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The Gold Standard for Palliative Home Care
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The Need
Most Canadians with life-threatening illnesses would prefer to die at home surrounded by family and friends, yet about 75% of deaths in Canada still occur in hospital or long-term facilities. The gap between Canadians’ preference and current practice in the health care system is due to a number of factors, including lack of awareness of hospice palliative care services available to people in their homes and the wide variation in the type of hospice palliative care services provided by home care organizations in different jurisdictions.
The Commitment
 In 2004, in the 10-Year Plan to Strengthen Health Care, governments recognized the need for hospice palliative care services in the home. In that plan, the federal, provincial and territorial First Ministers made a commitment to provide first dollar coverage by 2006 for certain home care services including case management, nursing, palliative-specific pharmaceuticals and personal care at the end of life.
The Gold Standard for Palliative Home Care

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To support provincial and territorial government efforts to fulfill their commitment, the Canadian Hospice Palliative Care Association in partnership with the Canadian Home Care Association has defined the gold standard for each of the four home care services to be funded by government: case management, nursing, palliative-specific pharmaceuticals and personal care at the end of life.
Click the report cover to download the Pan-Canadian Gold Standards for Palliative Home Care
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The Progress on Palliative Home Care

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This report is a snapshot of hospice palliative home care services available to Canadians in 2008. The information refers only to hospice palliative care services provided in the home. Other settings where Canadians die – in hospital, long-term care homes and hospices and on the street – are equally important but were not covered in this survey.
Click the report cover to download the Hospice Palliative Home Care in Canada - Progress Report
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Our goal is to ensure all Canadians have equitable access to high quality end-of-life care at home.
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