Availability and Primary Health Care Orientation of Dementia-Related Services in Rural Saskatchewan, Canada

Community-based services are important for improving outcomes for individuals with dementia and their caregivers. This study examined: (a) availability of rural dementia-related services in the Canadian province of Saskatchewan, and (b) orientation of services toward six key attributes of primary he...

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Bibliographic Details
Published in:Home health care services quarterly 2015-10, Vol.34 (3-4), p.137-158
Main Authors: Morgan, Debra G., Kosteniuk, Julie G., Stewart, Norma J., O'Connell, Megan E., Kirk, Andrew, Crossley, Margaret, Dal Bello-Haas, Vanina, Forbes, Dorothy, Innes, Anthea
Format: Article
Language:English
Subjects:
access
Aged
Aged, 80 and over
availability
Caregivers
Community Health Services - statistics & numerical data
Counseling
Cross-Sectional Studies
Dementia
Dementia - complications
Dementia - therapy
Female
Health administration
Health education
Health services
Health Services Accessibility - standards
Home health care
Humans
Long term health care
Male
Needs
Needs Assessment
Original
Palliative care
Pharmacists
Physicians
Primary care
Primary Health Care
Quality of care
Rural areas
rural health service delivery
Rural Health Services - statistics & numerical data
Saskatchewan
Support groups
Transitional Care - standards
Transportation
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Summary:Community-based services are important for improving outcomes for individuals with dementia and their caregivers. This study examined: (a) availability of rural dementia-related services in the Canadian province of Saskatchewan, and (b) orientation of services toward six key attributes of primary health care (i.e., information/education, accessibility, population orientation, coordinated care, comprehensiveness, quality of care). Data were collected from 71 rural Home Care Assessors via cross-sectional survey. Basic health services were available in most communities (e.g., pharmacists, family physicians, palliative care, adult day programs, home care, long-term care facilities). Dementia-specific services typically were unavailable (e.g., health promotion, counseling, caregiver support groups, transportation, week-end/night respite). Mean scores on the primary health care orientation scales were low (range 12.4 to 17.5/25). Specific services to address needs of rural individuals with dementia and their caregivers are limited in availability and fit with primary health care attributes.
ISSN:0162-1424
1545-0856
DOI:10.1080/01621424.2015.1092907