For-profit nursing homes provide 'inferior' care, new report claims - British Columbia ... - 0 views
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For-profit nursing homes provide "inferior" care to seniors, and though the evidence isn't perfect it's strong enough that policy makers should pay attention, argue authors of a new paper published today in the peer-reviewed joural PLOS Medicine. The authors draw on years of research, in the U.S., Canada and elsewhere, comparing for-profit long-term residential care facilities to ones run by public bodies, or nonprofit groups. "The weight of the evidence says that for-profit delivery models provide inferior care," in terms of staffing hours, pressure sores, and other measures, says author Dr. Margaret McGregor, a Vancouver family physician and researcher with the University of B.C.'s faculty of medicine.
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There is this conflict of interest between the profit motive and actually spending money on things like staffing." Past studies on the topic, which McGregor and colleagues reviewed for the current paper, have been criticized as inconclusive, because they're observational studies rather than experiments, she said. The researchers make a case that the observational data is strong enough, especially when making decisions that affect vulnerable and frail seniors. "This is a highly vulnerable population, who are not able to get up and leave if the care is poor. It's very difficult even to complain." McGregor hopes the paper spurs debate among policy makers, at a time when aging populations mean more care facilities will be needed, and the trend has been toward for-profit care in Canada and elsewhere.
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In Canada, 37 per cent of nursing home beds are in for-profit facilities, compared to 78 per cent in the U.K. and 67 per cent in the U.S., according to the paper. In B.C., 34 per cent of the 292 long-term residential care facilities catering to seniors are private for-profit, according to the Office of the Seniors Advocate.