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Whose Accountability Matters in Long-Term Care?

Michaella Miller1, Ellen Maceachen2

  • 1Candidate, School of Public Health Sciences, University of Waterloo, Waterloo, ON.

Healthcare Policy = Politiques De Sante
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Summary

Ontario's Fixing Long-Term Care Act aims to improve quality but may not address root issues. Current enforcement tactics and fines could worsen problems in long-term care (LTC) homes.

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Area of Science:

  • Health Policy
  • Gerontology
  • Public Administration

Background:

  • Significant quality concerns identified within the long-term care (LTC) sector.
  • The Government of Ontario enacted the Fixing Long-Term Care Act in 2021 to address these issues.
  • The Act introduced enhanced accountability and compliance measures, including increased fines and more inspectors.

Purpose of the Study:

  • To critically evaluate the effectiveness of the Fixing Long-Term Care Act, 2021.
  • To examine whether current enforcement tactics and inspection regimes address the root causes of quality issues in LTC.
  • To explore the systemic factors influencing accountability and quality improvement in the LTC sector.

Main Methods:

  • Analysis of the Fixing Long-Term Care Act, 2021 legislation and associated policies.
  • Review of government investments in inspectors and compliance measures.
  • Conceptual analysis of enforcement tactics and their potential impact on LTC homes.

Main Results:

  • The Act's focus on fines and inspections may not resolve underlying systemic problems in LTC.
  • Increased fines could create financial burdens for homes, hindering their ability to address root causes.
  • Government control over resource allocation presents a potential conflict in achieving genuine quality improvement.

Conclusions:

  • Current enforcement strategies may inadvertently perpetuate harm and neglect by not addressing systemic issues.
  • A systemic approach is necessary for effective accountability and quality improvement in the long-term care sector.
  • Re-evaluating resource allocation and enforcement mechanisms is crucial for meaningful reform in LTC.