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No Older Adults Left Behind: Why Home-Based Primary Care is Critical to Integrated Health Systems.

Created on 31 Aug 2026

Authors

Susan Ng, Elizabeth Mui, Andrew LoGiudice, Donya Razavi

Published in

Healthcare quarterly (Toronto, Ont.). Volume 29. Issue 2. Pages 22-28.

Abstract

In response to province-wide reforms to advance integrated care, the Eastern York Region North Durham Ontario Health Team launched an innovative integrated home-based primary care (IHBPC) program for frail homebound seniors in Markham and Stouffville. Findings from patient, caregiver and provider surveys - along with hospital avoidance data - demonstrate that utlizing a team of family physicians and interdisciplinary providers working across community and hospital sectors is an effective approach to addressing the complex needs of high-cost users of health services. A key feature of the program's success is embedding person-centred care across the macro, meso and micro levels of integration, providing lessons learned that can be applied to other integrated care initiatives. To ensure equitable access to high-quality care, IHBPC programs must be a core component of health systems in every jurisdiction where homebound older adults live - not merely an afterthought.

PMID:
42669638
Bibliographic data and abstract were imported from PubMed on 31 Aug 2026.

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