Hsu Amy T, Berta Whitney, Coyte Peter C, Laporte Audrey
Institute of Health Policy,Management and Evaluation (IHPME),University of Toronto.
Can J Aging. 2016 Jun;35(2):175-89. doi: 10.1017/S0714980816000192.
Ontario has the highest proportion of for-profit nursing homes in Canada. These facilities, which are known in Ontario as long-term care (LTC) homes, offer 24-hour custodial as well as nursing care to individuals who cannot live independently. Increasingly, they are also operating as members of multi-facility chains. Using longitudinal data (1996-2011) from the Residential Care Facilities Survey (n = 627), our analysis revealed discernible differences in staffing levels by profit status and chain affiliation. We found for-profit LTC homes - especially those owned by a chain organization - provided significantly fewer hours of care, after adjusting for variation in the residents' care needs. Findings from this study offer new information on the impact of organizational structure on staffing levels in Ontario's LTC homes and have implications for other jurisdictions where a growing presence of private, chain-affiliated operators has been observed.
安大略省营利性养老院的比例在加拿大最高。在安大略省，这些机构被称为长期护理（LTC）之家，为无法独立生活的个人提供24小时监护和护理服务。它们越来越多地作为多机构连锁的成员开展运营。利用来自住宅护理机构调查（n = 627）的纵向数据（1996 - 2011年），我们的分析揭示了按盈利状况和连锁关系划分的人员配备水平存在明显差异。我们发现，在对居民护理需求的差异进行调整后，营利性长期护理之家——尤其是那些由连锁组织拥有的机构——提供的护理时长显著减少。这项研究的结果提供了关于组织结构对安大略省长期护理之家人员配备水平影响的新信息，并对其他已观察到私人连锁附属运营商日益增多的司法管辖区具有启示意义。
