Contandriopoulos A P, Tessier G, Larouche D
Soc Sci Med. 1986;22(7):731-6. doi: 10.1016/0277-9536(86)90223-6.
The development of home aid services in Quebec is based on the hypothesis that this new program will help to maintain at home people who would otherwise be institutionalized and also contribute to reducing costs in the health care sector. Accordingly, home aid services can be viewed as a substitute for conventional health care services. This study evaluates utilization modifications of health care services subsequent to the introduction of a home-aid program in October 1977. A modified, non-equivalent, control group design was used on a target population including all residents aged 65 or more in one region of Quebec. Multiple regression was used to explain variations in resources utilization in relation to population characteristics and different health care settings. Results for the utilization of hospitals are discussed. We discovered that the anticipated substitutive effects of a home-aid program on the use of health care services cannot be ascertained.
魁北克家庭援助服务的发展基于这样一种假设，即这个新项目将有助于让那些原本会被送进机构照料的人能够居家生活，同时也有助于降低医疗保健部门的成本。因此，家庭援助服务可被视为传统医疗保健服务的替代品。本研究评估了1977年10月引入家庭援助项目后医疗保健服务的使用变化情况。对魁北克一个地区所有65岁及以上居民的目标人群采用了改良的、非等效的对照组设计。多元回归被用来解释与人口特征和不同医疗保健环境相关的资源利用变化情况。文中讨论了医院使用情况的结果。我们发现，无法确定家庭援助项目对医疗保健服务使用的预期替代效应。
