居家公共资助护理的客户（及其护理人员）产生的私人成本的规模、份额和决定因素。
The Magnitude, Share and Determinants of Private Costs Incurred by Clients (and Their Caregivers) of In-home Publicly Financed Care.
作者信息
Leong Vivian W, Guerriere Denise N, Croxford Ruth, Coyte Peter C
机构信息
Department of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON.
出版信息
Healthc Policy. 2007 Aug;3(1):e141-59.
Home-based health services remain one of the fastest-growing sectors in the Canadian healthcare system. While there have been studies addressing the characteristics of home care users and the determinants of utilization, the costs associated with the use of home care services, particularly private costs, have been largely neglected. To gain a comprehensive appreciation of the financing context in which ambulatory and home-based care is delivered and received, it is imperative to assess costs incurred by clients and their family/friends. Accordingly, this study examined the magnitude and determinants of the share of private costs incurred by Ontarians who received in-home publicly financed services and by their unpaid caregivers. The private share of costs was found to be 75%. Determinants of the private share included participants' gender, martial status, functioning in activities of daily living and the type and length of service received. These findings suggest that recipients of home-based health services in Ontario may bear an economic burden when care is shifted into the home setting.
居家健康服务仍然是加拿大医疗体系中增长最快的领域之一。虽然已有研究探讨了居家护理使用者的特征以及使用情况的决定因素，但与使用居家护理服务相关的成本，尤其是私人成本，在很大程度上被忽视了。为了全面了解提供和接受门诊及居家护理的融资背景，评估客户及其家人/朋友产生的成本势在必行。因此，本研究调查了接受公共资助的居家服务的安大略省居民及其无偿护理者所产生的私人成本份额的规模及其决定因素。发现私人成本份额为75%。私人成本份额的决定因素包括参与者的性别、婚姻状况、日常生活活动能力以及所接受服务的类型和时长。这些发现表明，当护理转移到家庭环境中时，安大略省居家健康服务的接受者可能会承受经济负担。
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