THEMES

G. CHRONIC CARE

(There is significant over-lap between the points raised regarding chronic care and those raised in connection with primary health care and keep well programs. The two sections should therefore be read in conjunction with each other.)

Challenges

• Limited on-island services

• Cost of accessing off-island follow-up services

• Lack of or difficulty in accessing chronic care education.

• No or limited support for mental health issues

• No assisted living for seniors

• Isolation of seniors

• Lack of funding for Meals on Wheels

• Lack of funding for Home Care

Opportunities

• While more may be needed, there are a number of community groups available to assist. For example AA, NA

• People are now better educated and have access to much more information about health issues than the ever had

• Internet

Suggested solutions

• Better coordination of and support for volunteers

• Self management educators as part of a team to visit Gabriola on regular basis

• Health care providers should be encouraged to encourage patients to actively participate in management of their condition – self management support

• Formation of local peer support groups and identification of other potential supports (ie. Life Line program)

• Zoning changes to permit apartments/condominiums for seniors

• Home Care better integrated into Gabriola primary health care system