Time to fix home care - Infomart - 0 views
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Toronto Star Fri Mar 13 2015
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A woman goes without eating or drinking for two to three days, even though she was under the supervision of Ontario's home-care system. Patients receiving palliative home care get cut off because they don't die fast enough. A patient with diabetes gets sent home after a heart attack. The expectation is that a friend will take care of her. She returns to hospital in a diabetic coma. Those are just three tales from the trenches from personal support workers, patients, nurses, community service-provider agencies and other groups involved with home care in this province. Their testimony is contained in a two-year study, "The Care We Need," released this week by the Ontario Health Coalition, an advocacy group that is rightly calling for a complete overhaul of the home-care system. If that message isn't strong enough to be heard by the Ontario government, many of the group's findings are reinforced by a second report on home care, made public on Thursday by a group of experts commissioned by the Ontario government.
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That report, "Bringing Care Home," contains 16 recommendations to streamline and integrate services to make it easier for patients and caregivers to navigate a system that is now overly complex and unresponsive. As the experts say, the current home care system simply "fails to meet the needs of clients and families." The health coalition's exhaustive study details what happens when: People are forced out of hospitals to free up beds and cut costs without a co-ordinated, well-financed home-care system in place to support them. Patients end up back in expensive hospital emergency beds because they haven't been given enough home-care hours. Elderly patients end up in expensive long-term nursing homes, because they can't access the home-care support they need. What's clear from both studies is this: the Ontario government cannot have it both ways. It can't cut the extraordinary cost of keeping patients in hospital simply by pushing them out the door as quickly as possible, without providing sufficient home care on the other end to ensure they don't end up returning in worse shape, requiring more expensive care, than when they left. And it can't prevent elderly patients from accessing expensive long-term nursing home beds if it doesn't provide the care they need at home.
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