Health Care for the Elderly in Canada

Schwenger, Cope W.

doi:10.2307/3342203

Cited by 5 publications

(5 citation statements)

References 8 publications

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“…Canadian and American life expectancies at 65 and 75 years of age are almost identical 13 . There is little difference between older people in the two countries in either self‐ reported conditions or function 13 .…”

Section: Health Care For Older Adultsmentioning

confidence: 99%

“…patients in the two countries who have similar problems would likely be managed differently 14 . For example, average lengths of hospital stay and institutionalization rates for older adults are higher in Canada 13 . Older Canadian receive a higher volume of physician services (for evaluation and management) than do older adults in the US, but fewer procedures 15,16 .…”

Section: Health Care For Older Adultsmentioning

confidence: 99%

“…Geriatric medicine in Canada has been influenced heavily by the style of practice found in the United Kingdom 13,40 . A number of early Canadian geriatricians emigrated from England.…”

Section: Geriatric Medicine In Canadamentioning

confidence: 99%

See 2 more Smart Citations

GERIATRIC MEDICINE IN CANADA: The History of Geriatric Medicine in Canada*

Hogan

Bergman

McCracken

et al. 1997

J American Geriatrics Society

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Section: Health Care For Older Adultsmentioning

confidence: 99%

Section: Health Care For Older Adultsmentioning

confidence: 99%

See 1 more Smart Citation

GERIATRIC MEDICINE IN CANADA: The History of Geriatric Medicine in Canada*

Hogan

Bergman

McCracken

et al. 1997

J American Geriatrics Society

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“…The long term care system in Canada is heavily institutionalized and very costly (Schwenger, 1987). In 1991-1992, the cost of a bed for a patient requiring a BPP ranged from $68.32 per day in a nursing home to $223.96 per day in a Public Free Standing Chronic Care Hospital (Hundert and Associates, 1993).…”

Section: Magnitude and Cost Of The Problemmentioning

confidence: 99%

Bed Positioning Programs for Older Adults in a Chronic Care Hospital- A Survey

Fox

Richardson

McLnnes

et al. 1997

Physical & Occupational Therapy In Geriatrics

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Bed Positioning Programs (BPPs) are instituted by interdisciplinary team members for severely disabled, institutionalized, older adults who present with or are at risk for contractures and .are at risk for pain and skin breakdown. The purpose of the study was to survey physical therapists and occupational therapists on clinical issues surrounding BPPs in order to enable the design of a study to evaluate the effectiveness of a BPP. Twenty-one therapists were surveyed. Results indicated BPPs are prevaleA and use a'substantial amount of resources. Therapists identified strategies to facilitate implementation of a BPP and expected outcomes o f a BPP. This

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“…1 The Manitoba Home Care Program, initiated in the 1970s, was one of the first comprehensive organized services in Canada, and it has served as a model that has been studied and duplicated around the world. 2 However, home care case managers often deal with fragmentary information and lack a forum for regular review and communication with the primary care physician. 3,4 For the frail elderly population, there are conflicting results on the value of models of comprehensive follow-up in the community.…”

Section: Introductionmentioning

confidence: 99%

South Winnipeg Integrated Geriatric Program (SWING): A Rapid Community-Response Program for the Frail Elderly

Montgomery

Fallis

2003

Can. J. Aging

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The objective of this study was to compare enhanced access to geriatric assessment and case management to usual home care service provision for the frail elderly. This was a demonstration project, with randomized allocation to control or intervention groups of frail elderly persons who had been referred to the Home Care service in Winnipeg. Of the 164 persons who were randomized, 78 intervention and 74 control patients were evaluated. Intervention subjects received a multidimensional assessment as soon as possible by a specially trained coordinator, who had enhanced access to geriatric medical and day-hospital services; intervention patients were case managed for a 3-month period. Control cases received usual care from home care coordinators. The intervention group received significantly faster assessment and deployment of home services, as well as greater utilization of the geriatric day-hospital services. Utilization of emergency room and hospital services was similar for both groups. Control subjects experienced more prolonged hospital stays and a significantly higher proportion (23%) were designated for long-term care than of intervention clients (9%). We conclude that the SWING program, which facilitated access to geriatric services and case management, reduced or delayed the need for long-term care.

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Health Care for the Elderly in Canada

Cited by 5 publications

References 8 publications

GERIATRIC MEDICINE IN CANADA: The History of Geriatric Medicine in Canada*

GERIATRIC MEDICINE IN CANADA: The History of Geriatric Medicine in Canada*

Bed Positioning Programs for Older Adults in a Chronic Care Hospital- A Survey

South Winnipeg Integrated Geriatric Program (SWING): A Rapid Community-Response Program for the Frail Elderly

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