Braedley Susan
Professor, School of Social Work, Carleton University, Ottawa, ON.
Healthc Policy. 2024 Aug;20(1):41-46. doi: 10.12927/hcpol.2024.27483.
The search for profit in the Ontario long-term care (LTC) home sector means that inspections and fines are unlikely to drive quality improvement. For-profit ownership, operations and contracts thwart accountability for quality and financial stewardship while blocking full public reporting, thus preventing public oversight. Laying out the problems presented by the for-profit LTC homes' financial and operations infrastructure with examples, this commentary presents policy paths forward to address the problem of profit and improve accountability.
在安大略省长期护理院领域追求利润意味着检查和罚款不太可能推动质量提升。营利性的所有权、运营和合同阻碍了对质量和财务监管的问责,同时阻止了全面的公开报告,从而妨碍了公众监督。本评论通过实例阐述了营利性长期护理院的财务和运营基础设施所带来的问题,并提出了解决利润问题和加强问责制的政策前进方向。