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You searched for id:"handle:10012/14978". One record found.

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University of Waterloo

1. Sinn, Chi-Ling Joanna. From Less Invisible to More Transparent: Need for and Outcomes of Formal Personal Support Services in Long-Stay and Short-Stay Home and Community Care.

Degree: 2019, University of Waterloo

Background: Home and community care is a critical part of an effective health care system. For many clients and families, home and community care services provide the necessary supports so they can manage various short- and long-term needs effectively and safely in their homes. In Ontario, personal support and homemaking (PS/HM) services account for three-quarters of all publicly funded home care services. PS/HM services assist clients with basic self-care and other tasks known as Activities of Daily Living and Instrumental Activities of Daily Living. Yet the processes for determining eligibility, priority, and allocation of publicly funded PS/HM services are neither consistent between Local Health Integration Networks (LHINs) nor accessible to clients and families. Client outcomes attributable to PS/HM service provision are also poorly understood. The overarching goal of this thesis is to develop and refine decision support tools to guide the allocation of publicly funded PS/HM services, and to characterise the relationship between the quantity of publicly funded PS/HM services and outcomes. Study 1: Across Canada, Ontario is the sole province that has implemented the interRAI Home Care (HC), interRAI Community Health Assessment (CHA), and interRAI Contact Assessment (CA). The HC and CHA are standardised comprehensive assessments developed to assess the needs, values, and preferences of adults receiving services in home and community-based settings. The CA although much briefer follows the same interRAI standard, allowing direct comparisons across the three populations. To date, there is little published evidence on Ontario’s CA- and CHA-assessed populations. This chapter comprised of four sub-chapters based on a single retrospective cohort of unique clients (age ≥18 years) newly admitted to Ontario’s publicly funded home care program between April 1, 2016 and March 31, 2017 and assessed with the CA or HC (n=268,667) and unique clients assessed with the CHA between April 1, 2015 and March 31, 2016 (n=15,307). Sub-study A identified unique characteristics and service use patterns among Ontario’s public home and community care clients assessed with the CA, HC, and CHA. Sub-study B modelled the relationship between the Assessment Urgency Algorithm (AUA) and time to HC assessment using cumulative incidence competing risk and Kaplan-Meier methods. Higher AUA levels are strongly associated with greater likelihood of receiving an HC assessment and shorter time to HC assessment, although 26.6% of clients in the highest AUA level were not subsequently assessed. The AUA calculated from the CA at intake is also moderately positively correlated with the Method for Assigning Priority Levels (MAPLe) algorithm that is used to guide decisions related to eligibility and priority for services and long-term care placement following the HC assessment. Sub-study C investigated the agreement between the receipt of publicly funded PS/HM services after the CA and HC. Three multivariable logistic models were fit to identify predictors…

Subjects/Keywords: home care; community care; personal support; home support; decision support; interRAI

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Sinn, C. J. (2019). From Less Invisible to More Transparent: Need for and Outcomes of Formal Personal Support Services in Long-Stay and Short-Stay Home and Community Care. (Thesis). University of Waterloo. Retrieved from http://hdl.handle.net/10012/14978

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16th Edition):

Sinn, Chi-Ling Joanna. “From Less Invisible to More Transparent: Need for and Outcomes of Formal Personal Support Services in Long-Stay and Short-Stay Home and Community Care.” 2019. Thesis, University of Waterloo. Accessed September 21, 2019. http://hdl.handle.net/10012/14978.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7th Edition):

Sinn, Chi-Ling Joanna. “From Less Invisible to More Transparent: Need for and Outcomes of Formal Personal Support Services in Long-Stay and Short-Stay Home and Community Care.” 2019. Web. 21 Sep 2019.

Vancouver:

Sinn CJ. From Less Invisible to More Transparent: Need for and Outcomes of Formal Personal Support Services in Long-Stay and Short-Stay Home and Community Care. [Internet] [Thesis]. University of Waterloo; 2019. [cited 2019 Sep 21]. Available from: http://hdl.handle.net/10012/14978.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Sinn CJ. From Less Invisible to More Transparent: Need for and Outcomes of Formal Personal Support Services in Long-Stay and Short-Stay Home and Community Care. [Thesis]. University of Waterloo; 2019. Available from: http://hdl.handle.net/10012/14978

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

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