PT - JOURNAL ARTICLE AU - E. Grunfeld AU - R. Glossop AU - I. McDowell AU - C. Danbrook TI - Caring for elderly people at home: the consequences to caregivers DP - 1997 Oct 15 TA - Canadian Medical Association Journal PG - 1101--1105 VI - 157 IP - 8 4099 - http://www.cmaj.ca/content/157/8/1101.short 4100 - http://www.cmaj.ca/content/157/8/1101.full SO - CMAJ1997 Oct 15; 157 AB - The emphasis on home-based care is one important aspect of health services restructuring initiatives in Canada. Fundamental to the preference for home-based care over institutional care is the expectation that family caregivers will be available in the home to support patients who would otherwise be in an institution. The authors explore the potential impact of this devolution of services from institutions to the home in 2 vulnerable patient populations--elderly patients with dementia and elderly patients with terminal illnesses. Community-based surveillance strategies are needed to determine the true health, quality-of-life and economic outcomes of these restructuring initiatives.