Cross-sectional Analysis of Current Care Assessment Practices in the Retirement Home Sector in Ontario

Abstract

As the population of Canada ages, some older adults often have increased multimorbidity, disabilities, and frailty. As a result, they are at an increased risk of hospitalization, accelerated functional decline, and earlier institutionalization. As they face more disability and health challenges, the lack of sufficient primary, community, and home care services to support them leads many to move into retirement homes. Once there, residents continue to experience health challenges, likely as a consequence of ongoing inadequate primary care and insufficient services geared toward their needs. Yet, addressing the unmet needs of retirement home residents at the individual and population levels is made challenging by the lack of standardized information collection. While regulatory agencies stipulate that residents undergo a health assessment, there are no specific requirements as to their nature. A better understanding of their unmet needs can potentially guide better primary care planning and help identify the level of services required to deliver better resident and system outcomes. To begin, current care assessment practices and processes surrounding these assessments must first be characterized and understood before the introduction of a new standardized instrument can be contemplated.