Clear Goals, Solid Evidence, Integrated Systems, Realistic Roles

Thompson, Laurence G.

doi:10.12927/hcpap..17352

Cited by 4 publications

(4 citation statements)

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“…In response to exclusion of home care from the CHA, it is argued that "medically necessary" home-care services (e.g., professional nursing visits), are already being provided free of user charges, so inclusion into the CHA would not change the status quo (Thompson 2000). While this claim is valid, there are no means of insuring that the status quo is maintained in the future.…”

Section: Unaddressed Need For Federal Home Care Legislationmentioning

confidence: 99%

“…It has been suggested that if home care is a cheaper substitute for more costly institutional care, then increased funding for home care should not be required, since provinces should be able to finance home care from the cost savings derived from reducing more costly institutional care (Thompson 2000). However, in reality, it is more difficult to transfer savings from one healthcare sector to another.…”

Section: Unaddressed Need For Federal Home Care Legislationmentioning

confidence: 99%

“…It is feared that unless separate funding is established, the development of the home-care sector, particularly its LTC component, will be difficult to address (MacAdam 2000b). In response, Laurence Thompson, formerly CEO of the Saskatchewan Health Services Restructuring Commission, argues that dedicated national home-care funding is contradictory to the constitutional division of powers and historical trend in federal/provincial relations, and that federal attempts to steer provincial delivery of healthcare will lead to unwieldy political squabble (Thompson 2000). Despite these challenges, Canada has in large measure succeeded in ensuring that Canadians across the country have access to quality facility-based healthcare due to the minimum quality standard mandated by the CHA.…”

Section: Integrated Funding For Home Care and Other Healthcare Priorimentioning

confidence: 99%

See 2 more Smart Citations

The First Ministers' Accord on Health Renewal and the Future of Home Care in Canada

Motiwala¹,

Flood²,

Coyte³

et al. 2005

hcq

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On February 5, 2003, the Prime Minister and Premiers of seven provinces signed an agreement, the First Ministers' Accord on Health Care Renewal, outlining the direction of public healthcare in Canada in the near future. The Accord addressed several key issues in healthcare, namely prescription drug coverage, home care, diagnostic services, timeliness of care and primary healthcare reform. This paper critiques the home-care initiatives outlined by the First Ministers, on the grounds that they do not speak to issues of access to long-term care or to non-professional home care-services that are deemed critical by the elderly who wish to stay at home and who represent an increasing proportion of the country's population. Furthermore, the Accord does not establish legislative protection or separate funding, both of which are necessary to ensure that home care as a whole receives an adequate share of resources and political attention over the medium and long-term.

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Section: Unaddressed Need For Federal Home Care Legislationmentioning

confidence: 99%

Section: Unaddressed Need For Federal Home Care Legislationmentioning

confidence: 99%

Section: Integrated Funding For Home Care and Other Healthcare Priorimentioning

confidence: 99%

See 1 more Smart Citation

The First Ministers' Accord on Health Renewal and the Future of Home Care in Canada

Motiwala¹,

Flood²,

Coyte³

et al. 2005

hcq

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“…Enfin, la pertinence d'un tel systeme dans un reseau de soins integres s'inscrit dans sa capacite a observer la substitution d'un type de service (p. ex., les soins institutionnels) par un autre type de services (soins a domicile) pour les memes profils d'invididus (Thompson, 2000).…”

Section: Developpement De Groupes Iso-ressourcesunclassified

Les soins de longue durée aux personnes âgées: Choix d'un système clinico-administratif dans le contexte d'un réseau de soins intégrés

Dubuc¹,

Hébert²,

Desrosiers³

et al. 2004

Can. J. Aging

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For the past 10 years, in long-term care systems, we have witnessed the accelerated deployment of casemix management systems. A casemix is formed by clusters, defined by individual characteristics that explain similar resource use. However, certain questions regarding the development of these systems must be raised. Moreover, none of these systems was developed in the context of an integrated care organization that can track the progress of a dependent elderly person through every kind of care arrangement available—from own home, through intermediate facility, to long-term care institution. This article emphasizes the necessity of being well informed about the features of existing systems, in order to choose or develop the system that best answers the goals of a particular health care system. Finally, it underlines important elements that should be considered in each step of the development of a casemix system in this context.

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The Method for Assigning Priority Levels (MAPLe): A new decision-support system for allocating home care resources

Hirdes

Poss

Curtin-Telegdi

2008

BMC Med

101

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Clear Goals, Solid Evidence, Integrated Systems, Realistic Roles

Cited by 4 publications

References 0 publications

The First Ministers' Accord on Health Renewal and the Future of Home Care in Canada

The First Ministers' Accord on Health Renewal and the Future of Home Care in Canada

Les soins de longue durée aux personnes âgées: Choix d'un système clinico-administratif dans le contexte d'un réseau de soins intégrés

The Method for Assigning Priority Levels (MAPLe): A new decision-support system for allocating home care resources

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