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Updated: Apr 14, 2026

Capturing Representative Hand Use at Home Using Egocentric Video in Individuals with Upper Limb Impairment

Capturing Representative Hand Use at Home Using Egocentric Video in Individuals with Upper Limb Impairment

Published on: December 23, 2020

Sex differences in home care performance: a population-based study.

Amanda T Lo¹, Andrea Gruneir², Susan E Bronskill³

¹Department of Community and Family Medicine, University of Toronto, St. Michael's Hospital, Toronto, Ontario, Canada.

Women'S Health Issues : Official Publication of the Jacobs Institute of Women'S Health

|April 20, 2015

Summary

This summary is machine-generated.

Home care quality shows minimal sex differences after risk adjustment, but regional variations highlight improvement opportunities for all older adults. Examining unadjusted outcomes is key for targeted strategies.

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Area of Science:

Gerontology
Health Services Research
Public Health

Background:

Home care services are crucial for older adults' independence and reducing hospitalizations.
Significant sex differences exist in functional status and service use among home care recipients.
Previous research has not examined sex differences in home care performance measures.

Purpose of the Study:

To evaluate sex-based disparities in the quality of publicly funded home care in Ontario, Canada.
To compare quality indicators between male and female recipients of home care services.

Main Methods:

Analysis of 119,795 older adults (65+) using the 2009-2010 Home Care Reporting System database.
Utilized validated, publicly reported home care quality indicators from the Resident Assessment Instrument for Home Care.
Examined unadjusted and risk-adjusted sex differences in performance provincially and by health region.

Main Results:

Unadjusted analyses revealed sex differences in all examined health outcomes, including activities of daily living, cognitive function, depressive symptoms, and pain control.
After risk adjustment, sex differences in home care quality indicators became minimal.
Example: Poorly controlled pain reported by 23.1% of women vs. 18.7% of men (unadjusted); adjusted rates were 21.2% vs. 21.6%.

Conclusions:

No significant sex differences in home care quality were found after adjusting for risk factors.
Substantial regional variations in performance suggest opportunities to enhance home care outcomes for both sexes.
Unadjusted findings underscore the need for sex-specific strategies to improve overall home care quality.