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List of Illustrations; Preface; Acknowledgements; 1. Introduction; 2. Population Health and Aging; Introduction; More Older Canadians; Dependency Ratios: Cause for Concern?; Interpreting Dependency Ratios; The Health of Older Canadians; Chronic Conditions; Functional Disability; Self-Perceptions of Health; Summary; Well-Being; Frailty; Subpopulations; Summary; Health Promotion and Disease Prevention; Summary; 3. Informal Care; Introduction; Social Support and Caregiving; Caregiving in the West; Caregiver Stress and Burden; Understanding Caregiver Burden; Other Directions in Caregiving Research; Caregiving in the Future; In Sum; Social Policy and Caregiving; Caregiving Policies and Programs in Canada; International Experience; The Need for Care for Caregivers; Summary; 4. The Evolution of Continuing Care for Older Adults; Introduction; The Historical Evolution of Continuing Care; The Emergence of Social Security in Canada (1700s-1945); The Consolidation of Social Security (1945-early 1970s); Fiscal Retrenchment (early 1970s-early 1990s); Reform and Retrenchment (early 1990s-present); Current Concerns; Discussion; 5. The Economic Evaluation of Continuing Care; Introduction; An Overview of Economic Analysis; The Cost-Effectiveness of the Maintenance and Preventive Function of Home Care; Home Care as a Substitute for Residential Care; The Cost-Effectiveness of Home Care Compared to Acute Care Hospitals; The Cost-Effectiveness of Other Continuing Care Services; Discussion; 6. Delivering Care for Older Adults: Models of Integrated Care; Introduction Examples of Successful Integrated Systems of Care; Larger Provincial Models; Smaller Models with Home, Community, and Residential Care Components; Smaller, Integrated Community Based Models; The Chronic Care Model; Frameworks to Inform the Development of Integrated Systems of Care Delivery; Three Highly Regarded Frameworks; The Enhanced Continuing Care Framework; Discussion Conclusion; 7. Discussion and Blueprint for Action; Introduction; A Critical First Step; Twenty Years of Policy Drift A Response to the Skeptics; The Cost-Effectiveness Data No Longer Apply; Actual Savings are Not Possible; Large Scale Change is Not Feasible Getting it Right; Conclusions; References; Index

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