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Better with Age: Health systems planning for the
aging populationJennifer Major, PhD, Policy and Research Analyst May 11, 2011
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CHSRFMandate:• Promote the use of evidence to strengthen the
delivery of health services that improve the health of Canadians
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Improving healthcare for older adults
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CHSRF’s Better with Age Roundtables
• Convened more than 200 policy-makers, healthcare executives and professionals, researchers and citizens
• Six roundtables in six weeks between October and November 2010– Calgary, Winnipeg, Ottawa (national), Halifax,
Toronto and Montreal
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CHSRF’s Better with Age Roundtables: Objectives • Clarify the impact of population aging on
financial sustainability of medicare
• Better understand pressing policy and research issues
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What we heard…• Policy change to ensure Canada’s healthcare system
meets the needs of older adults is overdue. o Older adults continue to wait in limbo in hospital beds for
more appropriate care
o Financial and administrative barriers impede system improvement
o Navigating between health and social services is complicated and costly for patients and caregivers
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Caring for Older Adults
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Key Policy Issues• An integrated system of care that enables:
o Coordinated transitions between a broad range of health and social services
o Better access to timely, appropriate careo Homecare and long-term care
o Increased flexibility of funding at the organizational level
• Create a shared vision of care for older adults with national leadership and collaboration among the federal, provincial and territorial governments
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Key Policy Issues• Address social determinants of health and
advance prevention and health promotion
• Address needs for special populations (e.g. First Nations, immigrants)
• Develop a labour strategy to ensure appropriate health human resources
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Getting to there from here?• Participants know reforms are needed, but were less
certain about how to achieve them– Need to support efforts to implement and evaluate
promising strategies for health quality improvement
• Need to engage the public in the discussion
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Public consultation • Convened 15 Vancouver citizens– Patient advocates– Unpaid caregivers– Long-term care resident– Retired healthcare professionals
• Asked: How do you think healthcare can be improved for older adults?
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What we heard…
• Overall themes mirrored those heard at the Better with Age roundtables
• Some issues were more prevalent in the citizen dialogue:– Affordability of non-publicly provided healthcare– Inadequate food and nutrition in healthcare
settings
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Going forward • Policy briefs and Mythbusters articles
• Hosting a roundtable in the North
• Research and syntheses – Alternate Level of Care (ALC)– Increasing access to homecare and long-term care– Integrated approaches to chronic disease care – Public consultation