Zone 5: Restigouche Area

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These survey results are based on citizens across who have recently received home care services (Extra-Mural Program or home support services or both). Services from the Extra-Mural Program are provided by health professionals such as a nurse, physiotherapist or social worker. Home support services are provided by home support workers to help with tasks such as housekeeping or meal preparation. Under the Extra-Mural Program, home care services are funded by the Department of Health and delivered by 's two regional health authorities, Horizon Health Network and Vitalité Health Network. This survey also covers home support services funded entirely or partially by the Department of Social Development under the Long Term Care Program and the Disability Support Program. All survey results are weighted by age and gender to better represent the population receiving home care services. UNMET NEEDS Is there anything else that could have been done to help you stay at home? (yes) n=398 n=6,641 15.5 14.5 In this community, 15.5% of citizens receiving home care services (Extra-Mural Program or home support services or both) reported in 2015 that more could have been done to help them stay at home, compared to 13.3% in 2012. For this type of indicator, a "better" result is achieved when the indicator has a "lower" value. What else could have been done or provided to help you stay at home? (top 3) More home support services such as yard work or food delivery More medical services More equipment such as wheelchairs and shower handles 48.2 28.8 8.6 3.9 6.7 12.5 FAMILY CAREGIVERS n=398 n=6,641 Does a friend, family member or volunteer help you with your home care? (yes) 57.5 61.5 Who helps the most? Spouse or partner 39.7 41.3 Son or daughter 34.2 33.9 Other family member 11.1 9.3 Friend or volunteer 7.4 6.7 Mother or father 3.7 6.5 How often do they help? Every day 61.3 59.0 A few times a week 20.1 22.0 Once a week or less 17.6 17.9 Communities included in this zone: Campbellton Area, Dalhousie Area

PROFILE OF CITIZENS RECEIVING HOME CARE SERVICES n=398 n=6,641 Age group Under 18 0.0 5.2 18-64 32.4 29.1 65-74 17.5 20.0 75-84 27.2 24.7 85 and over 22.9 21.0 Gender Male 37.7 41.0 Female 62.3 59.0 Education level No high school diploma 65.2 53.2 High school or higher 34.8 46.8 Household income Less than $25,000 73.9 63.2 $25,000 or more 26.1 36.8 Language of choice for services 67.2 77.5 French 32.8 22.5 Aboriginal Yes 5.1 2.2 Self-rated overall health Excellent/Very good 8.8 13.0 Good 25.3 28.4 Fair 41.7 40.1 Poor 24.2 18.5 Self-rated mental or emotional health Excellent/Very good 26.8 30.5 Good 34.7 37.2 Fair 31.1 25.7 Poor 7.4 6.5 Chronic health conditions Hypertension 57.4 54.0 Arthritis 52.0 45.8 Chronic pain 38.3 30.4 Heart disease 31.7 31.4 Diabetes 26.7 29.9 Gastric reflux (or GERD) 25.3 24.5 Depression 23.0 22.3 Cancer 21.5 24.1 Asthma 20.4 15.4 Emphysema or COPD 20.3 18.7 Stroke 17.4 12.7 Dementia 8.3 6.5 Mood disorder other than depression 6.5 4.2 Alzheimer's 3.0 2.9

USE OF SERVICES (Extra-Mural Program) n=276 n=4,757 Service received in the last two months Nurse 79.3 73.3 Physiotherapist 24.6 17.7 Respiratory therapist 19.6 20.7 Social worker 15.4 15.8 Dietitian 14.6 18.1 Occupational therapist 10.3 16.1 Speech language pathologist 3.6 3.3 Rehabilitation assistant 2.8 2.1 How long have you been getting services? More than 1 year 55.6 49.2 How often do you receive services? Every day 2.4 4.6 A few times a week 18.4 19.9 Once a week or less 79.3 75.5 USE OF SERVICES (Home Support Services) n=196 n=2,796 Service received in the last two months Housekeeping (cleaning, laundry) 87.3 93.4 Meal preparation 79.0 75.7 Grooming or dressing 48.0 44.6 Bathing 45.7 45.1 Feeding or nutrition care 25.6 23.0 Transferring (from place to place, inside the home) 25.0 22.4 Relief to family, friends or volunteers 23.3 22.7 How long have you been getting services from this home support worker? More than 1 year 76.9 72.6 How often do you receive services? Every day 55.4 51.2 A few times a week 35.9 38.1 Once a week or less 8.7 10.7 QUALITY OF SERVICES (Extra-Mural Program) n=178 n=276 n=4,757 Accessibility Did home care services start as soon as you thought you needed it? (yes) 94.4 96.0 94.3 Always got help when contacting the office (yes) 95.8 100.0 97.3 How often service was received in language of choice (always) 95.7 97.7 96.8 French French French 95.6 92.1 92.3

