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Our Values Are Showing: Long-Term Care and the Pandemic. 我们的价值观正在显现:长期护理和大流行。
Healthcare Papers Pub Date : 2021-09-01 DOI: 10.12927/hcpap.2021.26646
Pat Armstrong
{"title":"Our Values Are Showing: Long-Term Care and the Pandemic.","authors":"Pat Armstrong","doi":"10.12927/hcpap.2021.26646","DOIUrl":"https://doi.org/10.12927/hcpap.2021.26646","url":null,"abstract":"<p><p>Given our diversity, it is risky to talk about \"Canadian values,\" but this examination of care for older people does reveal some prominent values evident in how we provide care for this population. Identifying eight of these values, this paper argues that these values are being challenged in the wake of the COVID-19 pandemic.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"20 1","pages":"10-14"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39888273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Moving beyond More of the Same, but Better - How Campuses of Care Can Transform Long-Term Care. 超越更多相同，但更好——护理校园如何改变长期护理。
Healthcare Papers Pub Date : 2021-09-01 DOI: 10.12927/hcpap.2021.26639
Frances Morton-Chang, Paul A Williams
{"title":"Moving beyond More of the Same, but Better - How Campuses of Care Can Transform Long-Term Care.","authors":"Frances Morton-Chang,&nbsp;Paul A Williams","doi":"10.12927/hcpap.2021.26639","DOIUrl":"https://doi.org/10.12927/hcpap.2021.26639","url":null,"abstract":"<p><p>For decades, there have been calls for innovative care solutions to address the growing numbers of people living with complex health and social needs, including dementia. In 2020-2021, the toll of the COVID-19 pandemic on vulnerable populations exposed many of the same issues and spurred renewed calls for transformative change. As we look forward, it is imperative to consider options not just for improving residential long-term care but also for integrating it into broader continuums of health and social care, where people can receive supports and services in the most appropriate setting. This commentary spotlights campuses of care as one homegrown solution to address individuals' and system needs and contexts.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"20 1","pages":"59-65"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39902451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Staffing for Quality in Canadian Long-Term Care Homes. 加拿大长期护理院的人员配备质量。
Healthcare Papers Pub Date : 2021-09-01 DOI: 10.12927/hcpap.2021.26641
Carole A Estabrooks
{"title":"Staffing for Quality in Canadian Long-Term Care Homes.","authors":"Carole A Estabrooks","doi":"10.12927/hcpap.2021.26641","DOIUrl":"https://doi.org/10.12927/hcpap.2021.26641","url":null,"abstract":"<p><p>A coherent workforce strategy and consensus on essential staffing requirements are needed to ensure quality in long-term care (LTC) homes. We have neither in Canada. No Canadian studies, investigator driven or commissioned, exist to guide us. We generally rely on 20-year-old US recommendations, although we have never actually implemented them. During, and in the wake of the COVID-19 pandemic, it is clear that an insufficient workforce was at the root of much of the failure in LTC to manage the pandemic. This commentary frames research on staffing and LTC homes and the impact of COVID-19. It then outlines key ingredients, such as knowledge of residents, the workforce and the care environment, that are needed in order to estimate staffing needs. Recommendations for decision makers are provided.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"20 1","pages":"40-50"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39888275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Socialize, De-Commodify and De-Financialize Long-Term Care. 将长期护理社会化、去商品化和去金融化。
Healthcare Papers Pub Date : 2021-09-01 DOI: 10.12927/hcpap.2021.26642
Martine August
