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ABSTRACT: Integrating community-based health and social care has grabbed international attention as a way of addressing the needs of aging populations while contributing to health systems' sustainability. However, integrating initiatives in different jurisdictions work (or do not work) within very various institutional and structural dynamics. The question is, what transferable lessons can we learn to guide policy makers and policy innovators at the local level? In this paper, we consider "aging at home" as a policy option in Ontario, and beyond. In the first section, we focus on the problem, in effect, what not to do. Here, we briefly review findings from national and international research literature and from our own research in Ontario that identify the costs and consequences of non-systems of care for older persons. In the second part, we turn to solutions, in effect, what to do. Drawing on our recent scoping review of the international literature, we identify three guiding principles, as well as a number of recommendations, for integrating care for older persons, knowing that important details of how to put such initiatives "on the ground" will be provided by other contributors to this journal edition.HealthcarePapers 01/2009; 10(1):8-21.
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ABSTRACT: We are very grateful to the editors of HealthcarePapers for making this timely journal edition possible, and to our distinguished contributors for sharing their valuable insights on aging at home from local, national and international perspectives. While starting from different points and using different approaches, each contributor has articulated a common message: not only is it desirable to support the quality of life, independence and well-being of older persons and their caregivers in home and community, it is possible to do so while contributing to health system sustainability. If people are the top line of aging at home, cost-effectiveness and system sustainability are the bottom line.HealthcarePapers 01/2009; 10(1):79-83.
- HealthcarePapers (2)
University of Toronto
Toronto, Ontario, Canada
- Faculty of Medicine