs) in the province of Manitoba. A population-based time trend analysis was conducted using the de-identified administrative data housed at the Manitoba Centre for Health Policy, including data from 1984/85 to 2004/05. Findings show a significant decline in the rates of hospitalization (all conditions) following the introduction of the FNIHCCP in communities served by health offices (p<0.0001), health centres (p<0.0001) and nursing stations (p=0.0022). Communities served by health offices or health centres also experienced a significant reduction in rates of hospitalization for chronic conditions (p<0.0001).The results of this study suggest that investment in home care resulted in a significant decline in rates of avoidable hospitalization, especially in communities that otherwise had limited access to primary healthcare.

Cette étude visait à estimer l'impact du Programme de soins à domicile et en milieu communautaire des Premières nations et des Inuits (PSDMCPNI) sur les taux d'hospitalisations liées à des conditions propices au traitement ambulatoire dans la province du Manitoba. Nous avons procédé à une analyse évolutive des tendances, fondée sur la population, à partir de données administratives anonymes recueillies par le Centre des politiques de santé du Manitoba, notamment celles de la période entre 1984-1985 et 2004-2005.

Les résultats indiquent un déclin significatif des taux d'hospitalisations (pour tous les états de santé) suite à la mise en place du PSDMCPNI dans les communautés desservies par les offices de la santé (p<0,0001), les centres de santé (p<0,0001) et les postes infirmiers (p=0,0022). Les communautés desservies par les offices ou les centres de santé ont également connu une réduction substantielle des taux d'hospitalisations pour les états chroniques (p<0,0001).

Les résultats de cette étude indiquent que l'investissement dans les soins à domicile a mené à un déclin significatif des taux d'hospitalisations évitables, particulièrement dans les communautés qui ont un accès limité aux soins de santé primaires.

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Figures

FIGURE 1.
FIGURE 1.
Adjusted rates per 1,000 population of hospitalization for ACSCs over time
FIGURE 2.
FIGURE 2.
Adjusted ACSC rates per 1,000 population by facility type
See this image and copyright information in PMC

References

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