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. 2009 Aug;5(1):e145-60.

Aging in atlantic Canada: service-rich and service-poor communities

Jamie Davenport  1 , Thomas A Rathwell, Mark W Rosenberg
Affiliations

Aging in atlantic Canada: service-rich and service-poor communities

Jamie Davenport et al. Healthc Policy. 2009 Aug.

Abstract
in English, French

The delivery of services for seniors in Canada is increasingly complex and challenging. Communities across Canada age at different rates, and the forces underlying the differences, such as "aging in place" and migration, vary from community to community. We have identified two types of aging communities: service-rich communities, in which seniors have good health status and better amenities, and service-poor communities, in which seniors have poor health status and limited amenities. We also report on results for Atlantic Canada from a national study of service provisions. Three issues stand out: (a) the impact on communities of migration and aging in place, (b) the factors that distinguish service-rich and service-poor communities and (c) the conditions necessary to create a service-rich community. All levels of government in Atlantic Canada must work together to develop policies and programs that create and sustain service-rich communities.

Au Canada, la prestation de services pour les aînés est de plus en plus complexe et pose de plus en plus de défis. Les communautés au Canada vieillissent à des rythmes différents et les forces sous-jacentes à ces différences (telles que le « vieillissement sur place » et les migrations) varient d'une communauté à l'autre. Nous avons déterminé deux types de communautés vieillissantes : les communautés riches en services, dans lesquelles les aînés présentent un bon état de santé et où les installations sont meilleures, et les communautés pauvres en services, dans lesquelles les aînés présentent un faible état de santé et où les installations sont limitées. Nous faisons également rapport, dans le cadre de la région de l'Atlantique, sur une étude nationale portant sur la prestation des services. Trois enjeux s'en dégagent : (a) l'impact, sur les communautés, de la migration et du vieillissement sur place, (b) les facteurs qui distinguent les communautés riches en services de celles pauvres en services et (c) les conditions nécessaires pour mettre en place une communauté riche en services. Dans le Canada atlantique, tous les niveaux de gouvernement doivent travailler de concert pour élaborer des politiques et des programmes qui permettent la mise en place et le maintien de communautés riches en services.

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