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Research, Reports, and Insights on Home & Community Care.

Reports/White Papers/National Strategy Documents

April 1, 2024
This report explores how we might make use of the natural densities of NORCs to provide home care that's client-centred, efficient and better for workers.
December 1, 2023
This year marks the fifth anniversary of OCO’s Spotlight Report. For the first time, the report provides a retrospective look at the caregiving experience today, compared to 2019. The question we considered was how have factors such as COVID-19, our aging population, the health human resource crisis, and the economic downturn influenced the caregiving experience over the last five years?
September 1, 2023
This comprehensive research review highlights a set of meaningful and consistent findings regarding the impacts of Meals on Wheels programs. These findings underscore the critical contributions of home-delivered meals in improving the health, safety and social connections of individuals’ lives promoting well-being and fostering independent living.
August 1, 2023
As older adults looking to age in place continue to increase their use of technology, there is both a need and opportunity to do more than simply place technologies into a home.
April 1, 2023
This rapid synthesis provides a detailed look at the evidence on care coordination in the home- and community-care sector (i.e., optimal target populations) and frameworks available to inform the development of new models of care.
April 1, 2023
This NIA report was developed to better appreciate how Australia currently cares for older persons and how it is adapting to better meet the needs of its ageing population.
March 17, 2023
This article discusses the benefits and challenges faced by the Hospital-at-home system stakeholders (patients, healthcare professionals, caregivers, and healthcare administrators).
February 6, 2023
Hospital-at-home may have the capacity to expand acute care and provide better patient outcomes. This article discusses how Canada is beginning to adopt this model throughout its provinces along with the benefits and possible gaps in doing so.
December 1, 2022
These indicators give the percentage of newly admitted long-term care residents who have a clinical profile similar to that of clients cared for at home with formal supports in place.
December 1, 2022
The Ontario Caregiver Organization has uncovered notable insights on the caring experiences at this point in the pandemic.
November 4, 2022
This report includes information about health system planning and funding functions that were transferred to Ontario Health on April 1, 2021.
November 1, 2022
This report is a continuation of the clarion call that caregivers, care providers and organizations have been sounding for decades. It is an attempt to push public policy forward, bringing Canada’s caregiving policy needs to the top of provincial, territorial and federal government agendas.
August 30, 2022
Home and community care is poised to grow. Restoring these services requires a range of capabilities and risk-based payment.
August 26, 2022
This report explains formal home care received and unmet home care needs of Canadian households, by provinces, Canada, excluding the territories, in 2021.
June 21, 2022
The Community Preventive Services Task Force (CPSTF) recommends home-delivered and congregate meal services for older adults living independently (i.e., not residents of senior living or retirement community centers) based on sufficient evidence of effectiveness showing reductions in malnutrition. This report outlines these findings and considerations for implementation.
March 1, 2022
Pediatric nursing expertise in home care requires continuous development and maintenance of competencies. Through the pandemic, practice of essential "hands-on" skills was enabled by delivery of training mannequins from hospital to home care and a shift to virtual education.
February 1, 2022
This report identifies possible actions, strategies, approaches, policies and/or research to promote aging in community by addressing gaps or weaknesses in the existing system.
December 1, 2021
The National Health Expenditure Trends for 2021 projects how much Canada may spend on health in 2021.
June 1, 2021
Historical analysis of over 200,000 Ontario home care assessments and a survey process with over 40 home care providers led to the development of a long-term ‘life care’ at home model to meet the medical, functional and social needs of aging Canadians who are at risk of residential LTC admission. This project focuses on meeting long-term needs of people in their own homes.
May 1, 2021
This is CIHI’s third annual companion report on this measurement work. It describes the progress made to date on indicator development and reporting, how to interpret new indicator results and why these results matter to Canadians.
March 26, 2021
Canada’s population is aging which is pushing up demand for home care and long-term care. This report highlights these challenges by quantifying the looming costs of providing care to our seniors and explores policy solutions that are aimed at offering improvements while creating system efficiencies.
March 19, 2021
A rapid review of reviews and an analysis of data from the GP Patient Survey explored evidence about the consequences of caring, and which interventions effective at promoting the health and wellbeing of carers of older people.
December 14, 2020
This document describes the plan for a Decade of Healthy Ageing 2020-2030, which will consist of 10 years of concerted, catalytic, sustained collaboration. This encapsulates the United Nations Madrid International Plan of Action on Ageing, United Nations Agenda 2030 on Sustainable Development and Sustainable Development Goals with older adults at their focal point.
