The aim of this study was to explore how the COVID-19 pandemic shaped the working experiences, motivations, and attitudes of home and community care nurses in the Greater Toronto Area.

This study aimed to assess the implementation of integrated social and health home care services (HCS) offered by the Government of Catalonia, and to identify the main barriers and facilitators of integrated HCS.

This scoping review identifies and maps peer-reviewed literature on how interprofessional teams are working together to support older adults transitioning from hospital back to the community.

Throughout health care, workplace violence and harassment are too often perceived as “part of the job” and not worth reporting. This pilot presents a template and tools designed to promote a culture of reporting.

With a focus on the effects of COVID-19 on the practice of home care, this study provides a unique perspective on the challenges experienced by home care rehabilitation professionals during an emergent and evolving global public health concern.

Using Ontario as a case study, this paper estimates the cost and capacity impacts of implementing wage parity between PSWs employed in home and community care and institutional long-term care.

This paper outlines a strategy to mitigate the home and community care (HCC) PSW shortage by applying appropriate funding to HCC and focusing on equal pay between HCC and institutional long-term care facilities' PSWs.

The objective of this study was to better understand the experiences of PSWs based in Toronto, Ontario, Canada, working at a local home care SPO during the COVID-19 pandemic.

The study’s aim was to provide insight into the care transition experiences and perspectives of home care clients and caregivers of those receiving home care who experienced a hospital admission and returned to home care services by thematically and illustratively mapping their collective journey.

This study describes the financial risks experienced by unpaid caregivers of persons living with dementia navigating publicly funded homecare in Ontario.

Directly funded home care in Canada, like other countries, is a key element of the public commitment to prioritize home care services that meet the needs of diverse older people and people with disabilities. Yet, as these programs expand in size and popularity, it is essential to reflect on the barriers that can be created through decisions in policy design.

Results from this study reveal several patterns concerning the financial risks of homebased caregiving during the COVID-19 pandemic. Findings from this study will be important in COVID-19 pandemic recovery efforts both regionally and nationally.

Access to community support services is critical for helping older adults remain safely in their homes for as long as possible. Study findings shed light on the types of services that low-income older adults in social housing are accessing, but suggest variable access to services across buildings.

This study demonstrates the value Meals on Wheels organisations offer to older people in terms of supporting an individual's coping capacity.

This study explores the experiences and perceptions of community palliative care providers, patients and caregivers who delivered or received virtual palliative care as a component of home-based palliative care during the COVID-19 pandemic.

This qualitative study aimed to identify the care and social support needs and preferences of a diverse group of people living with HIV in Ontario, Canada; and to describe lived experiences shaping these needs and affecting whether they are met.

With an aging population, an increase in home care client acuity, and post-COVID-19 concerns over long-term care, more attention is needed to improve the quality of home care. The demand for these services will continue to increase particularly for those living with dementia and their families. The findings of availability, acceptability, adaptability, and affordability as core to quality care can help lay the groundwork for a home care framework for persons living with dementia and their caregivers.

Many factors should be considered when we assess the suitability of both our built and social environments for aging in place, recognizing that these elements can have a direct effect on physical and social health and wellbeing. This article addresses benefits, challenges and strategies to aging in place.

This qualitative study uncovers three dimensions influencing the implementation of a telehealth tool for older adults: service organization and missions, working conditions, and interactions with clients.

Workplace violence incidents remain pervasive in health care. The objective of this study was to evaluate whether the implementation of a rapid response algorithm resolved unsafe working conditions associated with responsive behaviors and decreased perception of risk.

This is one of the first studies to assess decision regret among caregivers of older adults receiving home and community care services and to identify their most frequent difficult decisions.

A mixed methods home care study to combine the power of 'big-data' with a rich, context-specific, and multiperspectivce understanding of challenges and opportunities for enhancing home care from deep engagement of experts by lived experience.

The objective of this study was to identify home health utilization factors associated with successful discharge to community after home health care for patients with and without Alzheimer's disease and related dementias (ADRD).

The aim of this study was to collect older people’s perspectives and preferences on the application of smart technologies for aging in place.

Examines the effect of the pandemic on, and factors associated with, change in home care (HC) recipients’ capacity for instrumental activities of daily living. A retrospective cohort study.

As we recover from the COVID-19 pandemic and reflect on strategies to improve our public health response to future threats, it is imperative that we consider decent work for personal support workers who provide care for our most vulnerable. These findings highlight potential areas for labour policy reforms related to the PSW workforce.

Examine factors associated with distressing social decline and withdrawal during the COVID-19 pandemic for home care recipients using a retrospective cohort study.

The objective of this research is to identify, appraise and synthesize evidence on the effectiveness of complex interventions targeting reduction in social vulnerability for improving health related outcomes (mortality, function, cognition, subjective health and healthcare use) in older adults living in the community.