{"title":"Socialize, De-Commodify and De-Financialize Long-Term Care.","authors":"Martine August","doi":"10.12927/hcpap.2021.26642","DOIUrl":"https://doi.org/10.12927/hcpap.2021.26642","url":null,"abstract":"For-profit ownership of long-term care (LTC) homes for the elderly is linked to worse outcomes for residents. In Canada, there has been an increase in financialized ownership in which seniors' housing (LTC homes and retirement residences) is run as products for investors. The top 10 firms have doubled their holdings from 2003 to 2020, and currently 33% of seniors' housing (including 22% of LTCs and 42% of retirement homes) is owned by private equity, institutions or other financial firms. The business strategies of these firms drive profits not only from real estate but also from domestic and care operations. During the COVID-19 pandemic, for-profit and financialized operators in Ontario have stood out for having higher death rates in their LTC homes. A radical remaking of the sector is necessary to take the profit out of care.","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"20 1","pages":"34-39"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39902449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Rethinking Long-Term Care. 重新思考长期护理。
Healthcare Papers Pub Date : 2021-09-01 DOI: 10.12927/hcpap.2021.26647
Audrey Laporte, Arjumand Siddiqi
{"title":"Rethinking Long-Term Care.","authors":"Audrey Laporte,&nbsp;Arjumand Siddiqi","doi":"10.12927/hcpap.2021.26647","DOIUrl":"https://doi.org/10.12927/hcpap.2021.26647","url":null,"abstract":"<p><p>Across Canada, the long-term care sector has received increased attention since the devastating impact of the COVID-19 pandemic. The now often-cited statistic - 80% of deaths in the first wave occurred among individuals residing in institutional long-term care - is tragic enough and is only compounded by the fact that the number of deaths in long-term care were still higher in the second wave in all but two provinces. Many have argued that the impact of the pandemic was amplified in the institutional long-term care sector because of a number of long-standing shortfalls in funding, space, staffing and infrastructure. For example, Canadian provinces had lower average direct hours of care (three hours per day) provided to residents in long-term care facilities than even the average of four hours per day provided in the United States (Hsu et al. 2016).</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"20 1","pages":"4-7"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39888271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
There Is No Place Like Home … But Things Could Be Better. 没有地方像家一样，但一切都可以更好。
Healthcare Papers Pub Date : 2021-09-01 DOI: 10.12927/hcpap.2021.26640
Whitney Berta, Alison Dawson
{"title":"There Is No Place Like Home … But Things Could Be Better.","authors":"Whitney Berta,&nbsp;Alison Dawson","doi":"10.12927/hcpap.2021.26640","DOIUrl":"https://doi.org/10.12927/hcpap.2021.26640","url":null,"abstract":"<p><p>Increasing attention is being placed on the role of the built environment in promoting and sustaining health in long-term care home settings. Work that reconsiders the physical and work designs of the long-term care sector in the future is expected. In light of that, we urge full and reflective consideration of the tensions and complexities that have been brought to light through the pandemic and attending to what is known and knowable about the influences of the built environment on long-term care home residents and staff who provide their care.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"20 1","pages":"51-58"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39902450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Excellent Long-Term Care for Canadians and Federal Legislation. 加拿大人的优秀长期护理和联邦立法。
Healthcare Papers Pub Date : 2021-09-01 DOI: 10.12927/hcpap.2021.26643
Colleen M Flood, Bryan Thomas, Kelli White
{"title":"Excellent Long-Term Care for Canadians and Federal Legislation.","authors":"Colleen M Flood,&nbsp;Bryan Thomas,&nbsp;Kelli White","doi":"10.12927/hcpap.2021.26643","DOIUrl":"https://doi.org/10.12927/hcpap.2021.26643","url":null,"abstract":"<p><p>The COVID-19 pandemic has driven home the serious vulnerabilities plaguing Canada's long-term care system. We argue for significant new federal investments tied to clear, enforceable quality standards (particularly around staffing); new investments in home care so that more people can \"age in place\"; and additional support for informal care providers, including respite programs and cash benefits. We explore how to achieve these reforms within the framework of Canadian federalism and call for the creation of a national governance framework - overseen by experts independent of federal and provincial governments - tasked with establishing evidence-based standards for the quality, safety and timeliness of long-term care services.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"20 1","pages":"27-33"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39888276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Deaths in Nursing Homes during the COVID-19 Pandemic - Lessons from Japan. 2019冠状病毒病大流行期间养老院死亡人数——来自日本的经验教训。
