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The care of the chronically ill; a survey of the existing facilities and needs of Vancouver McFarland, William Donald

Abstract

This study surveys the resources, facilities for care and medical treatment provided for the chronically ill of Vancouver. The historical development of the problem has been briefly covered, also, the probable future situations which will arise. As the care of the chronically ill has become one of the major public welfare problems in the post-war period, the economic circumstances and implications of chronic illness have been emphasized. Each of the institutions described was visited and over two hundred chronically ill patients personally interviewed. More than four hundred files and records were read in various social agencies; information was also secured from interviews with administrators, directors and owners of the various services described. The survey reveals many problems and inadequacies. Hospital, clinical and custodial facilities for the most part are seriously inadequate and not always properly utilized. A confused administrative structure and an unsatisfactory division of responsibility are further obstacles to more effective co-ordination. Recommendations for the improvement of existing situations and the creation of new services are made. The importance of the social caseworker in the establishment of an effective treatment program for the chronically ill is stressed.

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