Term: Home Care

Glossary Definition

Last Updated: 2016-06-01

Definition:

This term has different definitions in MCHP research. The majority use definition 1 below.

  1. Health services provided free-of-charge to residents of all ages within their own homes (Martens et al., 2003) or in Supportive Housing units (Doupe et al., 2016). The types of services available through the Manitoba Home Care Program include: personal care assistance, home support, health care (e.g. nursing care), family relief, respite care and supplies and equipment provided to individuals within their own home (Finlayson et al., 2007) . Unlike other areas of utilization, home care is primarily provided within a Regional Health Authority (RHA) for its residents and is unlikely to generate large expenditures on out-of-region residents (Finlayson et al., 2007) . The RHAs have operational responsibility for Home Care including planning, delivery and ongoing management of the services.

    The Manitoba Home Care Program, established in 1974, is the oldest comprehensive, province-wide, universal home care program in Canada (Martens et al., 2003) . The provision of Home Care services are based on assessed need and other resources available to the individual including families, community resources and other programs (Finlayson et al., 2007) . Reassessments at pre-determined intervals are the basis for decisions by case managers to discharge individuals from the program, or to change the type or amount of service delivered (Martens et al., 2003) .

    Home care clients can be identified as persons registered in the Home Care Manitoba Support Services Payroll (MSSP) database, Home Care MDS Assessment database (WRHA only), or in the Procura database, depending on the time frame of the research project.

  2. It is also known as "Home-Based Care" and is one of 13 alternative levels of care (ALC) (De Coster et al., 1996) .

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