Health care Policy; In this study Government policy and infrastructure have a substantial impact on hospitalization of older adults, according to a University of Waterloo study. The study examined the experiences of 254,664 patients in home care programs and 162,045 residents in long-term care in Alberta, British Columbia and Ontario.
Health-relate policy and its implementation is complex. Conceptual models can help show the flow from health relate policy development to health relate policy and program implementation and to health systems and health outcomes. Policy should be understood as more than a national law or health policy that supports a program or intervention.
The health care policy
Operational policies are the rules, regulations, guidelines, and administrative norms; so that governments use to translate national laws and policies into programs and services. The policy process encompasses decisions made at a national or decentralize level; so that affect whether and how services are deliver. Thus, attention must be paid to policies at multiple levels of the health system; also over time to ensure sustainable scale up. A supportive policy environment will facilitate the scale-up of health interventions.
It find that home-care patients in Alberta and British Columbia are more likely to be sent to hospital; so than those in Ontario, regardless of the severity of a person’s medical condition. The study also find that long-term care residents in Alberta and B.C. were half as likely to be send to hospital compare with those in Ontario.
They were surprise by the magnitude of the influence of health care policy; so infrastructure and professional practices,” said George Heckman; so a public health professor at the University of Waterloo and Schlegel Research Chair in Geriatrics. “It’s important to understand the factors that send vulnerable populations to hospital; so because hospitals are generally where health complications arise.
Comprehensive data sets
Often, patients are too sick to be rapidly discharge from hospital; also as their numbers continue to rise, it can lead to hallway medicine, add Heckman. Since many governments have identify hall way medicine as a challenge they’d like to address, learning how to change health care so that it is focuse on patients; so needs instead of system needs and design quirks will be key.
The researchers use several comprehensive data sets; so including data from the Canadian Institute for Health Information; also several interRAI assessment systems; so to track emergency department visits, hospitalizations and death. Heckman said the next step is to examine the healthcare policies in the three provinces to determine why these regional differences exist. Alberta, for instance, has increase the focus on assist living in recent years; which could explain why there were fewer transfers to hospital from long-term care.
The study, Regional variations of care in home care and long-term care: a retrospective cohort study’ which was author by Paul Hébert (Université de Montréal), Anne Morinville (Université de Montréal), Andrew Costa (McMaster), George Heckman (Waterloo and Schlegel-UW Research Institute for Aging), and John Hirdes (Waterloo). It was publish in CMAJ Open.