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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Published on: February 16, 2011

Finding a model that supports quality.

Margaret J McGregor1

  • 1Department of Family Practice, University of British Columbia, Family Physician, Mid-Main Community Health Centre.

Healthcarepapers
|May 20, 2011
PubMed
Summary
This summary is machine-generated.

For-profit ownership in residential long-term care is linked to lower quality of care, a finding consistent between Canadian and US research. Tighter regulations are unlikely to fix quality issues in for-profit care, potentially diverting resources from patient needs.

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Area of Science:

  • Healthcare Management
  • Gerontology
  • Public Policy

Background:

  • Canadian provinces show varied non-profit sector performance, necessitating research into optimal models for quality care.
  • Existing Canadian research aligns with US findings, indicating a correlation between for-profit ownership and diminished quality in residential long-term care.

Discussion:

  • Public funding of private for-profit residential long-term care raises quality concerns that stricter regulations may not resolve.
  • The increasing prevalence of for-profit providers creates misaligned objectives between regulators and facilities, potentially hindering effective oversight.

Key Insights:

  • For-profit models in long-term care are associated with inferior quality compared to other ownership structures.
  • Regulatory challenges intensify with the expansion of for-profit delivery, shifting focus towards costly deterrence-based models.

Outlook:

  • Future research should explore non-profit models that ensure high-quality residential long-term care.
  • Policy interventions may need to re-evaluate the role and regulation of for-profit entities in long-term care to prioritize patient well-being.