Long-term Care Trajectories in Canadian Context : Patterns and Predictors of Publicly Funded Care
Objectives: Drawing on a structural life course perspective (LCP), we examined the most common trajectories experienced by older long-term care (LTC; home and community-based care, assisted living, and nursing home care) recipients. The overall sequencing of care transitions was considered along with the role of social structural location, social and economic resources, and health factors in influencing them.
Method: Latent class and latent transition analyses were conducted using administrative data obtained over a 4-year period for clients aged 65 and older (n = 2,951) admitted into publicly funded LTC in 1 Canadian health region.
Results: Four main LTC trajectories were identified within which a wider range of more specific or secondary subtrajectories were embedded. These were shaped by social structural factors (age, gender, rural-urban residence), social and economic resources (marital status, income, payment for services), and health factors (chronic conditions, functional and cognitive impairment and decline, problematic behaviors).
Discussion: Our findings support the utility of a structural LCP for understanding LTC trajectories in later life. In doing so, they also reveal avenues for enhancing equitable access to care and the need for options that would increase continuity and minimize unnecessary, untimely, or undesirable transitions.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2018 |
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| Erschienen: |
2018 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:73 |
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| Enthalten in: |
The journals of gerontology. Series B, Psychological sciences and social sciences - 73(2018), 6 vom: 14. Aug., Seite 1077-1087 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Penning, Margaret J [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 12.08.2019 Date Revised 30.03.2022 published: Print Citation Status MEDLINE |
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| doi: |
10.1093/geronb/gbw104 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM263732983 |
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| 100 | 1 | |a Penning, Margaret J |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Long-term Care Trajectories in Canadian Context |b Patterns and Predictors of Publicly Funded Care |
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| 500 | |a Date Completed 12.08.2019 | ||
| 500 | |a Date Revised 30.03.2022 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Objectives: Drawing on a structural life course perspective (LCP), we examined the most common trajectories experienced by older long-term care (LTC; home and community-based care, assisted living, and nursing home care) recipients. The overall sequencing of care transitions was considered along with the role of social structural location, social and economic resources, and health factors in influencing them | ||
| 520 | |a Method: Latent class and latent transition analyses were conducted using administrative data obtained over a 4-year period for clients aged 65 and older (n = 2,951) admitted into publicly funded LTC in 1 Canadian health region | ||
| 520 | |a Results: Four main LTC trajectories were identified within which a wider range of more specific or secondary subtrajectories were embedded. These were shaped by social structural factors (age, gender, rural-urban residence), social and economic resources (marital status, income, payment for services), and health factors (chronic conditions, functional and cognitive impairment and decline, problematic behaviors) | ||
| 520 | |a Discussion: Our findings support the utility of a structural LCP for understanding LTC trajectories in later life. In doing so, they also reveal avenues for enhancing equitable access to care and the need for options that would increase continuity and minimize unnecessary, untimely, or undesirable transitions | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 700 | 1 | |a Cloutier, Denise S |e verfasserin |4 aut | |
| 700 | 1 | |a Nuernberger, Kim |e verfasserin |4 aut | |
| 700 | 1 | |a MacDonald, Stuart W S |e verfasserin |4 aut | |
| 700 | 1 | |a Taylor, Deanne |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t The journals of gerontology. Series B, Psychological sciences and social sciences |d 1997 |g 73(2018), 6 vom: 14. Aug., Seite 1077-1087 |w (DE-627)NLM075178745 |x 1758-5368 |7 nnns |
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