Samuelson Karl
Canadian Healthcare Association, Ottawa, ON.
Healthc Pap. 2011;10(4):24-9; discussion 58-62. doi: 10.12927/hcpap.2011.22187.
In her thought-provoking and well-researched paper, Irene Jansen presents some of the main challenges within the facility-based long-term care (LTC) sector and advocates for three major policy changes and investments. But her aim in writing the paper is to start the conversation. I am happy to oblige Jansen's call to tackle other critical issues and thank the editors of Healthcare Papers for the opportunity to briefly express my views. I concur that the federal government is not adequately fulfilling its stewardship role in helping to ensure - along with the provinces and territories - that the facility-based LTC system has the ways and means to meet the legitimate needs of LTC residents and the people who care for them. A national dialogue should be convened with an emphasis on what quality looks like to the resident, not to LTC ministries or funding authorities. The resident is the nucleus around which all else revolves. The challenges in the areas of supply and demand, the patchwork of services and health human resources are huge. But additional staffing and more beds will not add real value to the system unless they are closely linked to the principles of culture change - the journey to improving living and working conditions in LTC across the Canadian landscape. And it is here where I make my prime contribution to the conversation.
在她那篇发人深省且研究充分的论文中，艾琳·詹森阐述了机构型长期护理（LTC）部门面临的一些主要挑战，并主张进行三项重大政策变革及投资。但她撰写此文的目的是开启这场对话。我很乐意响应詹森提出的解决其他关键问题的呼吁，并感谢《医疗保健论文》的编辑们给我机会简要表达我的观点。我赞同联邦政府在与各省和地区共同帮助确保机构型长期护理系统具备满足长期护理居民及其护理人员合理需求的方法和手段方面，没有充分履行其管理职责。应该召开一次全国性对话，重点是对居民而言质量是什么样的，而不是对长期护理部门或资金管理机构而言。居民是所有其他事务围绕的核心。供需领域、服务拼凑以及卫生人力资源方面的挑战巨大。但除非增加的人员配置和更多床位与文化变革原则紧密相连——即在加拿大各地改善长期护理机构生活和工作条件的进程，否则它们不会给系统带来真正的价值。而这正是我在这场对话中做出的主要贡献之处。
