Home care: it's time for a Canadian model
- PMID: 12811170
- DOI: 10.12927/hcpap.2000.17348
Home care: it's time for a Canadian model
Abstract
Although all provinces and the territories offer home-care programs, Canada does not have a national home-care program, nor are public home-care services covered under the principles of the Canada Health Act. As a result, Canadians face varying eligibility, cost, quality and access issues to home-care services. Until recently, policy makers have had poor information upon which to make decisions about the role of home-care programs within the larger health-delivery system. This paper includes a review of the most recent policy relevant information about home care in Canada as well as descriptions of new models of home care in Canada and other countries. Mounting evidence of cost-effectiveness, in combination with demographic, health delivery and technological changes, are bringing home care to the forefront of Canadian health policy. Other countries are moving forward to make home care an equitable and viable option within their health delivery systems. Canada could do the same by enacting national home-care legislation in partnership with the provinces.
Comment in
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Home care, continuing care and medicare: a Canadian model or innovative models for Canadians?Healthc Pap. 2000 Fall;1(4):38-45, discussion 109-12. doi: 10.12927/hcpap..17349. Healthc Pap. 2000. PMID: 12811171 Review.
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Developing a home care system by design.Healthc Pap. 2000 Fall;1(4):46-52, discussion 109-12. doi: 10.12927/hcpap..17350. Healthc Pap. 2000. PMID: 12811172
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Health human resource planning in home care: how to approach it--that is the question.Healthc Pap. 2000 Fall;1(4):53-9, discussion 109-12. doi: 10.12927/hcpap..17351. Healthc Pap. 2000. PMID: 12811173 Review.
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Clear goals, solid evidence, integrated systems, realistic roles.Healthc Pap. 2000 Fall;1(4):60-6, discussion 109-12. doi: 10.12927/hcpap..17352. Healthc Pap. 2000. PMID: 12811174 Review.
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Implementing home care in Canada: four critical elements.Healthc Pap. 2000 Fall;1(4):67-73, discussion 109-12. doi: 10.12927/hcpap..17353. Healthc Pap. 2000. PMID: 12811175
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Are we finally ready for a Canadian model for home care?Healthc Pap. 2000 Fall;1(4):74-9, discussion 109-12. doi: 10.12927/hcpap..17354. Healthc Pap. 2000. PMID: 12811176 Review.
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A living framework: Evolving from traditional care to individual mastery.Healthc Pap. 2000 Fall;1(4):80-4, discussion 109-12. doi: 10.12927/hcpap..17355. Healthc Pap. 2000. PMID: 12811177
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Reaching a federal/provincial consensus on home care.Healthc Pap. 2000 Fall;1(4):85-90, discussion 109-12. doi: 10.12927/hcpap..17356. Healthc Pap. 2000. PMID: 12811178
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Maintaining the integrity of home care.Healthc Pap. 2000 Fall;1(4):91-5, discussion 109-12. doi: 10.12927/hcpap..17357. Healthc Pap. 2000. PMID: 12811179 Review.
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Bringing healthcare closer to home: one province's approach to home care.Healthc Pap. 2000 Fall;1(4):98-102, discussion 109-12. doi: 10.12927/hcpap..17359. Healthc Pap. 2000. PMID: 12811181
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The "Canadian model" in the international context.Healthc Pap. 2000 Fall;1(4):103-7, discussion 109-12. doi: 10.12927/hcpap..17360. Healthc Pap. 2000. PMID: 12811182
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