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Patterns of home care assessment and service provision before and during the COVID-19 pandemic in Ontario, Canada
Across Ontario’s publicly funded home care system, the first wave of the COVID-19 pandemic significantly disrupted patterns of home care admissions, discharges, standardised assessments, as well as receipt of personal support, occupational therapy, and physical therapy services. The sector should prioritise both home care assessment and service delivery during a crisis to ensure persons who rely on these essential services are well-supported in the community.
Author: Chi-Ling Joanna Sinn, Heebah Sultan, Luke Andrew Turcotte, Caitlin McArthur, John P. Hirdes
Publication Date: March 30, 2022
Description: The objective was to compare home care episode, standardised assessment, and service patterns in Ontario’s publicly funded home care system during the first wave of the COVID19 pandemic (i.e., March to September 2020) using the previous year as reference. Monthly time series data were plotted from March 2019 to September 2020 for home care recipients in Ontario, Canada. Home care episodes were linked to interRAI Home Care assessments, interRAI Contact Assessments, and home care services. Health status measures from the patient’s most recent interRAI assessment were used to stratify the receipt of personal support, nursing, and occupational or physical therapy services. Significant level and slope changes were detected using Poisson, beta, and linear regression models.
Access: Free
Keywords: home-care, COVID-19, personal support
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