{"id":9265,"date":"2011-01-24T00:00:00","date_gmt":"2011-01-24T05:00:00","guid":{"rendered":"http:\/\/irpp.org\/research-studies\/en-fr\/"},"modified":"2022-03-15T13:37:29","modified_gmt":"2022-03-15T17:37:29","slug":"residential-long-term-care-for-canadas-seniors","status":"publish","type":"research-studies","link":"https:\/\/irpp.org\/fr\/research-studies\/residential-long-term-care-for-canadas-seniors\/","title":{"rendered":"Residential Long-Term Care for Canada&rsquo;s Seniors"},"content":{"rendered":"<p>Compte tenu du vieillissement de la population canadienne, toutes les provinces devront augmenter leur capacit\u00e9 d\u2019accueil en soins de longue dur\u00e9e pour pouvoir h\u00e9berger les personnes \u00e2g\u00e9es en perte d\u2019autonomie. Si la tendance actuelle se poursuit, il faudra ajouter, d\u2019ici \u00e0 2041,\u00a0 au minimum 120 000 lits d\u2019h\u00e9bergement aux 200 000 lits actuels au Canada.<\/p>\n<p>Bien que principalement financ\u00e9s par les fonds publics, les services de soins de longue dur\u00e9e sont fournis dans divers types d\u2019\u00e9tablissements, qui sont de propri\u00e9t\u00e9 publique ou priv\u00e9e, sans but\u00a0 lucratif ou \u00e0 but lucratif. Dans la pr\u00e9sente \u00e9tude, Margaret McGregor et Lisa Ronald s\u2019interrogent sur la relation entre la structure de propri\u00e9t\u00e9 d\u2019un \u00e9tablissement donn\u00e9 et la qualit\u00e9 des soins qu\u2019il fournit, et elles passent en revue les r\u00e9sultats de recherches canadiennes et am\u00e9ricaines \u00e0 cet \u00e9gard.<\/p>\n<p>Tout en tenant compte des difficult\u00e9s m\u00e9thodologiques que posent les mesures de la qualit\u00e9\u00a0 des soins, elles constatent \u2014 et c\u2019est leur principale conclusion \u2014 que les \u00e9tablissements \u00e0 but lucratif sont plus susceptibles de fournir des soins de moindre qualit\u00e9. Cela ne signifie pas que tous les \u00e9tablissements \u00e0 but lucratif dispensent des soins m\u00e9diocres mais, selon les donn\u00e9es,\u00a0\u00a0 la probabilit\u00e9 est plus \u00e9lev\u00e9e qu\u2019ils fournissent des soins de moindre qualit\u00e9 que les \u00e9tablissements publics ou sans but lucratif.<\/p>\n<p>Toutefois, depuis une dizaine d\u2019ann\u00e9es, les politiques de nombreuses provinces semblent aller \u00e0 l\u2019encontre de ces r\u00e9sultats, puisque le r\u00f4le du secteur priv\u00e9 et \u00e0 but lucratif y a gagn\u00e9 en impor- tance. Pour renverser cette tendance, les auteures recommandent que l\u2019on revienne au financement public plut\u00f4t que de recourir au capital priv\u00e9 pour construire de nouveaux \u00e9tablissements et que l\u2019on offre aux organismes sans but lucratif les pr\u00eats et le soutien technique qui leur permettraient de soumissionner comp\u00e9titivement \u00e0 des projets de nouveaux centres de soins.<\/p>\n<p>Comme le soulignent les auteures, l\u2019un des principaux m\u00e9canismes utilis\u00e9s pour g\u00e9n\u00e9rer des b\u00e9n\u00e9fices consiste \u00e0 r\u00e9duire le personnel, ce qui diminue in\u00e9vitablement la qualit\u00e9 des soins. Elles recommandent donc d\u2019imposer des ratios minimaux de dotation en personnel et de pr\u00e9voir \u00e0 long terme les fonds n\u00e9cessaires au respect de ces niveaux ; elles proposent m\u00eame d\u2019attribuer une enveloppe budg\u00e9taire sp\u00e9cifique aux soins infirmiers directs. De plus, elles pr\u00e9conisent les mesures suivantes :<\/p>\n<ul>\n<li>Effectuer r\u00e9guli\u00e8rement des inspections inopin\u00e9es, men\u00e9es par des inspecteurs form\u00e9s, ainsi que des enqu\u00eates, sous anonymat, aupr\u00e8s des b\u00e9n\u00e9ficiaires et de leurs familles ;<\/li>\n<li>Rendre publics les rapports d\u2019inspection, l\u2019information sur les ratios de dotation en personnel et les plaintes des usagers ;<\/li>\n<li>Cr\u00e9er \u00e0 l\u2019\u00e9chelle du pays un bulletin public de la qualit\u00e9 des soins ;<\/li>\n<li>R\u00e9unir les \u00e9tablissements de soins sans but lucratif en r\u00e9seaux ;<\/li>\n<li>Soutenir les programmes d\u2019am\u00e9lioration de la qualit\u00e9 et une approche d\u2019\u00e9quipe pour la prestation des soins ;<\/li>\n<li>Favoriser l\u2019alignement des \u00e9tablissements de soins de courte et de longue dur\u00e9e ;<\/li>\n<li>Fournir des soins de fin de vie de grande qualit\u00e9.