Challenges Facing B.C.’s Rural Seniors

Resourceful and Resilient

In this report, Seniors Advocate Isobel Mackenzie summarizes the disproportionate challenges to healthy aging experienced by seniors living in B.C.’s rural communities.

 ‘Resilient and Resourceful: Challenges Facing BC’s Rural Seniors’ looks at the differences between rural and urban seniors’ populations and examines a range of services and supports to compare service levels between what is available in both rural and urban B.C. Overall, the report concludes that rural B.C. has a proportionately higher and faster growing seniors’ population with fewer resources and services when compared to the urban seniors’ population.  

Highlights from the report include:

  • Seniors are 25% of B.C.’s rural population compared to urban B.C. where seniors are 19% of the population;
  • The seniors’ population in rural B.C. is growing faster than urban B.C. and by 2032, seniors will be 29% of the population of rural B.C. compared to 21% in urban B.C.;
  • Seniors in communities in the Northern, Interior and Vancouver Island health authorities have a lower life expectancy compared to those in Vancouver Coastal and Fraser health authorities where more of the population is concentrated in urban centres;
  • 17% of rural seniors do not have a family doctor or nurse practitioner compared to 13% of urban seniors, and hours and days of access to a clinic in rural communities are more limited compared to those in urban centers;
  • 51% of seniors in rural B.C. communities are married, compared to 63% in urban areas with single seniors more likely to need home support, assisted living and long-term care;
  • Rural seniors have both lower average and median incomes than their urban counterparts and their overall wealth is estimated to be two thirds less;
  • The rate of acute care beds per 1,000 population is 70% lower in rural B.C. and the average length of stay as an alternative level of care (ALC) patient is 27% higher (85% of ALC patients  are 65+);

The report makes seven recommendations:

  1. Develop and Implement a Rural Seniors Housing Strategy
  2. Develop and Implement a Rural Health Human Resource Strategy
  3. Develop and Implement Rural Seniors Home and Community Care Strategy
  4. Develop and Implement a Provincial Long-Term Care and Assisted Living Plan Based on Equity Throughout the Province
  5. Develop and Implement a Provincial Rural Transportation Strategy
  6. Improve and Better Promote both the Provincial Travel Assistance Program (TAP) and Hope Air
  7. Increase Rural Representation in Government through the creation of a Ministry or Minister of State for Rural B.C.

Read the Report

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