Profiling the medical, functional, cognitive, and psychosocial care needs of adults assessed for home care in Ontario, Canada: The case for long-term 'life care' at home
| dc.contributor.author | Saari, Margaret E. | |
| dc.contributor.author | Giosa, Justine L. | |
| dc.contributor.author | Holyoke, Paul | |
| dc.contributor.author | Heckman, George A. | |
| dc.contributor.author | Hirdes, John P. | |
| dc.date.accessioned | 2025-08-28T15:18:13Z | |
| dc.date.available | 2025-08-28T15:18:13Z | |
| dc.date.issued | 2024 | |
| dc.description | © 2024 Saari et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. | |
| dc.description.abstract | Calls to leverage routinely collected data to inform health system improvements have been made. Misalignment between home care services and client needs can result in poor client, caregiver, and system outcomes. To inform development of an integrated model of community-based home care, grounded in a holistic definition of health, comprehensive clinical profiles were created using Ontario, Canada home care assessment data. Retrospective, cross-sectional analyses of 2017-2018 Resident Assessment Instrument Home Care (RAI-HC) assessments (n = 162,523) were completed to group home care clients by service needs and generate comprehensive profiles of each group's dominant medical, functional, cognitive, and psychosocial care needs. Six unique groups were identified, with care profiles representing home care clients living with Geriatric Syndromes, Medical Complexity, Cognitive Impairment and Behaviours, Caregiver Distress and Social Frailty. Depending on group membership, between 51% and 81% of clients had identified care needs spanning four or more Positive Health dimensions, demonstrating both the heterogeneity and complexity of clients served by home care. Comprehensive clinical profiles, developed from routinely collected assessment data, support a future-focused, evidence-informed, and community-engaged approach to research and practice in integrating home-based health and social care. | |
| dc.description.sponsorship | SE Research Centre, SE Health || Schlegel-UW Research Institute for Aging, Schlegel Chair in Geriatric Medicine. | |
| dc.identifier.uri | https://doi.org/10.1371/journal.pone.0300521 | |
| dc.identifier.uri | https://hdl.handle.net/10012/22307 | |
| dc.language.iso | en | |
| dc.publisher | Public Library of Science (PLOS) | |
| dc.relation.ispartofseries | PLOS One; 19(4); e0300521 | |
| dc.rights | Attribution 4.0 International | en |
| dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
| dc.subject | caregivers | |
| dc.subject | geriatrics | |
| dc.subject | cognitive impairment | |
| dc.subject | medical risk factors | |
| dc.subject | pain | |
| dc.subject | cardiology | |
| dc.subject | activities of daily living | |
| dc.subject | long-term care | |
| dc.title | Profiling the medical, functional, cognitive, and psychosocial care needs of adults assessed for home care in Ontario, Canada: The case for long-term 'life care' at home | |
| dc.type | Article | |
| dcterms.bibliographicCitation | Saari, M. E., Giosa, J. L., Holyoke, P., Heckman, G. A., & Hirdes, J. P. (2024). Profiling the medical, functional, cognitive, and psychosocial care needs of adults assessed for home care in Ontario, Canada: The case for long-term ‘life care’ at home. PLOS ONE, 19(4). https://doi.org/10.1371/journal.pone.0300521 | |
| uws.contributor.affiliation1 | Faculty of Health | |
| uws.contributor.affiliation2 | School of Public Health Sciences | |
| uws.peerReviewStatus | Reviewed | |
| uws.scholarLevel | Faculty | |
| uws.typeOfResource | Text | en |