Author: A. Paul Williams, David Challis, Raisa Deber, Jillian Watkins, Kerry Kuluski, Janet M. Lum and Stacey Daub

Publication Date: April 1, 2009

Description: In Ontario, as in other jurisdictions nationally and internationally, converging factors have pushed such questions to the top of the health policy agenda. These include increasing healthcare expenditures that potentially erode the sustainability of universal, publicly funded healthcare; an aging population and more older persons living longer with multiple chronic conditions; and changing public expectations about the right of older persons to live as independently as possible, for as long as possible, in their own homes and communities. Added to this is growing international evidence that when appropriately integrated, targeted and managed, home and community care (H & CC) can moderate the demand for more costly hospital and residential care, while mitigating the human costs that a loss of independence can entail

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Keywords: Community-based care, older adults, long-term care, Toronto