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Health Serv Manage Res 2009;22:136-139
doi:10.1258/hsmr.2009.009002
© 2009 Royal Society of Medicine Press

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Chronic disease management and the home-care alternative in Ontario, Canada

Peter Tsasis * {dagger}  

* School of Health Policy and Management; {dagger} School of Administrative Studies, York University, Toronto, Ontario, Canada

E-mail: tsasis{at}yorku.ca

The pressure on our health-care system to deliver efficient, quality and cost-effective care is increasing. The debate on its sustainability is also expanding. These challenges can be managed with revisions to our health-care policy frameworks governing how and what public health-care services are delivered. Chronic disease management and home care can together ease many of the present and future pressures facing the health-care system. However, the current level of investment and the present policy are not effectively supporting movement in this direction. Updating the Canada Health Act to reflect the realities of our health-care system, and developing policies to support the areas of interdisciplinary teamwork and system integration are needed to facilitate chronic disease management and home care in Canada. This article lays out the challenges, highlights the impending issues and suggests a framework for moving forward.


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