Hébert Réjean
Faculty of Medicine and Health Sciences, Research Centre on Aging, Université de Sherbrooke.
Healthc Pap. 2011;11(1):69-75; discussion 86-91. doi: 10.12927/hcpap.2011.22256.
A necessary component of the prescribed continuing care act should be the creation of a long-term care insurance program in Canada. This social innovation has been implemented in many countries in recent decades to address the aging of the population and associated pandemic of chronic diseases. A specific autonomy insurance fund would have to be created and funded through transfers of current funding for long-term care, tax credits for disabled individuals and substantial new investment to make the shift from institutional to home care. Following a standardized assessment by case managers, an autonomy support benefit would be determined to fund "in kind" public or private services or a "cash-for-care" allowance for older people to purchase services. Case managers would be responsible for coordinating the care, controlling the quality of services and reassessing needs according to changes in individuals' conditions. Funding reform of long-term care would prioritize home care and optimize the functioning of integrated care to improve support for frail older people.
加拿大规定的持续护理法案的一个必要组成部分应该是建立一项长期护理保险计划。近几十年来，许多国家都实施了这一社会创新举措，以应对人口老龄化及相关的慢性病流行问题。必须设立一个专门的自主保险基金，并通过将当前长期护理资金转移、为残疾人士提供税收抵免以及进行大量新投资来提供资金，以实现从机构护理向居家护理的转变。在个案经理进行标准化评估之后，将确定一项自主支持福利，为老年人提供资金，以支付“实物”形式的公共或私人服务费用，或者提供“护理现金”补贴，以便他们购买服务。个案经理将负责协调护理工作、控制服务质量，并根据个人状况的变化重新评估需求。长期护理的资金改革将把居家护理作为优先事项，并优化综合护理的运作，以加强对体弱老年人的支持。
