Community & Long-Term Care

Controversies about Community Care Access Centres and home care

Shortened hospital lengths of stay, and a growing number of people living with chronic diseases has meant that more Ontarians than ever are receiving health care services in their homes. In 2010, the Ontario Auditor General raised concerns about the quality and value of home care services, some of which remain outstanding. Resolving these issues

Sick patients continue to face challenges in accessing primary care

Sick Patients Continue to Face Challenges in Accessing Primary Care

Improving access to primary care has been a key priority of the Ontario Ministry of Health and Long-Term Care for the past decade.  The number of Ontarians who have a regular family doctor has increased dramatically. However, patients who are chronically ill continue to have problems accessing primary care. More family doctors and more rostered

House calls and Ontario’s election

In the run up to the Ontario election, the Liberal party has promised $60 million to support physician house calls. The number of doctors who make house calls has declined markedly over the past fifty years, and only a small proportion of Ontario family doctors currently provide ongoing care to patients in their homes.  What

Why don’t more doctors do house calls?

Over the last fifty years, doctors have been making fewer and fewer house calls. There is little doubt that patients value physician house calls, particularly from a doctor with whom they have an ongoing relationship.  Lack of appropriate training and mentors, financial disincentives, and the changing culture of family medicine are all barriers to increasing

Will the aging population bankrupt our health care system?

Many politicians, doctors and the public believe that aging of the population is the main cause of increased health care costs. If this is true, this paints an exceptionally worrying picture about the sustainability of health care in the future. However, somewhat surprisingly, the majority of researchers don’t believe that aging plays a major role

Waiting for long-term care in Ontario

Waiting for long-term care in Ontario

The Ontario Health Quality council reported in 2010 that wait times for a long-term care bed in Ontario have tripled since 2005.   A substantial number of people who are waiting for long-term care – and some who are currently in long-term care – could be cared for at home or in “assisted living” facilities

Gridlock in Ontario’s hospitals

About one in six beds in Ontario’s hospitals are occupied by patients who no longer need hospital care. These beds are called Alternate Level of Care (ALC) beds. Because ALC beds are not available for sick patients in the emergency department, ALC beds are an important cause of emergency department overcrowding. The term ‘gridlock’, used