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Commission on the Reform of Ontario's Public Services

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Appendix: <str<strong>on</strong>g>Commissi<strong>on</strong></str<strong>on</strong>g> Recommendati<strong>on</strong>s<br />

Recommendati<strong>on</strong> 5-74: Increase <strong>the</strong> focus <strong>on</strong> home care, supported by required resources,<br />

particularly at <strong>the</strong> community level.<br />

Recommendati<strong>on</strong> 5-75: Match seniors to <strong>the</strong> services that <strong>the</strong>y need from <strong>the</strong> earliest<br />

available care provider, reduce alternate level <strong>of</strong> care days, and improve co-ordinati<strong>on</strong> <strong>of</strong><br />

care through <strong>the</strong> use <strong>of</strong> referral management tools for l<strong>on</strong>g-term care, home care and<br />

community services.<br />

Recommendati<strong>on</strong> 5-76: Implement <strong>the</strong> recommendati<strong>on</strong>s c<strong>on</strong>tained in “Caring for Our Aging<br />

Populati<strong>on</strong> and Addressing Alternate Level <strong>of</strong> Care,” a report prepared by Dr. David Walker<br />

and released in August 2011.<br />

Recommendati<strong>on</strong> 5-77: In additi<strong>on</strong> to recommendati<strong>on</strong>s c<strong>on</strong>tained in “Caring for Our Aging<br />

Populati<strong>on</strong> and Addressing Alternate Level <strong>of</strong> Care,” a report prepared by Dr. David Walker<br />

and released in August 2011, <strong>the</strong>re is a need for more and varied palliative care; at home and<br />

in residential hospices.<br />

Recommendati<strong>on</strong> 5-78: Integrate <strong>the</strong> public health system into <strong>the</strong> o<strong>the</strong>r parts <strong>of</strong> <strong>the</strong> health<br />

system (i.e., Local Health Integrati<strong>on</strong> Networks).<br />

Recommendati<strong>on</strong> 5-79: Review <strong>the</strong> current funding model that requires a 25 per cent match<br />

from municipalities for public health spending.<br />

Recommendati<strong>on</strong> 5-80: C<strong>on</strong>sider fully uploading public health to <strong>the</strong> provincial level to<br />

ensure better integrati<strong>on</strong> with <strong>the</strong> health care system and avoid existing funding pressures.<br />

Recommendati<strong>on</strong> 5-81: Improve co-ordinati<strong>on</strong> across <strong>the</strong> public health system, not <strong>on</strong>ly<br />

am<strong>on</strong>g public health units, but also am<strong>on</strong>g hospitals, community care providers and primary<br />

care physicians.<br />

Recommendati<strong>on</strong> 5-82: Replicate British Columbia’s Act Now initiative, which has been<br />

identified by <strong>the</strong> World Health Organizati<strong>on</strong> as a best practice for health promoti<strong>on</strong> and chr<strong>on</strong>ic<br />

disease preventi<strong>on</strong>, in Ontario.<br />

Recommendati<strong>on</strong> 5-83: Have doctors address diet and exercise issues before reaching for<br />

<strong>the</strong> prescripti<strong>on</strong> pad when dealing with health issues such as cardiovascular disease and<br />

late-<strong>on</strong>set Type 2 diabetes.<br />

Recommendati<strong>on</strong> 5-84: Do more to promote populati<strong>on</strong> health and healthy lifestyles and to<br />

reverse <strong>the</strong> trend <strong>of</strong> childhood obesity, especially through schools.<br />

503

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