Recommendations from long-term care reports, commissions, and inquiries in Canada [version 2; peer review: 2 approved, 1 approved with reservations]
Background: Multiple long-term care (LTC) reports have issued similar recommendations for improvement across Canadian LTC homes. Our primary objective was to identify the most common recommendations made over the past 10 years. Our secondary objective was to estimate the total cost of studying LTC i...
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| Format: | Article |
| Language: | English |
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F1000 Research Ltd
2021-06-01
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| Series: | F1000Research |
| Online Access: | https://f1000research.com/articles/10-87/v2 |
| _version_ | 1818888435919749120 |
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| author | Eric K. C. Wong Trina Thorne Carole Estabrooks Sharon E. Straus |
| author_facet | Eric K. C. Wong Trina Thorne Carole Estabrooks Sharon E. Straus |
| author_sort | Eric K. C. Wong |
| collection | DOAJ |
| description | Background: Multiple long-term care (LTC) reports have issued similar recommendations for improvement across Canadian LTC homes. Our primary objective was to identify the most common recommendations made over the past 10 years. Our secondary objective was to estimate the total cost of studying LTC issues repeatedly from 1998 to 2020. Methods: The qualitative and cost analyses were conducted in Canada from July to October 2020. Using a list of reports, inquiries and commissions from The Royal Society of Canada Working Group on Long-Term Care, we coded recurrent recommendations in LTC reports. We contacted the sponsoring organizations for a cost estimate, including direct and indirect costs. All costs were adjusted to 2020 Canadian dollar values. Results: Of the 80 Canadian LTC reports spanning the years of 1998 to 2020, 24 (30%) were based on a national level and 56 (70%) were focused on provinces or municipalities. Report length ranged from 4 to 1491 pages and the median number of contributors was 14 (interquartile range, IQR, 5–26) per report. The most common recommendation was to increase funding to LTC to improve staffing, direct care and capacity (67% of reports). A median of 8 (IQR 3.25–18) recommendations were made per report. The total cost for all 80 reports was estimated to be $23,626,442.78. Conclusions: Problems in Canadian LTC homes and their solutions have been known for decades. Despite this, governments and non-governmental agencies continue to produce more reports at a monetary and societal cost to Canadians. |
| first_indexed | 2024-12-19T16:53:05Z |
| format | Article |
| id | doaj.art-cf9fb2a3b0134af9ac7389177f964bca |
| institution | Directory Open Access Journal |
| issn | 2046-1402 |
| language | English |
| last_indexed | 2024-12-19T16:53:05Z |
| publishDate | 2021-06-01 |
| publisher | F1000 Research Ltd |
| record_format | Article |
| series | F1000Research |
| spelling | doaj.art-cf9fb2a3b0134af9ac7389177f964bca2022-12-21T20:13:28ZengF1000 Research LtdF1000Research2046-14022021-06-011010.12688/f1000research.43282.257407Recommendations from long-term care reports, commissions, and inquiries in Canada [version 2; peer review: 2 approved, 1 approved with reservations]Eric K. C. Wong0Trina Thorne1Carole Estabrooks2Sharon E. Straus3Institute for Health Policy Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, CanadaFaculty of Nursing, University of Alberta, Edmonton, Alberta, T6G 1C9, CanadaFaculty of Nursing, University of Alberta, Edmonton, Alberta, T6G 1C9, CanadaKnowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, Ontario, M5B 1W8, CanadaBackground: Multiple long-term care (LTC) reports have issued similar recommendations for improvement across Canadian LTC homes. Our primary objective was to identify the most common recommendations made over the past 10 years. Our secondary objective was to estimate the total cost of studying LTC issues repeatedly from 1998 to 2020. Methods: The qualitative and cost analyses were conducted in Canada from July to October 2020. Using a list of reports, inquiries and commissions from The Royal Society of Canada Working Group on Long-Term Care, we coded recurrent recommendations in LTC reports. We contacted the sponsoring organizations for a cost estimate, including direct and indirect costs. All costs were adjusted to 2020 Canadian dollar values. Results: Of the 80 Canadian LTC reports spanning the years of 1998 to 2020, 24 (30%) were based on a national level and 56 (70%) were focused on provinces or municipalities. Report length ranged from 4 to 1491 pages and the median number of contributors was 14 (interquartile range, IQR, 5–26) per report. The most common recommendation was to increase funding to LTC to improve staffing, direct care and capacity (67% of reports). A median of 8 (IQR 3.25–18) recommendations were made per report. The total cost for all 80 reports was estimated to be $23,626,442.78. Conclusions: Problems in Canadian LTC homes and their solutions have been known for decades. Despite this, governments and non-governmental agencies continue to produce more reports at a monetary and societal cost to Canadians.https://f1000research.com/articles/10-87/v2 |
| spellingShingle | Eric K. C. Wong Trina Thorne Carole Estabrooks Sharon E. Straus Recommendations from long-term care reports, commissions, and inquiries in Canada [version 2; peer review: 2 approved, 1 approved with reservations] F1000Research |
| title | Recommendations from long-term care reports, commissions, and inquiries in Canada [version 2; peer review: 2 approved, 1 approved with reservations] |
| title_full | Recommendations from long-term care reports, commissions, and inquiries in Canada [version 2; peer review: 2 approved, 1 approved with reservations] |
| title_fullStr | Recommendations from long-term care reports, commissions, and inquiries in Canada [version 2; peer review: 2 approved, 1 approved with reservations] |
| title_full_unstemmed | Recommendations from long-term care reports, commissions, and inquiries in Canada [version 2; peer review: 2 approved, 1 approved with reservations] |
| title_short | Recommendations from long-term care reports, commissions, and inquiries in Canada [version 2; peer review: 2 approved, 1 approved with reservations] |
| title_sort | recommendations from long term care reports commissions and inquiries in canada version 2 peer review 2 approved 1 approved with reservations |
| url | https://f1000research.com/articles/10-87/v2 |
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