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Chappell, Neena L
Aging in Canada / Neena L. Chappell, Marcus J. Hollander
Don Mills, Ont. : OUP Canada, c2013
book jacket
Location Call Number Status
 4th Floor  RA413.7.A4 C53 2013    AVAILABLE
Subject(s) Aging -- Health aspects -- Canada
Aging -- Economic aspects -- Canada
Older people -- Hospital care -- Canada
Older people -- Services for -- Canada
Medical care, Cost of -- Canada -- Forecasting
Medical care -- Canada -- Forecasting
Physical Description xii, 195 p. : ill. ; 23 cm
Note Includes bibliographical references (p. [166]-189) and index
Contents 1. Introduction -- 2. A Profile of Our Aging [Ageing, Aged] Population ; More Older Canadians ; Dependency Ratios: Cause for Concern? ; Interpreting Dependency Ratios ; The Health and Well-Being of Older Canadians ; Chronic Conditions ; Functional Disability ; Self-Perceptions of Health ; Summary of Physical Health in Old Age ; Well-Being ; Frailty ; Subpopulations ; Summary of Health and Well-Being ; Health Promotion and Disease Prevention -- 3. Informal Care ; Social Support and Caregiving ; Caregiving in the West ; Caregiver Stress and Burden ; Caregiver Stress and Burden ; Other Directions in Caregiving Research ; Caregiving in the Future ; Caregiving in Summary ; Social Policy and Caregiving ; Caregiving Policies and Programs in Canada ; International Experience ; The Need for Care for Caregivers ; Looking Forward -- 4. The Evolution of Continuing Care for Older Adults ; Defining Continuing Care ; The Historical Evolution of Continuing Care ; The Emergence of Social Security in Canada (1700s-1945) ; The Consolidation of Social Security (1945-early 1970s) ; Fiscal Retrenchment (early 1970s-early 1990s) ; Reform and Retrenchment (early 1990s-present) -- 5. The Economic Evaluation of Continuing Care ; An Overview of Economic Analysis ; The Cost-Effectiveness of the Maintenance and Preventive Function of Home Care ; Home Care as a Substitute for Residential Care ; The Cost-Effectiveness of Home Care Compared to Acute Care Hospitals ; The Cost-Effectiveness of Other Continuing Care Services -- 6. Models and Frameworks for Integrated Care ; Examples of Successful Integrated Systems of Care ; Larger Provincial and State Models ; Smaller Models with Home, Community, and Residential Care Components ; Smaller, Integrated Community-Based Models ; The Chronic Care Model ; Frameworks to Inform the Development of Integrated Systems of Care Delivery ; Three Highly Regarded Frameworks ; The Enhanced Continuing Care Framework -- 7. A Path Forward ; A Critical First Step ; Twenty Years of Policy Drift ; A Response to the Skeptics ; "The Cost-Effectiveness Data No Longer Apply" ; "Actual Savings Are Not Possible" ; "Large Scale Change Is Not Feasible" ; Getting It Right
Summary "Canada, like other countries, is aging. The media has reported on a "grey tsunami," a demographic change reflecting longer life expectancy and the retirement of the so-called baby boomer generation. The numbers and percentages of older adults within our population continue to increase. In 2010, 15.3 percent of Canada's population was over 65; in 2030, it will be 24.1 percent. Many commentators have risen alarm about this flood of adults potentially bankrupting our health care system
This book gives us the facts in a clear, concise, and balanced way. It is true that our population is aging; however, this is not a crisis. We learn that the actual cost drivers are technology, labour, and increased service utilization across all ages - not uncontrollable demographic factors like population growth. The perceived crisis in the sustainability of our health care system should be framed in terms of challenges related to the reorganization and management of health services, particularly for older adults. Cost effectiveness is the key
Two experts on aging review the latest information. They explore topics such as how our health changes as we age and how our health care needs change as a consequence; how the needs of older adults are currently met; and how we can improve in the future. From discussion of informal caregiving to a cost-benefit analysis of continuing care, this fascinating and informative book provides an eye-opening look at the realities of our aging population."--pub. desc
Series Issues in Canada
Alternate Author Hollander, Marcus J., 1946-

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