This chapter from “A Call to Action for Health Reform” describes the extent of chronic illness in America and its implications for the health care system. Four out of five Americans over the age of 50 suffer from at least one chronic condition.  The authors include information on particular chronic illnesses along with strategies for successful care management.

This report from the Primary Health Care Advisory Group in Australia details the evidence for change and makes recommendations for the broad adoption of a new model of care and reforms to better meet the needs of those with chronic and complex health care needs. Many insights and recommendations may prove insightful for providers in other parts of the world.

This Australian report gives a comprehensive look at the need to focus on older people with chronic health conditions, what factors contribute to problems for these people, how care can be improved and suggestions for moving forward.

This report is an outcome of the project ICARE4EU and provides an overview of how European countries are coping with the challenges of multimorbidity, different integrated care programmes, methodological considerations and implications.  

This report reviews the impact of depression on the lives of older adults in Canada and the Chronic Care Model (CCM) as a framework for improving the management of conditions like depression. The authors set out to identify barriers and facilitators to the implementation of chronic care intervention models for late-life depression in different Canadian primary care settings and then to test and evaluate strategies to overcome those barriers. 

This study by CIHI  (Canadian Institute for Health Information) examined the reported experiences of seniors in Canada being treated for chronic conditions in primary health care settings.

The authors worked with a defined set of 32 chronic conditions drawn from a large household survey to find that the prevalence rates for almost half of the conditions increase with age and that those age patterns are strong. If the rates for each age group remained constant they projected that the rates for almost all conditions that are associated mostly with old age would rise by more than 25 percent.

This first report of the Older Persons’ Substance Misuse Working Group of the Royal College of Psychiatrists reviews risk factors, effects and complications, assessment, treatment and service models.

This report from the Canadian Institute for Health Information includes data on the most commonly used drugs, chronic conditions being treated by prescription medications, public drug program spending, how many seniors were using potentially inappropriate medications and how drug usage by seniors differs for those living in long-term care.  

This backgrounder provided by the Office of the Correctional Investigator in Canada was included in the 38th annual report to Parliament.  It provides an overview of issues of concern including access to programming, health care, conditions of confinement, post-release supervision, as well as recommendations for a nation older offender strategy.

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