Miller Michaella, Maceachen Ellen
Candidate, School of Public Health Sciences, University of Waterloo, Waterloo, ON.
Professor and Director, School of Public Health Sciences, University of Waterloo, Waterloo, ON.
Healthc Policy. 2024 Aug;20(1):34-40. doi: 10.12927/hcpol.2024.27420.
In response to quality issues within the long-term care (LTC) sector, the Government of Ontario implemented the 2021, and updated accountability and compliance measures, including doubling fines for non-compliance and investing in 193 new inspectors. However, enforcement tactics and inspection regimes may contribute to harm and neglect the root issues within the sector. Fines for non-compliance may create catch-22 situations in which homes lack the funds to fix the root issues. Governments also dictate and determine much of the resource allocation within the LTC sector. Accountability and quality improvement should involve addressing performance problems as a system.
为应对长期护理（LTC）部门的质量问题，安大略省政府于2021年实施了相关措施，并更新了问责和合规措施，包括将违规罚款加倍以及投资增加193名新检查员。然而，执法策略和检查制度可能会造成伤害，并忽视该部门的根本问题。违规罚款可能会造成一种两难的局面，即机构缺乏资金来解决根本问题。政府还在很大程度上决定和确定长期护理部门内的资源分配。问责制和质量改进应将解决绩效问题作为一个系统来对待。
