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Y esterday was the time for policy changes to ensure Canada's healthcare system meets the needs of the growing number of older adults in our country. That's the message the Canadian Health Services Research Foundation (CHSRF) heard from more than 200 policy makers, healthcare executives and professionals, researchers and citizens from across Canada in its roundtable series Better with Age: Health Systems Planning for the Aging Population, held in six locations across Canada in fall 2010: The aging population will bring with it an increase in chronic physical and mental conditions such as diabetes and dementia – complex conditions that the healthcare system is currently ill-equipped to handle. Participants reported many ideas for what should be done – for example, integrating health and social services to reduce the number of elderly waiting in limbo in hospital beds when they should receive more appropriate care elsewhere; providing better support to a range of caregivers (paid and unpaid, formal and informal) that recognizes their unique skills and acknowledges their important contributions to patient care; and funding services through a single envelope in order to remove financial and administrative barriers to system improvements. However, when asked whether they had a clear understanding of how to work together to integrate systems of care delivery, the answer from the overwhelming majority of participants was " not exactly. " The Better with Age series aimed to solicit suggestions to address the thorny question of how health services and associated policies can be adapted to meet the needs of aging Canadians and the population as a whole. Restructuring Care for Older Adults In discussions of healthcare and population aging, financial sustainability of the public healthcare system tends to be the major preoccupation and the reason for much " boomerangst. " However, recent economic models suggest that growth in health-care costs due to population aging will account for 1% per year between 2010 and 2036 (Mackenzie and Rachlis, 2010). Even if these predictions are modest (after all, with the public share of healthcare spending topping $120 billion in 2008, even growth of 1% translates into a lot of money), there is strong evidence that these expected costs can be managed and even mitigated if we make wise decisions now to restructure care delivery. In his opening remarks to roundtable participants, health policy expert Dr. Michael Rachlis argued that it is not population aging that threatens to precipitate a …

Better with Age: A Regional Roundtable Series on Health Systems Planning for the Aging Population