Balancing institutional and community-based care: why some older persons can age successfully at home while others require residential long-term care.
Why can many older persons with relatively high needs age successfully at home, while others with similar needs require residential long-term care (LTC)? How can healthcare investments best be balanced to ensure that older persons have access to the most appropriate, cost-effective care?
Department of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario. paul.williams@utoronto.ca
A Paul
AP
Williams
David
D
Challis
Raisa
R
Deber
Jillian
J
Watkins
Kerry
K
Kuluski
Janet M
JM
Lum
Stacey
S
Daub
D000203:Activities of Daily Living; D000368:Aged; D003072:Cognition Disorders / Q000628:therapy; D003153:Community Health Services / Q000706:statistics & numerical data; D017048:Health Care Costs / Q000706:statistics & numerical data; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data; D006299:Health Services for the Aged / Q000706:statistics & numerical data; D006801:Humans; D057187:Independent Living / Q000706:statistics & numerical data*; D008134:Long-Term Care / Q000706:statistics & numerical data; D009864:Ontario / Q000453:epidemiology; D012112:Residential Facilities / Q000706:statistics & numerical data*