A cross-sectional web-based survey with interprofessional home care providers in Alberta, Ontario and Quebec. This research sought views on decisions facing older adults (and caregivers) in the home care setting and assessed their perceived level of involvement in shared-decision making (SDM).

Across Ontario’s publicly funded home care system, the first wave of the COVID-19 pandemic significantly disrupted patterns of home care admissions, discharges, standardised assessments, as well as receipt of personal support, occupational therapy, and physical therapy services. The sector should prioritise both home care assessment and service delivery during a crisis to ensure persons who rely on these essential services are well-supported in the community.

This case study on Adult Day Programs (ADPs) at the Toronto Geriatric Centre employes a qualitative research strategy encompassing interviews and focus groups. Its purpose was to gather feedback from staff members, clients and family caregivers with the intention of identifying service gaps, crucial to developing the programs' effectiveness.

Managing bio-psycho-social frailty could be essential in preventing adverse health outcomes, such as institutionalization, and a helpful tool in defining the care needs of community-dwelling older adults.

Caregiver burden is a common and significant problem with serious consequences not only for caregivers but also for the care provided to patients. These risks have also been exacerbated by the social isolation of the COVID‑19 pandemic. This research outlines how to apply a C.A.R.E framework to reduce caregiver stress.

In the pilot trial of our Together in Care transition team initiative, we were able to demonstrate feasibility of the project that resulted in reduction of hospital expenditures for patients with advanced chronic diseases

The objective of this study is to reach consensus on a minimum list of long-term care (LTC) interventions to be included in a service package delivered through universal health coverage (UHC).

The objective of this research study was to determine how goal-setting practices for older adults could be re-oriented around individuals’ self-perceived goals, needs and preferences.

Objectives of this paper were to describe time trends in prevalence of homebound status among community-dwelling long-term home care recipients and the charactierstics associated with homebound status. A retrospective cross-sectional and cohort study.

This paper aims to address quality of life for older adults with disabilities. Six trials with peer-reviewed publications or reports were identifies and included in this review. The CAPABLE program resulted in substantial improvements in identified participant areas along with cost savings.

Hospital at Home (HaH) is a sustainable, innovative, and next-generation model of healthcare.

The evidence included in this review supports the use of home‐based end‐of‐life care programmes for increasing the number of people who will die at home. Research that assesses the impact of home‐based end‐of‐life care on caregivers and admissions to hospital would be a useful addition to the evidence base, and might inform the delivery of these services.

The SCH is a grassroots, innovative integrated model of care that outlines a framework for upstream primary care assessments and interventions for older adults at risk of frailty. With creative mobilization of available resources and services any primary healthcare team can implement the SCH within their practice.

Home health organizations should employ a nuanced approach to improving quality, increasing compensation to permanent home health aides when the organization increases their use of contract home health aides and equally distributing benefits to home health aides when the organization does not rely as heavily on contract home health aides.

The objective of this project was to investigate whether the footwear that performed well in our lab-based testing would reduce the risk of slips and/or falls in real-world winter conditions.

This two-phase sequential exploratory mixed methods study was conducted in a pan-Canadian healthcare organisation. The study will inform the design of decision support interventions for older adults receiving home care and their caregivers.

The aims of the study were to describe the characteristics of meals-on-wheels (MOW) recipients, including prevalence of malnutrition amongst those who have received input from the Nutrition and Wellbeing Service (NWS) and to explore whether the NWS had an impact on the nutritional status (malnutrition risk) of recipients over time.

This paper proposes a conceptual framework for identifying and addressing the challenges that may need to be overcome to effectively apply technology-enabled solutions for family caregivers.

The objective of this research is to evaluate cost-effectiveness of an in-home respite care program in addition to standard community-based dementia care to support informal caregivers of persons with dementia compared with standard community-based dementia care.

Typically, older adults with MCC receive care from multiple healthcare providers across various care settings. For older adults with MCC living in the community, these healthcare providers are mainly from primary care and home care settings and include a broad range of providers such as nurses, physicians, social workers, pharmacists, physiotherapists, and personal support workers (or healthcare aides). Older adults with MCC and their family and friend caregivers (hereafter referred to as caregivers) experience their care to be focused on single conditions and lacking a holistic focus on the client and family.

Diabetes is an increasingly costly condition for older adults. To control health care spending in the US, factors must be identifies to reduce hospitalizations for these individuals.

This study explores the perspectives of clients and their family caregivers concerning the Home First program.

The presentation will explore the common principle, concepts, core characteristics and components of integrated health and social services that support continuity of care. These concepts will be explored against the “Home-At-Last” (HAL) integrated initiative, a community-based program, situated in Ontario, Canada.

This realist synthesis has resulted in a theory that posits that team-based PFCC in geriatric home care requires the unique individual contributions of nurses, OTs, and PTs, in addition to the team-based PFCC function of communication and system level support through education.

