Using non-medical home services to support older adults
Publication year: 2016
The number of Canadians aged 65 or older is
expected to double within the next two decades,
and the proportion of those over the age of 80 is
expected to grow from 27.5% in 2012 to 32% in
2036.(1; 2) This trend holds true in British
Columbia (which is where the request came from
for this synthesis) where in 2016, 18% of the
population was comprised of older adults (65+),
and this is expected to rise to 24% by 2030.(3) To
contend with this demographic change and in
anticipation of the increased demand for healthrelated services, provinces and territories across
Canada have been focused on developing programs and services to support older adults to age at
home. Supports that provide help with instrumental activities of daily living that home care does not
typically provide can be an important part of home-based care that enable older adults to age well in
their homes. For example, the role and impact of personal-care services (grooming, bathing, toileting
and dressing) and some community-support services (e.g., housework, meal preparation, shopping,
transportation and home visiting to prevent social isolation) as part of home care are not well
understood, but some evidence has shown them to increase quality of life for older adults and to
optimize the use of available resources.(4) In addition to these benefits, such supports (which we call
non-medical home care in this synthesis) have been found to prevent or defer the need for care
among older and frail older adults