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Commentary: Critical to Care - The Problem of Profit in Ontario's Long-Term Care Home Sector.评论：护理的关键——安大略省长期护理院行业的利润问题。
Healthc Policy. 2024 Aug;20(1):41-46. doi: 10.12927/hcpol.2024.27483.
2
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The quasi-market for adult residential care in the UK: Do for-profit, not-for-profit or public sector residential care and nursing homes provide better quality care?英国成人住宿护理的准市场：营利性、非营利性或公共部门的住宿护理院及疗养院能提供质量更好的护理服务吗？
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本文引用的文献

1
Whose Accountability Matters in Long-Term Care?在长期护理中，谁的责任至关重要？
Healthc Policy. 2024 Aug;20(1):34-40. doi: 10.12927/hcpol.2024.27420.
2
COVID-19 excess mortality among long-term care residents in Ontario, Canada.加拿大安大略省长期护理居民的 COVID-19 超额死亡率。
PLoS One. 2022 Jan 20;17(1):e0262807. doi: 10.1371/journal.pone.0262807. eCollection 2022.
3
Observational Evidence of For-Profit Delivery and Inferior Nursing Home Care: When Is There Enough Evidence for Policy Change?营利性养老服务与劣质养老院护理的观察证据：何时有足够证据推动政策变革？
PLoS Med. 2016 Apr 19;13(4):e1001995. doi: 10.1371/journal.pmed.1001995. eCollection 2016 Apr.
4
Hospitalization and Mortality Rates in Long-Term Care Facilities: Does For-Profit Status Matter?长期护理机构中的住院率和死亡率：营利性质有关系吗？
J Am Med Dir Assoc. 2015 Oct 1;16(10):874-83. doi: 10.1016/j.jamda.2015.06.004.
5
The effects of regulation and litigation on a large for-profit nursing home chain.监管与诉讼对一家大型营利性养老院连锁机构的影响。
J Health Polit Policy Law. 2014 Aug;39(4):781-809. doi: 10.1215/03616878-2743039. Epub 2014 May 19.

评论：护理的关键——安大略省长期护理院行业的利润问题。

Commentary: Critical to Care - The Problem of Profit in Ontario's Long-Term Care Home Sector.

作者信息

Braedley Susan

机构信息

Professor, School of Social Work, Carleton University, Ottawa, ON.

出版信息

Healthc Policy. 2024 Aug;20(1):41-46. doi: 10.12927/hcpol.2024.27483.

DOI:10.12927/hcpol.2024.27483
PMID:39995321
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11905946/
Abstract

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.

摘要

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。