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Long-Term Care Diversity within the Care Continuum

Published online by Cambridge University Press:  29 November 2010

Betty Havens
Betty Havens
Affiliation:
University of Manitoba
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Abstract

Long-term care spans a broad range of very diverse services and a pivotal location within the overall continuum of health and health care. Changes in one component of care affect and are affected by all other components as health care may be characterized as a dynamic series of interdependent processes and persons. The current state of Canadian health care, in general, and long-term care, in particular, demands the skilful juggling of universality and diversity to maximize both these characteristics without sacrificing either. In an atmosphere of reform and fiscal restructuring, the organizational, utilization and financing implications for this system on a tightrope are substantial. The challenges are of major proportions in maintaining a balance while securing a future system that is efficient, efficacious, equitable, effective and empowering.

Résumé

Les soins de longue durée englobent une panoplie de services variés et constituent un pivot au sein de l'ensemble du continuum de la santé et des soins de santé. Les changements apportés à l'une des composantes des soins de santé ont une incidence sur toutes les autres composantes et vice versa: les soins de santé peuvent être caractérisés comme une série dynamique de personnes et de processus interdépendants. La situation actuelle au Canada, en matière de soins de santé en général, et de soins de longue durée en particulier, exige l'établissement d'un équilibre fin entre l'universalité et la diversité afin de maximiser ces deux caractéristiques sans pour autant sacrifier l'une ou l'autre. Dans un contexte de réforme et de restructuration financière, les conséquences sur le plan de l'organisation, de l'utilisation et du financement de ce système en péril sont très lourdes. Nous devrons relever un défi de taille afin de maintenir un équilibre et d'assurer, pour demain, un système efficace, équitable et opérant qui en favorise la prise en main.

Keywords

Long-term CareService DiversityOrganization and Delivery of CareUtilization and Fiscal Implications.Soins de longue duréediversité de serviceorganisation et prestation de soinsconséquences sur l'utilisation et le financement.
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 14 , Issue 2 , Été/Summer 1995 , pp. 245 - 262
Copyright
Copyright © Canadian Association on Gerontology 1995

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