Policy Target
Long-term care (i.e., nursing care, assisted living care, and home- and community-based services)
EVIDENCE-BASED STRATEGY
Government units provide substantive public financing to no-cost or highly subsidized long-term care provision and use funds effectively to ensure equitable access to appropriate high quality long-term care services to all who need them.
SAMPLE INDICATORS
- Number of high-quality, public non-profit (no-cost or affordable) nursing care and assisted living care facilities relative to population and geographic distribution
- Individual’s perception of access to high-quality, public non-profit (no-cost or affordable) nursing care and assisted living care facilities
- Number of high-quality, public non-profit (no-cost or affordable) home- and community-based services relative to population and geographic distribution
- Availability/supply of long-term care facilities relative to local needs
- Number of home- and community-based services, stratified by area of residence
- Number/percentage of people assisted by home- and community-based services
- Number/percentage of participants who feel home- and community-based services enable them to remain in their communities and live meaningful and full lives
- Number of high-quality and affordable long-term care options for seniors and people experiencing disabilities, stratified by area of residence
- Length of wait times and waiting lists for long-term care home placements
- Socioeconomic inequality in long-term care use
- Caregiving burden (e.g., among women)
- Gender gaps in labour force participation (e.g., stratified by occupation categories)
- Gender gap in income
- Quality of life levels among people in need of long-term care and their families/caregivers
EVIDENCE-BASED STRATEGY
Government units regulate and oversee long-term care provision standards and practices as well as administrative capacity to ensure a high-level of quality.
SAMPLE INDICATORS
- Number/percentage of patients/residents and families/caregivers reporting consistency and continuity of care
- Number/percentage of government units that collect and analyze systematically disaggregated data on health, social, and financial outcomes related to long-term care services
- Number/percentage of government units that produce periodic data analysis reports with updated and disaggregated findings on health, social, and financial outcomes among recipients of long-term care services
- Number/percentage of government units that present evidence-based recommendations, defining steps for improvements in long-term care services quality, options, accessibility, and equity
- Number/percentage of government units that conduct standardized and periodic on-site quality evaluations and health inspections
- Number/periodicity of health inspections (e.g., stratified by type of facility or service)
- People’s perceived difficulty in accessing findings from quality assessments of services
- Patient/resident staffing ratios
- Number/percentage of long-term care services meeting safety and quality standards
- Number/percentage of preventable accidents (e.g., falls) and health issues (e.g., urinary tract infections) among patients/residents
- Number/percentage of facilities and services that are held accountable for poor quality of care (e.g., stratified by type of facility or service)
EVIDENCE-BASED STRATEGY
Government units regulate and oversee private, for-profit long-term care facilities to ensure affordability and high-quality of services. Government units hold private, for-profit facilities accountable for investing public funds in better care while diminishing profits.
SAMPLE INDICATORS
- Financial inequities between users of private, for-profit long-term care services and users of public non-profit (no-cost or affordable) long-term care services
- Health inequalities between users of private, for-profit long-term care services and users of public non-profit (no-cost or affordable) long-term care services
- Mortality and hospitalization rates at private, for-profit long-term care facilities
- Patient/resident staffing ratios at private, for-profit long-term care facilities
- Trends in dispensing antipsychotic medications at private, for-profit long-term care facilities
- Average monthly fees for private, for-profit facilities