QUALITY OF SERVICES (Extra-Mural Program) n=178 n=276 n=4,757 Appropriateness How often providers seemed informed about all care/treatment received at home (always) 77.2 79.5 73.3 How often clients received conflicting information from different providers (never) 79.5 91.2 86.4 Staff gave information needed for clients to take care of themselves (strongly agree) 45.9 50.4 48.3 Family caregivers were given information they wanted when they needed it (strongly agree) 40.9 43.5 42.3 Effectiveness Citizens with a chronic health condition 1 who are confident in controlling and managing their health condition (very confident) 24.4 25.2 22.4 Safety Staff talked with clients about how to set up their home to move around safely (yes) 64.5 80.4 80.4 Staff talked with clients about all the medicines they were taking (yes) 68.7 79.5 83.4 Do you believe you were harmed because of an error or mistake? (yes) - - 1.3 Efficiency Admitted to hospital or visited hospital emergency room while receiving services (yes) 47.4 47.2 46.4 Continuity of care across hospital services, home care services and primary health 2 59.9 75.1 67.1 Communication How often providers explained things in a way that was easy to understand (always) 89.1 89.8 86.0 How often providers treated clients with courtesy and respect (always) 94.4 94.5 93.6 Satisfaction Satisfaction with home care services received (8, 9 or 10 on a scale of zero to ten) 95.6 98.8 95.1 Would recommend Extra-Mural Program to family or friends (definitely yes) 94.6 90.8 88.5 Satisfaction with number of times care was received (very satisfied) 74.3 68.5 75.8 Reported difficulties in receiving care Limits or reductions in Types of service/care available (yes) 10.3 7.0 8.2 Duration of service or hours available (yes) 7.7 6.2 6.6 1 Self-reported by respondent: Alzheimer's disease, arthritis, asthma, cancer, chronic pain, dementia, depression, diabetes, emphysema or COPD, gastric reflux (GERD), heart disease, hypertension, mood disorder other than depression, or stroke 2 Staff at the hospital or rehabilitation centre explained what type of home care services would be received, AND home care providers seemed informed about all services received at home, AND primary health provider seemed informed about home care services

QUALITY OF SERVICES (Home Support Services) n=121 n=196 n=2,796 Accessibility Ease or difficulty getting information about home care services before starting (very easy) 14.2 32.4 29.4 Did home care services start as soon as you thought you needed it? (yes) 75.9 80.1 79.4 Ease or difficulty contacting agency office or home support worker for help (very easy) 47.3 64.2 63.7 How often service was received in language of choice (always) 92.8 93.6 96.1 French French French 87.5 89.6 91.6 Appropriateness How often home support workers seemed informed about all care received at home (always) 71.1 58.4 55.9 How often clients received conflicting information from different providers (never) 83.2 77.8 74.2 Family caregivers were given information they wanted when they needed it (strongly agree) 22.2 28.4 28.7 Safety Do you believe you were harmed because of an error or mistake? (yes) - - 2.5 Communication How often home support workers explained things in a way that was easy to understand (always) 85.4 77.8 77.8 How often home support workers treated clients with courtesy and respect (always) 89.6 85.0 86.4 Satisfaction Satisfaction with home care services received (8, 9 or 10 on a scale of zero to ten) 89.6 89.2 88.7 Would recommend agency or home support worker to family or friends (definitely yes) 76.8 73.0 73.6 Satisfaction with number of times care was received (very satisfied) 70.4 59.9 65.8 Reported difficulties in receiving care Have you ever found the cost for home care services too high? (yes) 22.2 22.0 21.7 Limits or reductions in Types of service/care available (yes) 22.1 26.9 23.0 Duration of service or hours available (yes) 22.9 31.9 30.4