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Is It Worthwhile to Invest in Home Care?

Overview
Journal Healthc Policy
Specialty Public Health
Date 2012 May 2
PMID 22548097
Citations 5
Authors
Josee G Lavoie
Evelyn L Forget
Matt Dahl
Patricia J Martens
John D ONeil
Affiliations
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Abstract

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.

Citing Articles

First Nations' hospital readmission ending in death: a potential sentinel indicator of inequity?.

Lavoie J, Phillips-Beck W, Kinew K, Kyoon-Achan G, Katz A Int J Circumpolar Health. 2020; 80(1):1859824.

PMID: 33308085 PMC: 7738285. DOI: 10.1080/22423982.2020.1859824.

The relationship between rates of hospitalization for ambulatory care sensitive conditions and local access to primary healthcare in Manitoba First Nations communities : Results from the Innovation in Community-based Primary Healthcare Supporting....

Lavoie J, Philips-Beck W, Kinew K, Kyoon-Achan G, Sinclair S, Katz A Can J Public Health. 2020; 112(2):219-230.

PMID: 33125638 PMC: 7910355. DOI: 10.17269/s41997-020-00421-3.

Underutilized and undertheorized: the use of hospitalization for ambulatory care sensitive conditions for assessing the extent to which primary healthcare services are meeting needs in British Columbia First Nation communities.

Lavoie J, Wong S, Ibrahim N, ONeil J, Green M, Ward A BMC Health Serv Res. 2019; 19(1):50.

PMID: 30658626 PMC: 6339420. DOI: 10.1186/s12913-018-3850-y.

Relation between family physician retention and avoidable hospital admission in Newfoundland and Labrador: a population-based cross-sectional study.

Knight J, Mathews M, Aubrey-Bassler K CMAJ Open. 2017; 5(4):E746-E752.

PMID: 28986347 PMC: 5741431. DOI: 10.9778/cmajo.20170007.

Opportunities and Barriers to Rural, Remote and First Nation Health Services Research in Canada: Comparing Access to Administrative Claims Data in Manitoba and British Columbia.

Lavoie J, Wong S, Katz A, Sinclair S Healthc Policy. 2016; 12(1):52-8.

PMID: 27585026 PMC: 5008131.

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