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Long-Term Care in Quebec: Its Structure and Impact on Older Adults

Gina Bravo, PhD
Head, Department of Community
Health Sciences,
University of Sherbrooke
Researcher, Research Centre,
Sherbrooke University
Geriatric Institute,
Sherbrooke, QC.

Introduction
Over the past 30 years, as in all provinces across Canada, the population has aged rapidly in Quebec. From 1901 to 1971, a span of 70 years, the proportion of people aged 65 and over increased by only 2.1%: from 4.8%-6.9%. By comparison, it will rise by 21% in the next 70 years. In fact, according to recent projections, 28% of the people living in Quebec will be over 65 by the year 2041.1

While a majority of older adults consider themselves to be in good health, a significant proportion suffers from impairments that require long-term care. The Canadian Health and Activity Limitations Survey established the prevalence of physical impairments among people aged 65-74 years old at 31%; it is 55% in those over 75. While most elderly individuals live with family members, partially compensating for their impairment, many live alone or with a spouse who also suffers from impairment.2

A Historical Perspective

Introduction of new services
In response to the increasing health care requirements of an aging society, provincial health authorities developed a broad range of services adapted to the needs of the aged.