关键词: aging care services equity of access financement foyers de soins de longue durée funding long-term care homes retirement homes résidences pour aînés services de soins vieillissement équité d’accès

Mesh : Aged Bed Occupancy / statistics & numerical data Financing, Government Health Services Needs and Demand Health Services for the Aged / statistics & numerical data Homes for the Aged / economics legislation & jurisprudence statistics & numerical data Humans Long-Term Care / economics legislation & jurisprudence statistics & numerical data Ontario Waiting Lists

来  源:   DOI:10.1017/S0714980818000569   PDF(Sci-hub)

Abstract:
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)家庭对床位的需求不断增长,这导致了长期的候补名单,这些必须被其他住宅替代品吸收,包括无补贴的养老院。这项研究比较了安大略省的LTC房屋和养老院提供的护理服务,筹资制度,以及对老年人差别资助的影响。两种类型房屋的描述性数据都是从有关服务产品的公共和专有来源收集的,可用性,成本,和资金。LTC和养老院的服务都存在重叠,特别是在更高的护理水平。尽管这两个部门都向居民收取住宿费,LTC家庭的大多数护理费用都是公共资金,而养老院的居民通常亲自支付这些费用。鉴于安大略省LTC房屋的候补名单,许多老年人必须在其他地方找到住宿护理,包括养老院。存在几种政策替代方案,可能有助于提高获得老年人住宿护理的公平性。
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