Factors Associated With Nursing-Home Entry for Elders in Manitoba, Canada

Abstract

Background. As the population ages, a greater demand for long-term care services and, in particular, nursing homes is expected. Policy analysts continue to search for alternative, less costly forms of care for the elderly and have attempted to develop programs to delay or prevent nursing-home entry. Health care administrators require information for planning the future demand for nursing-home services. This study assesses the relative importance of predisposing, enabling, and need characteristics in predicting and understanding nursing-home entry.

Transitions in living arrangements of Canadian seniors: Findings from the NPHS longitudinal data

“…This finding suggests that highly educated seniors are more likely to live independently and less likely to cohabit or institutionalize. Low education levels associated with a higher probability of institutionalization were found in earlier Canadian studies (Mustard et al, 1999;Tomiak et. al., 2000).…”

The effect of frailty on residential/nursing home admission in the Netherlands independent of chronic diseases and functional limitations

“…However, the use of baseline predictors offers little insight into the course of events leading to institutionalization and the effect of deteriorating health status (Gaugler et al 1999;Wolinsky et al 1993). A few studies have focused on the effect of change in predictors other than frailty and found that change in care needs (Tomiak et al 2000), such as an deterioration in advanced ADL's and in increase of lower body limitations, (Wolinsky et al 1993;Scott et al 1997), predicted institutionalization.…”

“…Several authors state that relatively few longitudinal data are available on predictors for institutionalization in representative community-based populations (Bharucha et al 2004;Nuotio et al 2003;Tomiak et al 2000;Wang et al 2001). One of those studies with representative longitudinal data was conducted in the USA (Bharucha et al 2004), the other studies were conducted in Finland (Nuotio et al 2003), Canada (Tomiak et al 2000) and Australia (Wang et al 2001).…”

“…One of those studies with representative longitudinal data was conducted in the USA (Bharucha et al 2004), the other studies were conducted in Finland (Nuotio et al 2003), Canada (Tomiak et al 2000) and Australia (Wang et al 2001). Bharucha et al (2004) found that dementia and medical burden were important predictors for institutionalization in the USA.…”

“…Bharucha et al (2004) found that dementia and medical burden were important predictors for institutionalization in the USA. In Canada Tomiak et al (2000) showed that age and specific medial conditions and functional limitations predicted nursing home admission. Nuotio et al (2003) found that age, urge incontinence, depressive symptoms for men only and living alone only for women predicted institutionalization in Finland.…”