University of Toronto.
Can J Aging. 2019 Jun;38(2):155-167. doi: 10.1017/S0714980818000569. Epub 2019 Jan 10.
ABSTRACTGrowing demand for beds in government-subsidized long-term care (LTC) homes in Ontario is causing long waitlists, which must be absorbed by other residential alternatives, including unsubsidized retirement homes. This study compares Ontario's LTC homes and retirement homes for care services provided, funding regimes, and implications of differential funding for seniors. Descriptive data for both types of homes were collected from public and proprietary sources regarding service offerings, availability, costs, and funding. Overlaps exist in the services of both LTC and retirement homes, particularly at higher levels of care. Although both sectors charge residents for accommodation, most care costs in LTC homes are publicly funded, whereas residents in retirement homes generally cover these expenses personally. Given waitlists in Ontario's LTC homes, many seniors must find residential care elsewhere, including in retirement homes. Several policy alternatives exist that may serve to improve equity of access to seniors' residential care.
摘要 安大略省政府补贴的长期护理（LTC）院床位需求不断增长，导致等待名单很长，这些床位必须通过其他住宅选择来吸收，包括无补贴的养老院。本研究比较了安大略省的 LTC 院和养老院所提供的护理服务、资金制度，以及不同资金对老年人的影响。从公共和私营来源收集了这两种类型的住宅的描述性数据，涉及服务提供、可用性、成本和资金。LTC 和养老院的服务存在重叠，特别是在较高护理水平上。尽管这两个部门都向居民收取住宿费用，但 LTC 院的大部分护理费用由公共资金支付，而养老院的居民通常要自己支付这些费用。鉴于安大略省 LTC 院的等待名单，许多老年人必须在其他地方寻找住宅护理，包括养老院。有几种政策选择可以用来改善老年人获得住宅护理的公平性。
