Sivananthan Saskia N, Doupe Malcolm, McGregor Margaret J
Centre for Health Service and Policy Research,University of British Columbia.
Faculty of Medicine,University of Manitoba.
Can J Aging. 2015 Mar;34(1):60-74. doi: 10.1017/S071498081400052X. Epub 2014 Dec 30.
Despite Canada's increasing population of seniors and the varying long-term care (LTC) strategies that provinces have implemented, little research has focused on understanding the extent to which publicly funded residential LTC bed supply varies across provinces, or the factors influencing this variation. Our study involved an analysis in which we examined the association of three select jurisdictional characteristics with LTC bed supply: population age demographics, provincial wealth, and provincial investments in home care. No significant cross-jurisdictional "ecology" or inter-relatedness was found between the variation in LTC bed supply and any of the examined variables. Interprovincial variation in bed supply also did not statistically influence alternate level of care days specific to LTC waits, suggesting that these days were not influenced simply by differences in LTC bed supply and that other provincial-level factors were in play.
尽管加拿大老年人人口不断增加，且各省实施了不同的长期护理（LTC）策略，但很少有研究关注公共资助的住宿式长期护理床位供应在各省之间的差异程度，或影响这种差异的因素。我们的研究进行了一项分析，考察了三个选定的辖区特征与长期护理床位供应之间的关联：人口年龄结构、省级财富以及省级对家庭护理的投资。在长期护理床位供应的差异与任何一个所考察变量之间，未发现显著的跨辖区“生态”或相互关联性。床位供应的省际差异在统计上也未对长期护理等待特定的替代护理天数产生影响，这表明这些天数并非仅仅受长期护理床位供应差异的影响，其他省级层面的因素也在起作用。
