Over the past two decades, there has been rapid expansion of demand for home care services, including large growth in clients receiving home care after acute care hospitalization or as substitution for acute care hospitalization. Most research on home care has focused on clinical and cost-effectiveness of home care for specific client conditions. There is very little research about use of home care services and how use or consumption of home care services, particularly home care nursing services, relate to health system outcomes, particularly with the post-acute home care client group. This study examines utilization of home care nursing services for the post-acute category of home care clients and explores relationships between home care nursing service utilization and health system outcomes.
The focus of this study is to describe structural characteristics of home care nursing services used by a large population of Ontario post-acute home care clients. Similarities and differences across Ontario CCACs and across nursing service provider agencies within CCACs will be explored. Knowledge of equity, access and quality issues in the delivery of home care nursing services across Ontario will be produced and disseminated.
This research will answer the following two questions:
1. What are the structural characteristics of nursing care provided to Ontario post-acute home care clients (e.g. frequency of visits, amount of nursing care provided over episode, etc.) by CCAC and by provider agencies within each CCAC?
2. Are there differences in these structural characteristics of nursing care across Community Care Access Centres (CCACs) and provider agencies within CCACs (after adjusting for client characteristic, case mix group [CMG], and other services provided)?
This study is being conducted by a team of researchers from the University of Toronto: Ann Tourangeau, Andrea Baumann and Sean Clarke. The study is funded by the Ontario Ministry of Health and Long-term Care.