Long-Term Care Trajectories in Canadian Context: Patterns and Predictors of Publicly Funded Care
Date
2016-08-24
Authors
Penning, Margaret J.
Cloutier, Denise
Nuernberger, Kim
MacDonald, Stuart W.S.
Taylor, Deanne
Journal Title
Journal ISSN
Volume Title
Publisher
The Journals of Gerontology: Series B
Abstract
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.
Methods.
Latent class and latent transition analyses were conducted using administrative data obtained over a 4-year period for clients aged 65 and over (n=2,951) admitted into publicly-funded LTC in one Canadian health region.
Results.
Four main LTC trajectories were identified within which a wider range of more specific or secondary sub-trajectories 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.
Description
Keywords
Latent class analysis, Latent transition analysis, Long-term care trajectories, Structural life course perspective
Citation
Penning, M.J., Cloutier, D.S., Nuernberger,K. MacDonald S.W.S. & Taylor, D. (2016). Long-term Care Trajectories in Canadian Context: Patterns and Predictors of Publicly Funded Care. The Journals of Gerontology: Series B, 00(00), 1-11. https://doi.org/10.1093/geronb/gbw104