Comparing the resident populations of private and public long-term care facilities over a 15-year period: a study from Quebec, Canada

Abstract

In the province of Quebec, Canada, long-term residential care is provided by two types of facility: privately owned facilities in which care is privately financed and delivered and publicly subsidised accredited facilities. There are few comparative data on the residents served by the private and public sectors, and none on whether their respective population has changed over time. Such knowledge would help plan services for older adults who can no longer live at home due to increased disabilities. This study compared (a) the resident populations currently served by private and public facilities and (b) how they have evolved over time. The data come from two cross-sectional studies conducted in - and -. In both studies, we randomly selected care settings in which we randomly selected older residents. In total,  residents from  settings assessed in - were compared to  residents from  settings assessed in -. In both study periods, older adults housed in the private sector had fewer cognitive and functional disabilities than those in public facilities. Between the two study periods, the proportion of residents with severe disabilities decreased in private facilities while it remained over  per cent in their public counterparts. Findings indicate that private facilities care today for less-disabled older adults, leaving to public facilities the heavy responsibility of caring for those with more demanding needs. These trends may impact both sectors' ability to deliver proper residential care.

Predictors of long-term care use - informal home care recipients versus private and public facilities residents in Poland

“…Having secondary and higher education, as opposed to primary education, positively correlates with the probability of using private rest homes only. This means that people with a better social (and presumably economic) status, whenever they have a choice, prefer to use private care rather than public care [ 53 ], as expected within the first hypothesis. However, it is worth noting here that educated people have higher incomes and they usually don’t qualify to stay in public facilities.…”

“…Although there is also evidence in support of an alternative concept [ 51 , 52 ]. Better education is associated with greater knowledge about the availability and possible types of formal care [ 51 ], which leads to increased use of formal home care and reduced informal care [ 52 ], or the choice of private care and reduced public care at the same time [ 53 ] by better educated people.…”

Incidence of Pressure Injury Among Older Adults Transitioning from Long-term Care to the ED

“…Publicly owned facilities were more likely to have residents return with a new PI. Residents in publicly owned facilities are more medically complex, which makes them prone to PI 36 . However, the true mechanisms behind this observation are unclear.…”

“…Residents in publicly owned facilities are more medically complex, which makes them prone to PI. 36 However, the true mechanisms behind this observation are unclear. Further large-scale comparative study with care providers working in different care settings would help to clarify the mechanisms.…”

Favoriser le développement de l’habitation communautaire pour les aînés en milieu rural québécois

“…Les services de soutien à domicile y sont souvent proposés par des entreprises d'économie sociale, ce qui permet d'offrir un tarif préférentiel en fonction des revenus de chaque client. Toutefois, le nombre de places y est relativement limité (Bravo et al, 2015).…”