Aging in Canada

Paperback | July 22, 2013

byNeena L. Chappell, Marcus J. Hollander

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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. In2010, 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 likepopulation 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 acost-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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From the Publisher

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. In2010, 15.3 percent of Canada's population was ov...

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. Her awards include the Craigdarroch Award for Excellence in Communicating Research, Unive...

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Format:PaperbackDimensions:208 pages, 9 × 6 × 0.52 inPublished:July 22, 2013Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0195447662

ISBN - 13:9780195447668

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Table of Contents

List of IllustrationsAcknowledgements1. Introduction2. A Profile of Our Aging PopulationIntroductionMore Older CanadiansDependency Ratios: Cause for Concern?Interpreting Dependency RatiosThe Health and Well-Being of Older CanadiansChronic ConditionsFunctional DisabilitySelf-Perceptions of HealthSummary of Physical Health in Old AgeWell-BeingFrailtySubpopulationsSummary of Health and Well-BeingHealth Promotion and Disease PreventionChapter Summary3. Informal CareIntroductionSocial Support and CaregivingCaregiving in the WestCaregiver Stress and BurdenCaregiver Stress and BurdenOther Directions in Caregiving ResearchCaregiving in the FutureCaregiving in SummarySocial Policy and CaregivingCaregiving Policies and Programs in CanadaInternational ExperienceThe Need for Care for CaregiversLooking Forward4. The Evolution of Continuing Care for Older AdultsIntroductionDefining Continuing CareThe Historical Evolution of Continuing CareThe 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 ConcernsDiscussion5. The Economic Evaluation of Continuing CareIntroductionAn Overview of Economic AnalysisThe Cost-Effectiveness of the Maintenance and Preventive Function of Home CareHome Care as a Substitute for Residential CareThe Cost-Effectiveness of Home Care Compared to Acute Care HospitalsThe Cost-Effectiveness of Other Continuing Care ServicesDiscussion6. Models and Frameworks for Integrated CareIntroductionExamples of Successful Integrated Systems of CareLarger Provincial and State ModelsSmaller Models with Home, Community, and Residential Care ComponentsSmaller, Integrated Community-Based ModelsThe Chronic Care ModelFrameworks to Inform the Development of Integrated Systems of Care DeliveryThree Highly Regarded FrameworksThe Enhanced Continuing Care FrameworkDiscussionConclusion7. A Path ForwardIntroductionA Critical First StepTwenty Years of Policy DriftA Response to the Skeptics"The Cost-Effectiveness Data No Longer Apply""Actual Savings Are Not Possible""Large Scale Change Is Not Feasible"Getting It RightScope of the BookConclusionsNotesReferencesIndex