Table 4 Rates for the clinical assessment protocols comparing Ontario and the WRHA (n = 111,804)
From: A comparison of home care quality indicator rates in two Canadian provinces
CAPs | Overall (n = 111,804) | Ontario (n = 102,554) | WRHA (n = 9,250) | p value |
|---|---|---|---|---|
% (n) | ||||
Preventative health measures: immunization and screening | ||||
Present | 89.6 (91,374) | 90.0 (83,466) | 85.5 (7,908) | <0.0001 |
Not present | 10.4 (10,626) | 10.0 (9,284) | 14.5 (1,342) | |
IADL | ||||
Present | 81.6 (83,245) | 82.4 (76,396) | 74.0 (6,849) | <0.0001 |
Not present | 18.4 (18,755) | 17.6 (16,354) | 26.0 (2,401) | |
Pain | ||||
Present | 68.1 (76,085) | 68.2 (69,898) | 66.9 (6,187) | 0.01 |
Not present | 32.0 (35,719) | 31.8 (32,656) | 33.1 (3,063) | |
Communication disorder | ||||
Present | 64.2 (71,753) | 64.8 (66,410) | 57.8 (5,343) | <0.0001 |
Not present | 35.8 (40,051) | 35.2 (36,144) | 42.2 (3,907) | |
Health promotion | ||||
Present | 55.7 (98,761) | 55.2 (56,636) | 60.7 (5,612) | <0.0001 |
Not present | 44.3(75,351) | 44.8 (45,918) | 39.3 (3,638) | |
Cognition | ||||
Present | 54.3 (60,707) | 55.3 (56,673) | 43.6 (4034) | <0.0001 |
Not present | 45.7 (51,097) | 44.7 (45,881) | 56.4 (5,216) | |
Urinary incontinence and indwelling catheter | ||||
Present | 54.1 (60,491) | 55.0 (56,357) | 44.7 (4,134) | <0.0001 |
Not present | 45.9 (51,313) | 45.1 (46,197) | 55.3 (5,116) | |
Falls | ||||
Present | 49.7 (55,527) | 50.9 (52,235) | 35.6 (3,292) | <0.0001 |
Not present | 50.3 (56,277) | 49.1 (50,319) | 64.4 (5,958) | |
ADL/rehabilitation | ||||
Present | 46.0 (51,385) | 47.2 (48,356) | 32.8 (3,029) | <0.0001 |
Not present | 54.0 (60,419) | 52.9 (54,198) | 67.3 (6,221) | |
Medication management | ||||
Present | 44.0 (49,220) | 44.9 (46,051) | 34.3 (3,169) | <0.0001 |
Not present | 56.0 (62,584) | 55.1 (56,503) | 65.7 (6,081) | |
Psychotropic drugs | ||||
Present | 37.6 (42,070) | 38.8 (39,788) | 24.7 (2,282) | <0.0001 |
Not present | 62.4 (69,734) | 61.2 (62,766) | 75.3 (6,968) | |
Cardio-respiratory | ||||
Present | 35.2 (39,332) | 35.2 (36,080) | 35.2 (3,252) | 1.0 |
Not present | 64.8 (72,472) | 64.8 (66,474) | 64.8 (5,998) | |
Visual function | ||||
Present | 34.7 (38,837) | 34.9 (35,783) | 33.0 (3,054) | 0.0003 |
Not present | 65.3 (72,967) | 65.1 (66,771) | 67.0 (6,196) | |
Skin and foot conditions | ||||
Present | 33.9 (37,884) | 34.6 (35,490) | 25.9 (2,394) | <0.0001 |
Not present | 66.1 (73,920) | 65.4 (67,064) | 74.1 (6,856) | |
Pressure ulcers | ||||
Present | 28.3 (31,649) | 29.2 (29,934) | 18.5 (1,715) | <0.0001 |
Not present | 71.7 (80,155) | 70.8 (72,620) | 81.5 (7,535) | |
Depression and anxiety | ||||
Present | 26.2 (29,274) | 27.0 (27,645) | 17.6 (1,629) | <0.0001 |
Not present | 73.8 (82,530) | 73.0 (74,909) | 83.0 (7,621) | |
Institutional risk | ||||
Present | 25.3 (28,315) | 26.0 (26,709) | 17.4 (1606) | <0.0001 |
Not present | 74.7 (83,489) | 74.0 (75,845) | 82.6 (7,644) | |
Bowel management | ||||
Present | 23.2 (25,965) | 24.0 (24,558) | 15.2 (1,407) | <0.0001 |
Not present | 76.8 (85,839) | 76.1 (77,996) | 84.8 (7,843) | |
Oral health | ||||
Present | 19.1 (21,348) | 19.9 (20,374) | 10.5 (974) | <0.0001 |
Not present | 81.9 (90,456) | 80.1 (82,180) | 89.5 (8,276) | |
Nutrition | ||||
Present | 19.0 (32,321) | 19.3 (19,832) | 15.4 (1,426) | <0.0001 |
Not present | 81.0 (141,791) | 80.7 (82,722) | 84.6 (7,824) | |
Social function | ||||
Present | 18.1 (20,193) | 18.0 (18,460) | 18.7 (1,733) | 0.08 |
Not present | 81.9 (91,611) | 82.0 (84,094) | 81.3 (7517) | |
Brittle support | ||||
Present | 13.1 (13,367) | 12.0 (11,103) | 24.5 (2,264) | <0.0001 |
Not present | 86.9 (88,633) | 88.0 (81,647) | 75.5 (6,986) | |
Reduction in formal services | ||||
Present | 10.8 (11,026) | 10.7 (9,904) | 12.1 (1,122) | <0.0001 |
Not present | 89.2 (90,974) | 89.3 (82,846) | 87.9 (8,128) | |
Behaviour | ||||
Present | 10.7 (11,942) | 10.9 (11,177) | 8.3 (765) | <0.0001 |
Not present | 89.3 (99,862) | 89.1 (91,377) | 91.7 (8485) | |
Adherence to treatment and therapies | ||||
Present | 6.7 (7,460) | 6.8 (6,950) | 5.5 (510) | <0.0001 |
Not present | 93.3 (104,344) | 93.2 (95,604) | 94.5 (8,740) | |
Environmental assessment | ||||
Present | 4.1 (4,626) | 4.0 (4,087) | 5.8 (539) | <0.0001 |
Not present | 95.9 (107,178) | 96.0 (98,467) | 94.2 (8,711) | |
Dehydration | ||||
Present | 3.6 (4,002) | 3.7 (3,837) | 1.8 (165) | <0.0001 |
Not present | 96.4 (107,802) | 96.2 (98,717) | 98.2 (9,085) | |
Elder abuse | ||||
Present | 2.6 (2,893) | 2.8 (2,836) | 0.6 (57) | <0.0001 |
Not present | 97.4 (108,911) | 97.2 (99,718) | 99.4 (9,193) | |
Alcohol dependence and hazardous drinking | ||||
Present | 1.0 (1,107) | 1.0 (992) | 1.2 (115) | 0.01 |
Not present | 99.0 (110,697) | 99.0 (101,562) | 98.8 (9,135) | |
Palliative care | ||||
Present | 1.0 (1,092) | 1.0 (1,043) | 0.5 (49) | <0.0001 |
Not present | 99.0 (110,712) | 99.0 (101,511) | 99.5 (9,201) | |