Abstract
Since the early 1970s, Canada has had a public health system that guarantees free, universal access to hospital and medical services to all Canadians. The same values and principles have governed the organization of Quebec’s health and social services, including long-term care and services. Over the years, there have been changes within the Quebec system in order to better adapt services to new realities. There has been a diversification of services with greater emphasis on support for persons in the community and provision of services close to people’s living environment. Mechanisms have also been established to improve clinical evaluation of the needs of individuals and systematize the referral and admission to residential centres. Nevertheless, adjustments are needed to address emerging trends in changing needs: increased needs due to the substantial rise in the number of elderly persons but also needs that are different from those of the younger population for whom the system was designed. The new Quebec policy on long-term care is based on a different conception of the organization of services for elderly persons with decreasing autonomy and on the assumption that there will be major changes in the way things are done.
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