Neena L Chappell, Marcus J Hollander

Aging in Canada

• Broschiertes Buch

Produktbeschreibung

Canada, like other countries, is aging. The media has reported on a "grey tsunami," a demographic change reflecting longer life expectancy and the retirement of the so-called baby boomer generation. The numbers and percentages of older adults within our population continue to increase. In 2010, 15.3 percent of Canada's population was over 65; in 2030, it will be 24.1 percent. Many commentators have risen alarm about this flood of adults potentially bankrupting our health care system. This book gives us the facts in a clear, concise, and balanced way. It is true that our population is aging; however, this is not a crisis. We learn that the actual cost drivers are technology, labour, and increased service utilization across all ages-not uncontrollable demographic factors like population growth. The perceived crisis in the sustainability of our health care system should be framed in terms of challenges related to the reorganization and management of health services, particularly for older adults. Cost effectiveness is the key. Two experts on aging review the latest information. They explore topics such as how our health changes as we age and how our health care needs change as a consequence; how the needs of older adults are currently met; and how we can improve in the future. From discussion of informal caregiving to a cost-benefit analysis of continuing care, this fascinating and informative book provides an eye-opening look at the realities of our aging population.

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Two experts on aging consider how our health needs change as we age and evaluate our current system of care provision. From definitions of health and well-being to informal caregiving, from a cost-benefit analysis of continuing care to the wide range of options available to help manage our changing needs, this fascinating and informative book provides an eye-opening look at the realities of an aging population.

Produktdetails

• Verlag: Oxford University Press, USA
• Seitenzahl: 208
• Erscheinungstermin: 20. September 2013
• Englisch
• Abmessung: 226mm x 152mm x 15mm
• Gewicht: 272g
• ISBN-13: 9780195447668
• ISBN-10: 0195447662
• Artikelnr.: 39338843

Autorenporträt

Neena L. Chappell is professor of sociology at the University of Victoria. She has served as president of the Canadian Association on Gerontology (2008-2012) and is president of Academy II (Social Sciences) of the Royal Society of Canada, 2011-13. Marcus J. Hollander is president of Hollander Analytical Services Ltd. He has over 30 years of experience in health services research, evaluation, and administration, including working as director of the health network of the Canadian Policy Research Networks.

Inhaltsangabe

* List of Illustrations
* Preface
* Acknowledgements
* 1. Introduction
* 2. Population Health and Aging
* Introduction
* More Older Canadians
* Dependency Ratios: Cause for Concern?
* Interpreting Dependency Ratios
* The Health of Older Canadians
* Chronic Conditions
* Functional Disability
* Self-Perceptions of Health
* Summary
* Well-Being
* Frailty
* Subpopulations
* Summary
* Health Promotion and Disease Prevention
* Summary
* 3. Informal Care
* Introduction
* Social Support and Caregiving
* Caregiving in the West
* Caregiver Stress and Burden
* Understanding Caregiver Burden
* Other Directions in Caregiving Research
* Caregiving in the Future
* In Sum
* Social Policy and Caregiving
* Caregiving Policies and Programs in Canada
* International Experience
* The Need for Care for Caregivers
* Summary
* 4. The Evolution of Continuing Care for Older Adults
* Introduction
* The Historical Evolution of Continuing Care
* The Emergence of Social Security in Canada (1700s-1945)
* The Consolidation of Social Security (1945-early 1970s)
* Fiscal Retrenchment (early 1970s-early 1990s)
* Reform and Retrenchment (early 1990s-present)
* Current Concerns
* Discussion
* 5. The Economic Evaluation of Continuing Care
* Introduction
* An Overview of Economic Analysis
* The Cost-Effectiveness of the Maintenance and Preventive Function of
Home Care
* Home Care as a Substitute for Residential Care
* The Cost-Effectiveness of Home Care Compared to Acute Care Hospitals
* The Cost-Effectiveness of Other Continuing Care Services
* Discussion
* 6. Delivering Care for Older Adults: Models of Integrated Care
* Introduction Examples of Successful Integrated Systems of Care
* Larger Provincial Models
* Smaller Models with Home, Community, and Residential Care Components
* Smaller, Integrated Community Based Models
* The Chronic Care Model
* Frameworks to Inform the Development of Integrated Systems of Care
Delivery
* Three Highly Regarded Frameworks
* The Enhanced Continuing Care Framework
* Discussion Conclusion
* 7. Discussion and Blueprint for Action
* Introduction
* A Critical First Step
* Twenty Years of Policy Drift A Response to the Skeptics
* The Cost-Effectiveness Data No Longer Apply
* Actual Savings are Not Possible
* Large Scale Change is Not Feasible Getting it Right
* Conclusions
* References
* Index