Sharing the Learning: Health Transition Fund: Synthesis Series: Home Care
Prepared by Professor Evelyn Shapiro
Department of Community Health Sciences
Faculty of Medicine
University of Manitoba
For Health Canada
2002
ISBN 0-662-66305-5 (print publication)
Cat. H13-6/2002-2 (print publication)
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 (515K)
Table of Contents
Executive Summary
Home Care in Canada
To Senior Federal and/or Provincial Policy-Makers
To Regional and Home Care Managers
Preface
Unique Nature of the HTF Projects
Acknowledgements
1. Introduction
2. Context
2.1 What Is Home Care?
2.2 Current Issues Facing Home Care
2.2.1 Provincial Policies
2.2.2 Regionalization
2.2.3 Health Reform
2.2.4 Resource Allocation
2.2.5 Public Health and Housing
2.2.6 Conclusion
3. Overview of the Health Transition Fund Studies
4. Discussion of the Findings and Lessons Learned
4.1 Improving Assessment Tools and Coordinating Data Systems
4.2 Examining the Cost-Effectiveness of Home Care
4.3 Improving Access to Underserved Populations
4.3.1 Introduction
4.3.2 Aboriginal Communities
4.3.3 Mental Health
4.3.4 Dementia
4.3.5 Telehealth
4.3.6 Palliative Care
4.4 Barriers to the Appropriate Use of Home Care
4.5 Substituting Hospital Services with Home Care
4.6 Resistance to Change
4.7 Improving, Evaluating, and Reorganizing Existing Home Care Programs
5. Health Human Resources
5.1 The Public/Private Split in Service Delivery
5.2 Staffing Resources
6. Implications of Findings
6.1 To Senior Federal and/or Provincial Policy-Makers
6.1.1 A National Home Care Program
6.1.2 The Public/Private Split
6.1.3 Discriminatory User Fees
6.1.4 Plugging the Gaps in Health Care
6.1.5 Jurisdictional Authority
6.1.6 Primary Care Reform
6.1.7 Data Collection
6.1.8 Home Care Standards
6.2 To Regional and Home Care Managers
6.2.1 Overcoming Barriers
6.2.2 Strengthening Links
6.2.3 Resource Allocations
Conclusion
References
Appendix A: List of HTF Projects Relevant to Home Care
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