Developing an evidence-informed model of long-term life care at home for older adults with medical, functional and/or social care needs in Ontario, Canada: a mixed methods study protocol
A mixed methods home care study to combine the power of 'big-data' with a rich, context-specific, and multiperspectivce understanding of challenges and opportunities for enhancing home care from deep engagement of experts by lived experience.
Author: Justine L Giosa, Maraget Saari, Paul Holyoke, John P Hirdes, George A Heckman
Publication Date: August 11, 2022
Description: The COVID-19 pandemic exacerbated existing challenges within the Canadian healthcare system and reinforced the need for long-term care (LTC) reform to prioritise building an integrated continuum of services to meet the needs of older adults. Almost all Canadians want to live, age and receive care at home, yet funding for home and community-based care and support services is limited and integration with primary care and specialised geriatric services is sparse. Optimisation of existing home and community care services would equip the healthcare system to proactively meet the needs of older Canadians and enhance capacity within the hospital and residential care sectors to facilitate access and reduce wait times for those whose needs are best served in these settings. The aim of this study is to design a model of long-term ‘life care’ at home (LTlifeC model) to sustainably meet the needs of a greater number of community-dwelling older adults.
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Keywords: lived experience, COVID-19, long-term care, older adults