HTA Details

Specialized Community-Based Care

Publication date
2012-November-01
Status
Final
Topic Area
Home and Community Care
Recommendation

Ontario Health Technology Advisory Committee Recommendations

  • Access to specialized community-based care (intermediate care) should be made available for patients with chronic diseases, and whose diseases are becoming uncontrollable despite primary care
  • Recognizing that primary care is the optimal way of treating and coordinating the care of patients with co-morbidities, patients should be returned to primary care for further follow-up with the revised treatment plan once they have been stabilized through intermediate care access
Ministry Response
The Ministry of Health and Long-Term Care endorses these recommendations.

To read the full OHTAC Recommendation Report for this topic, contact our Health Innovation team using the contact form to request a digital copy.

Specialized community-based care, often referred to as intermediate care, is care provided to people with long-term (chronic) illnesses who need more than basic care, but do not require intensive care. There is convincing evidence specialized community-based care improves outcomes in patients with heart failure, chronic obstructive pulmonary disease (COPD) and diabetes.

Ontario Health conducted a series of evidence reviews of specialized community-based care to:

  • Review the literature on specialized community-based care for chronic diseases
  • Gather the evidence from previous analyses of specialized community-based care for chronic obstructive pulmonary disease, heart failure, diabetes and chronic wounds
  • Examine the role of intermediate care within family practice

Last Updated: February 24, 2026