Project Title: Prescriptions for Pediatric Home Care
Community Care Access Centre Toronto
The Home Care Evaluation and Research Centre (HCERC), U of Toronto
The Hospital for Sick Children, Child Health Systems
The Toronto District Health Council
Funded by the Hospital for Sick Children Foundation
Driven by major health system restructuring initiatives, technological advances, and changing social values, an increasing proportion of Canadian health care has shifted outside of hospitals and institutions. As a result, a growing number of children, including those with complex care needs (CCN), now require care in home and community.
The ongoing shift from hospital to home and community has major implications for:
Families, who bear primary responsibility for the care and development of children
Providers, who are called upon to supply high quality and increasingly complex services in diverse settings on a cost-effective basis
Decision-makers, who must address a range of complicated issues around the funding and delivery of home and community care not only to children, but to children as well as other needs groups such as adults discharged earlier from hospitals.
This research builds on recent studies of health and social care for children conducted at the national level, including a recent study conducted by the research team. These studies have documented considerable variation both between and within provinces in services to children and families. They have also emphasized the importance of gathering systematic evidence of how best to meet the needs of children in home and community within available resources.
This study focused on Ontario. The aims were to:
Assess home and community services currently available to children and families across the province
Document differences in approaches to funding and delivering care in urban, suburban and rural areas, and evaluate, from the perspectives of families, providers and decision-makers, the strengths of these different approaches
Identify options for making the best use of available resources to achieve better outcomes for children and families in home and community
Portions of this work formed the basis of the Ph.D. thesis of M-THAC fellow Karen Spalding.
Williams, A.P., Spalding, K., Deber, R. & McKeever, P. (2003, June). The Changing Landscape of Pediatric Home and Community Care: Implications for Children, Families and Providers in Ontario. Preliminary Provincial Findings, University of Toronto, Toronto, Ontario.