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Predicting a Risk of Transition to a Higher Level of Care for Home Support Service Recipients
Junko Fukui Innes1, Abdul Vahabpour Roudsari1, Karen L Courtney1
1Health Information Science, University of Victoria, British Columbia, Canada.
Studies in Health Technology and Informatics
|August 23, 2024
Summary
Home support recipients have a 50% chance of needing higher care within 1,374 days. Factors like age and emergency visits increase this risk, while longer home support visits decrease it, aiding future healthcare planning.
Area of Science:
- Gerontology
- Health Services Research
- Public Health
Background:
- Home support services are crucial for aging populations.
- Understanding transitions to higher levels of care is vital for healthcare system planning.
- Hospitalization is a significant event impacting care needs for home support recipients.
Purpose of the Study:
- To assess the risk of transitioning to a higher level of care among home support recipients post-hospitalization.
- To identify factors influencing the transition risk.
- To inform long-term demand projection and resource allocation in healthcare.
Main Methods:
- Longitudinal, non-randomized, retrospective study design.
- Kaplan-Meier estimates for survival analysis.
- Cox Proportional Hazard model for risk assessment.
Main Results:
- 50% of home support recipients transition to higher care by day 1,374.
- Annual aging increases transition risk by ~2%; no ER visits in 12 months increase risk by ~10%.
- Receiving >1 hour of home support per visit decreases transition risk by ~13%.
Conclusions:
- Age and prior healthcare utilization (ER visits) are significant predictors of care transitions.
- Adequate home support duration per visit may mitigate the need for higher care levels.
- Findings support proactive resource planning for home support and integrated healthcare systems.
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