Long-Term Care Trajectories in Canadian Context: Patterns and Predictors of Publicly Funded Care

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dc.contributor.author Penning, Margaret J.
dc.contributor.author Cloutier, Denise S.
dc.contributor.author Nuernberger, Kim
dc.contributor.author MacDonald, Stuart W.S.
dc.contributor.author Taylor, Deanne
dc.date.accessioned 2017-09-13T16:28:37Z
dc.date.available 2017-09-13T16:28:37Z
dc.date.copyright 2016 en_US
dc.date.issued 2016-08-24
dc.identifier.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 en_US
dc.identifier.uri https://doi.org/10.1093/geronb/gbw104
dc.identifier.uri https://dspace.library.uvic.ca//handle/1828/8564
dc.description.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. en_US
dc.description.sponsorship This work was supported by a grant from the Canadian Institutes for Health Research (CIHR): Partnerships in Health System Improvement (PHSI) Grant Program and the Michael Smith Foundation for Health Research (MSFHR) to Penning, Cloutier, et al., 2012-2016, CIHR #122184). It was carried out in partnership with the Fraser Health Authority, Province of British Columbia. en_US
dc.language.iso en en_US
dc.publisher The Journals of Gerontology: Series B en_US
dc.subject Latent class analysis en_US
dc.subject Latent transition analysis en_US
dc.subject Long-term care trajectories en_US
dc.subject Structural life course perspective en_US
dc.title Long-Term Care Trajectories in Canadian Context: Patterns and Predictors of Publicly Funded Care en_US
dc.type Postprint en_US
dc.description.scholarlevel Faculty en_US
dc.description.reviewstatus Reviewed en_US

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