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Bridging the Knowledge Gap: From Evidence to Policy and Practice that Fosters Seniors' Independence

Published online by Cambridge University Press:  29 November 2010

Evelyn Shapiro
Affiliation:
University of Manitoba
Betty Havens
Affiliation:
University of Manitoba

Abstract

The objectives of this synthesis are to highlight some of the evidence presented by the other articles in this issue and to discuss how this evidence can be used to design policies and deliver health care services which foster seniors' independence within a health reform context. This paper, therefore, first examines health reform and proceeds from there to discuss the key findings of the studies reported in this journal issue. The discussion then focusses on the importance of the evidence presented for policy making, planning and practice within the current context. Each section concludes by identifying the specific gaps in knowledge that require either additional literature reviews or further research.

Résumé

Cette synthèse vise à mettre en relief certaines conclusions des autres articles de ce numéro et à démontrer de quelle façon on peut les utiliser dans la conception de politiques et de soins de santé qui mettront de l'avant une réforme assurant l'autonomie des aîné(e)s. L'article examine d'abord la réforme de santé et s'y appuie pour commenter les principales conclusions des études du présent numéro. Le débat porte ensuite sur l'importance de la preuve présentée pour l'élaboration des politiques, la planification et les pratiques dans le contexte actuel. Chaque section se termine par la présentation de l'écart pour lequel il faudra faire un examen plus approfondi de la documentation ou sur lequel il faudra pousser la recherche.

Type
Articles
Copyright
Copyright © Canadian Association on Gerontology 2000

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References

British Columbia Royal Commission on Health Care and Costs. (1991). Closer to home, Vol. 2. Victoria: Province of British Columbia.Google Scholar
Browne, G., Roberts, J., Gafni, A., Weir, R., Watt, S., & Byrne, C. (1995). More effective and less expensive: Lessons from five studies examining community approaches to care. Health Policy, 34(2), 95112.CrossRefGoogle ScholarPubMed
Denton, F.T., & Spencer, B.G. (2000). Population aging and its economic costs: A survey of the issues and evidence. Canadian Journal on Aging, 19(suppl. 1), 131.CrossRefGoogle Scholar
The Globe and Mail. (1999). Drug plan hurts old, poor: study. March 27.Google Scholar
The Globe and Mail. (1999). Only one in ten maximized RRSP contributions in 1997. May 14.Google Scholar
Gottlieb, B.H. (2000). Self-help, mutual aid and support groups among older adults. Canadian Journal on Aging, 19(suppl. 1), 5874.CrossRefGoogle Scholar
Health Canada. (1998). Public home care expenditures in Canada 1975–76 to 1997–98. Fact Sheets. Policy and Consultation Branch. March. Minister of Public Works and Government Services, Canada. Cat. No: H39–432/1998. ISBN 0–662–63447–0. Available from URL: http://www.hc-sc.gc.ca/datapch/datahesa/hex.htm.Google Scholar
Hollander, M. (1994). Report on the costs, and cost-effectiveness, of continuing-care services in Canada. Queen's University-University of Ottawa Economic Projects Unit.Google Scholar
Lee, T.T., Solomon, N.A., Heidenreich, P.A., Oehlert, J., & Garber, A.M. (1997). Cost-effectiveness of screening for carotid stenosis in asymptomatic persons. Annals of Internal Medicine, 126(5), 337346.CrossRefGoogle ScholarPubMed
Manitoba Health. (1992). Quality health for Manitobans, the action plan. Winnipeg: Government of Manitoba.Google Scholar
McWilliam, C.L., Diehl-Jones, W.L., Jutai, J., & Tadrissi, S. (2000). Care delivery approaches and seniors' independence. Canadian Journal on Aging, 19(suppl. 1), 101124.CrossRefGoogle Scholar
Morrongiello, B.A., & Gottlieb, B.H. (2000). Self-care among older adults. Canadian Journal on Aging, 19(suppl. 1), 3257.CrossRefGoogle Scholar
Penning, M.J., & Keating, N.C. (2000). Self-, informal and formal care: Partnerships in community-based and residential long-term care settings. Canadian Journal on Aging, 19(suppl. 1), 75100.CrossRefGoogle Scholar
Roos, N.P., Brownell, M., Shapiro, E., & Roos, L.L. (1998). Good news about difficult decisions: The Canadian approach to hospital cost control. Health Affairs, 17(5), 239246.CrossRefGoogle ScholarPubMed
Rosenberg, M.W., & James, A.M. (2000). Medical services utilization patterns by seniors. Canadian Journal on Aging, 19(suppl. 1), 125142.CrossRefGoogle Scholar
Saskatchewan Health Services Utilization and Research Commission. (1998). Hospital and home care study. Summary Report No. 10. March. Saskatoon, SK.Google Scholar
Shapiro, E., & Tate, R. (1989). Is health care use changing? A comparison between physician, hospital, nursing home and home care use of two elderly cohorts. Medical Care, 27(11), 10021014.CrossRefGoogle ScholarPubMed
Tamblyn, R., & Perrault, R. (2000). Prescription drug use and seniors. Canadian Journal on Aging, 19(suppl. 1), 143175.CrossRefGoogle Scholar
Van Rossum, E., Frederiks, C.M.A., Philipsen, H., Portengen, K., Wiskerke, J., & Knipschild, P. (1993). Effects of preventive home visits to elderly people. British Medical Journal, 307(3 July), 2732.CrossRefGoogle ScholarPubMed
Zimmer, J.G., Groth-Juncker, A., & McCusker, J. (1985). A randomized controlled study of a home health care team. American Journal of Public Health, 75(2), 134141.CrossRefGoogle ScholarPubMed