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Despite a desire to die at home, most people end up dying in hospital. Proper supports in the community may reduce the burden of death in hospital.
There is wide variation within this province and within this country on the number of patients dying in hospital. We asked a doctor who specializes in the care of the elderly and an economist who studies demographics and the health care system to share their opinions about whether the aging population will bankrupt the health care system, and what new approaches to caring for the elderly hold the most promise for controlling costs and improving quality of care.
Stephen Duckett, an economist who was previously CEO of Alberta Health Services, believes that the seniors will not bankrupt our health system because the impact of population aging on costs is small and is occurring gradually. Samir Sinha, the Chief of Geriatrics at Mt. This article has been closed to comments.
Sinha makes a coherent set of arguments about the need to change the health system to deal more appropriately with the needs of the elderly. One additional factor that he did not address is the application of information technology in this area, particularly new developments in mobile computing and tablets. These could enable new modalities such as remote monitoring of health status, video dialogue between the persons receiving care and healthcare providers, particularly advance practice nurses, social services and even family members.
I am particularly interested in the deployment of the IPad and similar devices as a major component of Aging At Home. Hmmmm, the more things change, the more they stay the same.
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We argue against the need for change even though the imperative sits on the dining room table and glares at us. The big bulge in the boomers is about 12 to 15 years hence. Don't already have an Oxford Academic account? Oxford University Press is a department of the University of Oxford. It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide.
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