Alternate Level of Care Experience in High-Risk Older Adults in NB: An Administrative Data Study

Описание: Knowledge Transfer Session on January 25, 2023.

Alternate level of care (ALC) designates a patient occupying a bed at a higher level of care than is required. ALC has significant negative implications for patients and the health system. ALC is more prevalent among older adults, specifically among those with functional limitational that require supportive services to maintain independence, such as those needing home care, or living in supportive community housing.
To describe period prevalence of ALC among a high-risk population of older adults in NB.

A population-based prevalence study was conducted at the NB Institute for Research, Data and Training (NB-IRDT) using linked individual-level administrative data. Records from the Social Development Long-Term Care (SD LTC) program over 5-years (2013-2018) for adults over 65 years, were linked to Department of Health (DH) hospital data to profile ALC hospitalizations. Various demographic, geographic and program characteristics were stratified by hospitalization status to examine differences in ALC prevalence.

In 21,635 older adults identified, 70% were hospitalized and 25% included ALC. In those hospitalized requiring ALC, acute length of hospital stay was longer (median: 10 vs 6 days). Median duration in ALC was 2 weeks, and 25% stayed longer than 33 days. Differences were noted for certain geographic and program, but not demographic characteristics when examining likelihood of ALC.

These results provide policy-relevant insights into ALC experience among high-risk older adults in NB. Inconsistent with previous research, no inequalities across demographic characteristics were found. Additional research is required to better understand predictors of ALC in NB.

Presenter: Dr. Sandra Magalhaes

Video francais:    • Expérience d’un autre niveau de soins chez...  
Video transcription: https://bit.ly/3MDRcyg
English slides: https://www.slideshare.net/NBIRDT/alt...
Diapositives francaise: https://www.slideshare.net/NBIRDT/exp...

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