IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v119y2015i6p831-839.html
   My bibliography  Save this article

Factors associated with not receiving homecare, end-of-life homecare, or early homecare referral among cancer decedents: A population-based cohort study

Author

Listed:
  • Bainbridge, Daryl
  • Seow, Hsien
  • Sussman, Jonathan
  • Pond, Gregory
  • Barbera, Lisa

Abstract

Publicly funded homecare has been shown to reduce acute care use and improve quality of life for those nearing end-of-life (EOL). Yet despite the known benefits of homecare, many EOL cancer patients never receive these services. We used administrative data on all cancer decedents in Ontario, Canada in 2006 to determine predictive factors of not receiving homecare, not receiving EOL homecare, and late initiation of EOL homecare. 22,262 decedents met the eligibly criteria, 25% of whom never received homecare in the last six months of life. A logistic regression found that cancer disease site, having a comorbidity (OR: 1.15, 95% CI: 1.1–1.2), region of residence, shorter cancer survival (OR: 2.09, 95% CI: 1.8–2.4), being male (OR: 1.25, 95% CI: 1.2–1.3), lower income (OR: 1.06, 95% CI: 1.03–1.08), older age (OR: 1.03, 95% CI: 1.02–1.05), and less prior emergency department use were significant factors associated with not receiving homecare (p<0.001). Individuals with hematological cancer (OR: 1.57, 95% CI: 1.3–1.8) were less likely to receive homecare in their final months. Some of these covariates also predicted not receiving EOL homecare and late referral to these services (p<0.05). The systematic differences in homecare use that we identified can help to guide strategies for improving access to these important services.

Suggested Citation

  • Bainbridge, Daryl & Seow, Hsien & Sussman, Jonathan & Pond, Gregory & Barbera, Lisa, 2015. "Factors associated with not receiving homecare, end-of-life homecare, or early homecare referral among cancer decedents: A population-based cohort study," Health Policy, Elsevier, vol. 119(6), pages 831-839.
    • Handle: RePEc:eee:hepoli:v:119:y:2015:i:6:p:831-839
    DOI: 10.1016/j.healthpol.2014.11.019
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168851014003340
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.healthpol.2014.11.019?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. du Plessis, Valerie & Beshiri, Roland & Bollman, Ray D. & Clemenson, Heather, 2002. "Definitions of "Rural"," Agriculture and Rural Working Paper Series 28031, Statistics Canada.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Seow, Hsien & Arora, Anish & Barbera, Lisa & McGrail, Kim & Lawson, Beverley & Burge, Fred & Sutradhar, Rinku, 2018. "Does access to end-of-life homecare nursing differ by province and community size?: A population-based cohort study of cancer decedents across Canada," Health Policy, Elsevier, vol. 122(2), pages 134-139.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ligita Gasparėnienė & Rita Remeikienė & Colin C. Williams, 2022. "Unemployment and the Informal Economy," SpringerBriefs in Economics, Springer, number 978-3-030-96687-4, October.
    2. Thomas Verbeek & Ann Pisman & Georges Allaert, 2012. "The countryside in urbanized Flanders: towards a flexible definition for a dynamic policy," ERSA conference papers ersa12p476, European Regional Science Association.
    3. Luis Puigjaner & Mar Pérez-Fortes & José M. Laínez-Aguirre, 2015. "Towards a Carbon-Neutral Energy Sector: Opportunities and Challenges of Coordinated Bioenergy Supply Chains-A PSE Approach," Energies, MDPI, vol. 8(6), pages 1-48, June.
    4. Mara Balestrieri & Amedeo Ganciu, 2018. "Landscape Changes in Rural Areas: A Focus on Sardinian Territory," Sustainability, MDPI, vol. 10(1), pages 1-16, January.
    5. Ligita Gasparėnienė & Rita Remeikienė & Colin C. Williams, 2022. "Theorizing the Informal Economy," SpringerBriefs in Economics, in: Unemployment and the Informal Economy, chapter 0, pages 7-60, Springer.
    6. Alasia, Alessandro, 2004. "Mapping the Socio-economic Diversity of Rural Canada: A Multivariate Analysis," Agriculture and Rural Working Paper Series 28048, Statistics Canada.
    7. Colin Busby & William B.P. Robson & Pierre-Marcel Desjardins, 2009. "Stress Test: Demographic Pressures and Policy Options in Atlantic Canada," C.D. Howe Institute Backgrounder, C.D. Howe Institute, issue 120, November.
    8. Neil Sang, 2004. "Spatial Sampling Strategies for Assessing Public Opinion Under the Water Framework Directive: A Case Study of the Ythan Project," ERSA conference papers ersa04p233, European Regional Science Association.
    9. Herron, Rachel V. & Lawrence, Breanna C. & Newall, Nancy E.G. & Ramsey, Doug & Waddell- Henowitch, Candice M. & Dauphinais, Jennifer, 2022. "Rural older adults’ resilience in the context of COVID-19," Social Science & Medicine, Elsevier, vol. 306(C).
    10. Pierre-Marcel DESJARDINS, 2011. "Regional Disparities In Canada: Interprovincial Or Urban/Rural?," Region et Developpement, Region et Developpement, LEAD, Universite du Sud - Toulon Var, vol. 33, pages 59-80.
    11. Manuela Alcañiz & Maria-Carme Riera-Prunera & Aïda Solé-Auró, 2019. "“Do elderly people living in rural areas enjoy better mental well-being? Evidence from Catalonia, Spain”," IREA Working Papers 201913, University of Barcelona, Research Institute of Applied Economics, revised Jul 2019.
    12. Andrea S Gershon & Jun Guan & Chengning Wang & J Charles Victor & Teresa To, 2012. "Describing and Quantifying Asthma Comorbidty: A Population Study," PLOS ONE, Public Library of Science, vol. 7(5), pages 1-12, May.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:119:y:2015:i:6:p:831-839. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.