Madhuri Reddy, MD, FRCP(C)
Associate Editor,
Geriatrics & Aging.
Background
Institutional long-term care (LTC) is expensive for both the individual and society.1 As Canada's population ages, there will be growing pressure for institutional beds and greater interest in reducing or delaying admission to an institution.2
The structure and financing of LTC varies widely not only among, but also within countries.3 The Canadian health care system is federally-based, and although both federal and provincial levels of government contribute financially to the LTC system, individual provinces are ultimately responsible for the delivery of health care services.4
In anticipation of the growing population of frail elderly, several countries are in the process of reforming their LTC systems. There is a trend to change the purpose of nursing homes (NHs) to provide mostly for clients with complicated care needs.3 Researchers worldwide are investigating how to correctly determine clients' needs and how to create instruments that can appropriately assess these needs.5 LTC placement criteria are being optimized, alternatives to LTC are being explored, and many countries are expanding their community and home care services.3
Single-Entry System in Canada
In order to make the process of LTC placement more efficient and streamlined, a 'single-entry' system has been introduced in several Canadian provinces.
