Innovation in Ontario’s Family Health Teams: How Palliative and Coordinated Care Programs Are Filling Service Gaps and Keeping Patients at Home

Aggarwal, Monica; Cluett, Helen; Campbell, Heather; Korzeniowski, Debbie; Jones, Cindy; O'Donnell, Linsey; Mehta, Kavita

doi:10.12927/hcq.2019.25838

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“…The next article (Aggarwal et al 2019) leaves the city behind, moving to two rural, small-town Ontario communities with gaps in service for elderly residents. Local family health teams (FHTs) intervened, creating programs and services to support the growing numbers of patients with end-of-life and complex care needs.…”

Section: Effective Primary Carementioning

confidence: 99%

From the Editors

2019

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T he features of Canadian healthcare vary from jurisdiction to jurisdiction but all health systems face the same pan-Canadian obligations and share similar challenges that reflect regional and national realities as well as global trends and tensions (Forest and Martin, 2018). How the country's health stewards approach those challengeswhether they eschew or pursue solutions to complex, seemingly intractable problems-is critical. It can either strengthen or still the ability to adapt and address the shifting needs of current and future populations. This issue of Healthcare Quarterly examines several pressing and pernicious issues that have beset Canada's health systems. An aging population that within 10 years will include more than two million Canadians who are 65 and older and live with frailty and multiple morbidities (Muscedere et al. 2019). A surge in demand for services and age-related health concerns such as cataracts (Campbell et al. 2019). A health system with outdated models of care ill-equipped to provide quality comprehensive patient-centred care. Overuse of health resources in inappropriate settings and underserved populations. An opioid crisis, devastating and daunting, in which the harms associated with their use continue to rise while the number of opioids prescribed falls (Grywacheski et al. 2019). These challenges call for full deployment of resources. But, as revealed in this issue of Healthcare Quarterly, too few clinicians are leadership trained due to lack of interest and access alike (Kirk et al. 2019). Too often, in-house research capacity is underutilized, misunderstood or unsupported (Bookey-Bassett et al. 2019). And healthcare risk management is unduly onerous, crowding out the key imperatives of keeping patients and providers free from harm (Stevens et al. 2019). Luckily, this issue's authors provide promising examples of innovations that push past these impasses, with solutions developed, tested and implemented across Canada and embedded to great effect in other countries.

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Section: Effective Primary Carementioning

confidence: 99%

From the Editors

2019

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Innovation in Ontario’s Family Health Teams: How Palliative and Coordinated Care Programs Are Filling Service Gaps and Keeping Patients at Home

Cited by 1 publication

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