Attempts to rebalance health systems towards strengthened community-based care have been relatively unsuccessful. In order for rebalancing efforts to offer any form of staying power there first needs to be an understanding of the complexity of the community subsector to inform the types of inputs necessary to successfully expand community care avoiding further fragmentation and/or maintenance of the status quo.

In order to establish the need for, and design of, a transitional caregiver intervention, the goal of this study was to describe the unmet needs of family caregivers of older adults during the care transition.

The aim of this project is to describe the quality of assessment data regularly collected in home and community, with techniques adapted from an evaluation of the quality of long-term care data in Canada.

This tailored intervention discussed will have a potential to promote evidence-based decision-making and empower older people receiving home help services to remain to a greater extent in charge of their own lives.

This study brought together a range of experienced care providers to examine and discuss the ‘fundamentals’ of community-based care for people with complex health and social care needs.

To describe the level of need and divertibility of newly admitted nursing home residents, describe the factors that drive need, and describe the outcomes of residents across different levels of need.

This article attempts to establish whether dependent older people benefit from enhanced long-term home care services compared with placement in a long-term care institution. It also aimed to determine whether enhanced home care affects informal caregivers.

Results from this overview of systematic reviews, which evaluated the impact of home care compared to alternative long-term LOCs on elder health outcomes, suggests that home interventions and/or supports that promote elder health and independence might be effective in helping elders age at home.

Reablement is a more cost-effective intervention compared with usual care. Reablement has a potentially large effect on the demand for compensating home-based care services. Policy-makers should therefore consider implementing reablement on a larger scale.

This study sought to evaluate the efficacy of a PSW-led coaching intervention to improve diabetes self-efficacy, based on the rationale that PSWs are a relatively more cost-effective that traditional nurse-led self-management coaching interventions.

The aim of this Cochrane review was to determine if providing healthcare in an admission avoidance, hospital at home setting, improves patient health outcomes and reduces cost to the health service.

The objectives of this study are to identify what performance indicators make sense for home and community care and who has input in deciding these indicators? Findings suggest that state actors do recognize the calls from the home and community care NGOs to develop appropriate performance indicators for this sector, and to incorporate quality of life as an essential component of performance measurements.

This study has provided new insights into the factors associated with a home health worker’s intent to leave the job.

The study did identify factors that were related to individual differences within the sample. The variations from the majority were also consistent with the literature. Examples that contradict the overall story are provided through counter-stories.

Although patients in home-based palliative care had lower hospitalisation costs, they incurred much higher unpaid caregiver time costs and home care service costs than hospital-based patients. From a societal perspective, homebased palliative care may be just as expensive as hospital-based palliative care.

Participants considered the interprofessional initiative to be very successful in bringing previously isolated practitioners together to work in collaborative ways focused on individual clients and families. Four key themes emerged from the findings

This article uses chronic disease prevention activities delivery as a proxy measure of public decision-making and actions. They found that local health agencies implementation of a community health assessment and improvement plan does lead to improved public health decision-making and actions.

This study found that participation in the community salon contributed to the prevention of incident functional disability, even after the application of PSM and IV analysis.

The purpose of this research was to develop and validate a prognostic case finding tool that classifies the risk of emergency department (ED) use in an older home care population.

The purpose of this paper was to gain an understanding of the impacts of task shifting on the quality of care provided to clients from the perspectives of home healthcare workers.

This paper confirms the dearth of research investigating satisfaction with social care and barriers to access among minority ethnic carers.

For an older adult with a hip fracture, the subsequent decline in function and mobility can be debilitating, resulting in a great burden placed on their caregivers and the health care system. Thus, this review will synthesize knowledge focusing on activities to maintain and restore function in older adult patients with CI once they have completed their active rehabilitation program and return home.

Through the use of 2008 Southeastern Pennsylvania Household Health Survey data, this exploratory study modeled predictors of unmet HCBS needs.

This paper presents descriptive statistics and cost function estimates for non-profit and for-profit Medicare certified home health agencies in 2010.

Governments and health care policy makers are trying to address the epidemic of chronic disease in Canada through primary care service reform, emphasis on patient-centred care, continuity of care and increased attention to the broader dimensions of health (29). Future changes in the health care system in Canada must account for provision of integrated care at both specialty institutions and community practices.

This study confirms low level of awareness of CSSs without acquiescence bias. Age, gender, income, community engagement and information about services all explain some of the variance in awareness of CSSs. Findings provide support for a social inequality model and provide practical implications for improved awareness and use of CSSs.

This paper is a synthesis of research on recruitment and retention challenges for home support workers (HSWs) in Canada.

This article used the case of personal support work to highlight the extent to which analogous health care services are differentially compensated in the province of Ontario, based on the setting in which care is provided: to the extent that wage differences can be attributed to place alone, home-based workers are the victims of wage discrimination.