October 1, 2020
In 2018, 25% of Canadians aged 15 or older reported that they had provided care to someone who had a long-term health condition, a physical or mental disability, or problems related to aging in the past year. The objective of this jurisdictional scan was to identify existing supports employed by governments to meet the physical, emotional, and financial needs of unpaid caregivers of older Canadians.
August 6, 2020
This analysis measured the percentage of people newly admitted to long-term care who had similar health characteristics as those living at home with formal supports.
July 1, 2020
The purpose of this environmental scan was to gather information on interventions, programs and initiatives to promote healthy aging and prevent frality in healthy community-dwelling older adults.
January 8, 2020
In 2018, just over one-quarter of Canadians (about 7.8 million) reported that, in the past year, they had cared for or helped a family member or friend who had a long-term health condition, or a physical or mental disability, or problems related to aging. This study discusses the types of caregiver supports reported in Canada.
October 1, 2019
The aim of this review was to understand the multitude of variables that influence access to home care and home support and how these factors contribute to unmet needs. Ultimately, unmet needs are initiated by lack of availability of services, out-of-pocket costs, lack of care continuity and personal characteristics that incline individuals to discontinue their services.
October 1, 2019
This report shares the results of APPTA's first Policy Innovation Lab, where participants identified unmet needs experienced by older adults across Canada, that included outdated approaches and fragmented systems.
September 1, 2019
This report explores the current provision of long-term care across Canada and place it within the global context of comparable countries that are also tackling significant demographic transitions as they redevelop their systems of care.
June 1, 2019
The purpose of this report is to inform policy reflection by providing information regarding how well older Canadians are served for the purposes of aging in place and community, by the home and community support services currently available.
April 1, 2019
The aim of this report is to summarize and assess the review literature in order to identify key attributes that are associated with high-performing care provided to people closer to home. Presented is an operational framework that identifies and summarizes the elements of high-performing home and community services.
May 1, 2017
In 2016, Health Quality Ontario (HQO) initiated a review of its home care indicators. Through engagement of a Home Care Expert Panel between September 2016 and March 2017, a revised set of indicators was recommended for public reporting.
August 1, 2016
The results of this survey provide a snapshot of what various providers from different disciplines and organizations are doing to provide navigation support to clients in a large urban Canadian community.
April 13, 2016
This page provides an overview of how the Government of Canada defines home and community care.
April 1, 2016
The Reality of Caring report takes a look at caregiver distress in relation to long-stay home care patients in Ontario. It examines the growth of distress, anger, depression and the inability to continue providing care among unpaid caregivers, as well as what has changed in recent years that may help explain this increase.
February 1, 2016
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.
December 1, 2015
There is an increasingly urgent need to correct deficiencies in approaches to redressing the financial consequences of caregiving in order to safeguard not just the sustainability of caring for family and friends, but also the sustainability of workplaces and the labour force.
November 1, 2015
Health Quality Ontario is the provincial advisor on the quality of health care. They are motivated by a single-minded purpose: Better health for all Ontarians.
August 1, 2015
This report outlines a policy framework to guide governments in the development of a national seniors strategy for Canada.
May 1, 2014
In this evaluation of the CF’s third phase (CFP3) we focused on “how” it should evolve to maximize value for caregivers, CMC and other stakeholders.
January 1, 2014
This report highlights some of the innovative practices that have been implemented in the Netherlands in regard to senior housing and care models.
January 1, 2013
Home care (HC) is an integral component of the ongoing restructuring of healthcare in Canada. Its continuing growth as a care option is accompanied by an increasing awareness of unique issues related to client safety in the HC context. The occurrence of an adverse event is a safety issue that has been well documented with respect to patients in acute care settings; however, there are only limited data available about safety problems experienced by clients in HC settings. The Safety at Home study was initiated to address this knowledge gap.
May 17, 2011
This report presents results from a multi-stage evaluation of the CC Program.
April 1, 2009
In this article, we report the findings from a groundbreaking 2007-2008 study in which we used home care client assessment data to analyze key characteristics and needs of approximately 1,700 individuals waiting for residential LTC in Toronto.
March 1, 2005
This report summarizes the findings of a multi-year research project, conducted at the University of Toronto, which analyzed key policy questions connected with the funding, allocation and delivery of pediatric home care in Ontario.
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