The reform of home care services in Ontario: opportunity lost or lesson learned?
BACKGROUND
With the release of the Romanow Commission report, Canadian governments are poised to consider the creation of a national home care program. If occupational and physical therapists are to have input in shaping such a program, they will need to learn from lost opportunities of the past.


OBJECTIVE
This paper provides an overview of recent reforms to home care in Ontario with an emphasis on rehabilitation services.


METHODS
Data were collected from documents and 28 key informant interviews with rehabilitation professionals.


RESULTS
Home care in Ontario has evolved in a piecemeal manner without rehabilitation professionals playing a prominent role in program design.


CONCLUSIONS
Rehabilitation services play a critical role in facilitating hospital discharges, minimizing readmissions, and improving the quality of peoples' lives. Canadians will benefit if occupational and physical therapists seize the unique opportunity before them to provide meaningful input into creating a national home care program.
Randall
Glen
G
Strategic Market Leadership and Health Services Management, DeGroote School of Business, McMaster University, Hamilton, Ontario. randalg@mcmaster.ca
D018166:Health Care Reform / Q000458:organization & administration*; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D009313:National Health Programs / Q000458:organization & administration; D009788:Occupational Therapy / Q000458:organization & administration*; D009864:Ontario; D026761:Physical Therapy Specialty / Q000458:organization & administration*