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

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dc.contributor.authorPenning, Margaret J.
dc.contributor.authorCloutier, Denise
dc.contributor.authorNuernberger, Kim
dc.contributor.authorMacDonald, Stuart W.S.
dc.contributor.authorTaylor, Deanne
dc.date.accessioned2017-09-13T16:28:37Z
dc.date.available2017-09-13T16:28:37Z
dc.date.copyright2016en_US
dc.date.issued2016-08-24
dc.description.abstractObjectives. 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.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipThis 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.identifier.citationPenning, 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/gbw104en_US
dc.identifier.urihttps://doi.org/10.1093/geronb/gbw104
dc.identifier.urihttp://hdl.handle.net/1828/8564
dc.language.isoenen_US
dc.publisherThe Journals of Gerontology: Series Ben_US
dc.subjectLatent class analysis
dc.subjectLatent transition analysis
dc.subjectLong-term care trajectories
dc.subjectStructural life course perspective
dc.subjectInstitute on Aging and Lifelong Health
dc.subject.departmentDepartment of Geography
dc.subject.departmentDepartment of Sociology
dc.subject.departmentDepartment of Psychology
dc.titleLong-Term Care Trajectories in Canadian Context: Patterns and Predictors of Publicly Funded Careen_US
dc.typePostprinten_US

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