title: Chronic disease management and the home-care alternative in Ontario, Canada.
abstract: The pressure on our health-care system to deliver efficient, quality and cost-effective care is increasing. The debate on its sustainability is also expanding. These challenges can be managed with revisions to our health-care policy frameworks governing how and what public health-care services are delivered. Chronic disease management and home care can together ease many of the present and future pressures facing the health-care system. However, the current level of investment and the present policy are not effectively supporting movement in this direction. Updating the Canada Health Act to reflect the realities of our health-care system, and developing policies to support the areas of interdisciplinary teamwork and system integration are needed to facilitate chronic disease management and home care in Canada. This article lays out the challenges, highlights the impending issues and suggests a framework for moving forward.
authors.affiliation: School of Health Policy and Management, York University, Toronto, Ontario, Canada. tsasis@yorku.ca
authors.forename: Peter
authors.initials: P
authors.lastname: Tsasis
mesh_terms: D002908:Chronic Disease / Q000628:therapy*; D019468:Disease Management; D006284:Health Plan Implementation; D006291:Health Policy; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D009864:Ontario; D010348:Patient Care Team