Department of Family Practice Research Office at the University of British Columbia, Vancouver, British Columbia V5Z 1L8.
Health Rep. 2010 Dec;21(4):27-33.
Long-term care facilities (nursing homes) in British Columbia consist of a mix of for-profit, not-for-profit non-government, and not-for-profit health-region-owned establishments. This study assesses the extent to which staffing levels have changed by facility ownership category.
With data from Statistics Canada's Residential Care Facilities Survey, various types of care hours per resident-day were examined from 1996 through 2006 for the province of British Columbia. Random effects linear regression modeling was used to investigate the effect of year and ownership on total nursing hours per resident-day, adjusting for resident demographics, case mix, and facility size.
From 1996 to 2006, crude mean total nursing hours per resident-day rose from 1.95 to 2.13 hours in for-profit facilities (p = 0.06); from 1.99 to 2.48 hours in not-for-profit non-government facilities (p < 0.001); and from 2.25 to 3.30 hours in not-for-profit health-region-owned facilities (p < 0.001). The adjusted rate of increase in total nursing hours per resident-day was significantly greater in not-for-profit health-region-owned facilities.
While total nursing hours per resident-day have increased in all facility groups, the rate of increase was greater in not-for-profit facilities operated by health authorities.
不列颠哥伦比亚省的长期护理机构（养老院）由营利性、非营利性非政府和非营利性卫生区域所有的机构混合组成。本研究评估了不同所有权类别的机构的人员配备水平变化程度。
利用来自加拿大统计局的《住宿护理设施调查》的数据，从 1996 年至 2006 年对不列颠哥伦比亚省的各种类型的每位居民每天的护理时间进行了检查。使用随机效应线性回归模型，在调整了居民人口统计学、病例组合和设施规模后，研究了年份和所有权对每位居民每天的总护理时间的影响。
从 1996 年到 2006 年，营利性机构的每居民每天的总护理时间从 1.95 小时增加到 2.13 小时（p=0.06）；非营利性非政府机构从 1.99 小时增加到 2.48 小时（p<0.001）；非营利性卫生区域所有的机构从 2.25 小时增加到 3.30 小时（p<0.001）。每居民每天的总护理时间的调整增长率在非营利性卫生区域所有的机构中显著更高。
虽然所有机构群体的每位居民每天的总护理时间都有所增加，但非营利性医疗机构的增长速度更快。
