Care Closer to Home: Elements of High Performing Home and Community Healthcare Services
The aim of this report is to summarize and assess the review literature in order to identify key attributes that are associated with high-performing
care provided to people closer to home. Presented is an operational framework that identifies and summarizes the elements of high-performing home and community services.
Author: Peckham, A., Carbone, S., Poole, M., Allin, S., & Marchildon, G.
Publication Date: April 2019
Description: In Canada, as in other countries, there is considerable interest in shifting care out of institutions into home and community settings to better meet the needs of a growing population of older adults living with complex conditions. The aim of this report is to summarize and assess the review literature (e.g., systematic reviews, scoping reviews, etc.) in order to identify key attributes that are associated with high-performing care provided closer to home.
The results of our rapid review suggest that improvements in functional capacity are more likely through long-term interventions and programs that offer a variety of support options (i.e., education and case management). Similarly, multi-component individualized care from a multi-disciplinary team of providers is associated with delayed need for institutional-based long-term care and reduced hospitalizations.
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Keywords: community support services, CSS, independent living, Adult day programs (ADPs), social support
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