Integrating Long-Term Care into a Community-Based Continuum

Drawing on research in Ontario and overseas, the authors examine some promising communitybased rural and urban initiatives. Through the lens of neo-institutional political theory, they analyze the hurdles encountered in attempting to scale up or replicate such initiatives.


Author: A. Paul Williams, Janet Lum, Frances Morton-Chang, Kerry Kuluski, Allie Peckham, Natalie Warrick, Alvin Ying


Publication Date: February 2016


Description: Health care systems conceived decades ago to cure episodic illness are being challenged by the health and social care needs of an aging population with long-term disabilities. In Ontario, for mostly political reasons, the government’s response has primarily been to expand the supply of institutional long-term care beds, whereas the most pressing problem is a lack of community care resources that allow people to remain in their own homes and communities. To address the growing long-term needs of Canada’s aging population, governments should expand community-based care instead of simply increasing the number of residential care beds.


Access: Free


Keywords: health care systems, long-term care, community care

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