13:15-14:15
The Future “Care” Scenarios
In the future, technology will play an important role in the treatment of clients in the community. Increased amenities in the home will make it easier to provide care. For example, the presence of microwave ovens, portable computers and remote video cameras will provide useful supports in providing care. The traditional role played by ministries of health will change with increased roles for regional and local community boards. Communities will play a more formal role in policy formation and standard setting in their own local constituency.
Care will take place in settings outside the home and will move beyond our traditional medical service approach. Community based programs serve people with acute and chronic illnesses. Home care divides into several types that include - maintenance and preventative, long term care substitution (chronic care), acute care substitution, extra-mural hospital and palliative home care. Most provincial home care programs include case management, home nursing and community rehabilitation. Home making services charge people according to income testing. Services outside the home include day care and respite programs, palliative care programs, primary health care centers, and access to alternative health care providers. The challenge in the discharge scenario is for the client to be able to access appropriate personnel and services to ensure both continuity and high level care. The challenge for the health care practitioners are to have the skills that will integrate services for the client within a framework of evidence based care.
14:15-14:30 Break
14:30-16:00
Symposium
What We Need for Good Co-operation from Hospoital to Home Care
16:00-16:10
Closing Remarks