Healthcare Papers Pub Date : 2021-09-01 DOI: 10.12927/hcpap.2021.26637
Kazuhiro Abe, Ichiro Kawachi
{"title":"Deaths in Nursing Homes during the COVID-19 Pandemic - Lessons from Japan.","authors":"Kazuhiro Abe,&nbsp;Ichiro Kawachi","doi":"10.12927/hcpap.2021.26637","DOIUrl":"https://doi.org/10.12927/hcpap.2021.26637","url":null,"abstract":"<p><p>To date, 35% of coronavirus disease 2019 (COVID-19) deaths in the United States have occurred among nursing home populations (https://jamanetwork.com/journals/jama-health-forum/fullarticle/2763666), compared with 14% in Japan (Werner et al. 2020). How did Japan manage such a low proportion of COVID-19 deaths in nursing homes? The similarity in case-fatality rates among patients with COVID-19 in nursing homes in the two countries (both approximately 16%) suggests that the infection rate in nursing homes in Japan was much lower than in the United States. Therefore, the pandemic unmasked long-standing problems with the quality and financing of US long-term care (LTC) services (Grabowski 2020; Werner et al. 2020). We compare differences between the LTC systems of Japan and the United States, focusing on the measures adopted to protect against COVID-19 in Japan.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"20 1","pages":"78-81"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39902455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Federalism and Long-Term Care in Canada: A New Approach. 加拿大的联邦制与长期护理:一个新的途径。
Healthcare Papers Pub Date : 2021-09-01 DOI: 10.12927/hcpap.2021.26644
Carolyn Hughes Tuohy
{"title":"Federalism and Long-Term Care in Canada: A New Approach.","authors":"Carolyn Hughes Tuohy","doi":"10.12927/hcpap.2021.26644","DOIUrl":"https://doi.org/10.12927/hcpap.2021.26644","url":null,"abstract":"<p><p>The experience of the COVID-19 pandemic has fuelled demands for national threshold standards of quality for long-term care in Canada. The federal government, however, lacks jurisdiction for and experience with the provision of long-term care, which rests constitutionally with the provinces. A creative approach to providing new funding and effective regulatory standard setting would seize the potential of an area of jurisdiction shared by federal and provincial governments - old age security - to establish a long-term care insurance program administered by the federal government and jointly governed by federal and provincial governments.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"20 1","pages":"20-25"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39888274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Caregivers at the Heart of Reimagined Long-Term Care Delivery in Canada: Beyond the Pandemic. 加拿大长期护理服务的核心是护理人员:超越大流行。
Healthcare Papers Pub Date : 2021-09-01 DOI: 10.12927/hcpap.2021.26638
Carol Fancott, Tanya MacDonald, Kim Neudorf, Maggie Keresteci
{"title":"Caregivers at the Heart of Reimagined Long-Term Care Delivery in Canada: Beyond the Pandemic.","authors":"Carol Fancott,&nbsp;Tanya MacDonald,&nbsp;Kim Neudorf,&nbsp;Maggie Keresteci","doi":"10.12927/hcpap.2021.26638","DOIUrl":"https://doi.org/10.12927/hcpap.2021.26638","url":null,"abstract":"<p><p>The dominant narrative through the pandemic focused on the perils associated with the transmission of COVID-19. This led to restrictive policies in long-term care that prevented family caregivers from being physically present to participate in their loved ones' care. There is growing evidence that such policies resulted in harm to residents, family members and staff. The path forward highlights the need for balanced policies and practices to ensure that compassionate, person-centred and partnered care is not lost, whether in times of calm or crisis.</p>","PeriodicalId":35522,"journal":{"name":"Healthcare Papers","volume":"20 1","pages":"66-77"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39902453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
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