<\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Compte tenu du vieillissement de la population canadienne, toutes les provinces devront augmenter leur capacit\u00e9 d\u2019accueil en soins de longue dur\u00e9e pour pouvoir h\u00e9berger les personnes \u00e2g\u00e9es en perte d\u2019autonomie. Si la tendance actuelle se poursuit, il faudra ajouter, d\u2019ici \u00e0 2041,\u00a0 au minimum 120 000 lits d\u2019h\u00e9bergement aux 200 000 lits actuels au Canada. [&hellip;]<\/p>\n","protected":false},"featured_media":11151,"template":"","meta":{"content-type":""},"categories":[],"tags":[603,618,602,778],"class_list":["post-9265","research-studies","type-research-studies","status-publish","has-post-thumbnail","hentry","tag-seniors-fr","tag-home-care-fr","tag-soins-longue-duree","tag-medical-care-fr"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v15.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<meta name=\"description\" content=\"Inferior residential care for seniors linked to for-profit facilities: New study finds type of ownership impacts quality of care provided.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/irpp.org\/fr\/research-studies\/residential-long-term-care-for-canadas-seniors\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Residential Long-Term Care for Canada&#039;s Seniors\" \/>\n<meta property=\"og:description\" content=\"Inferior residential care for seniors linked to for-profit facilities: New study finds type of ownership impacts quality of care provided.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/irpp.org\/fr\/research-studies\/residential-long-term-care-for-canadas-seniors\/\" \/>\n<meta property=\"og:site_name\" content=\"IRPP\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/IRPP.org\" \/>\n<meta property=\"article:modified_time\" content=\"2022-03-15T17:37:29+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/irpp.org\/wp-content\/uploads\/2014\/09\/long-term-care.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2000\" \/>\n\t<meta property=\"og:image:height\" content=\"700\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@irpp\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture est.\">\n\t<meta name=\"twitter:data1\" content=\"3 minutes\">\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebSite\",\"@id\":\"https:\/\/irpp.org\/#website\",\"url\":\"https:\/\/irpp.org\/\",\"name\":\"IRPP\",\"description\":\"Institute for Research on Public Policy\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":\"https:\/\/irpp.org\/?s={search_term_string}\",\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/irpp.org\/fr\/research-studies\/residential-long-term-care-for-canadas-seniors\/#primaryimage\",\"inLanguage\":\"fr-FR\",\"url\":\"https:\/\/irpp.org\/wp-content\/uploads\/2014\/09\/long-term-care.jpg\",\"width\":2000,\"height\":700},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/irpp.org\/fr\/research-studies\/residential-long-term-care-for-canadas-seniors\/#webpage\",\"url\":\"https:\/\/irpp.org\/fr\/research-studies\/residential-long-term-care-for-canadas-seniors\/\",\"name\":\"Residential Long-Term Care for Canada's Seniors\",\"isPartOf\":{\"@id\":\"https:\/\/irpp.org\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/irpp.org\/fr\/research-studies\/residential-long-term-care-for-canadas-seniors\/#primaryimage\"},\"datePublished\":\"2011-01-24T05:00:00+00:00\",\"dateModified\":\"2022-03-15T17:37:29+00:00\",\"description\":\"Inferior residential care for seniors linked to for-profit facilities: New study finds type of ownership impacts quality of care provided.\",\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/irpp.org\/fr\/research-studies\/residential-long-term-care-for-canadas-seniors\/\"]}]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","distributor_meta":false,"distributor_terms":false,"distributor_media":false,"distributor_original_site_name":"IRPP","distributor_original_site_url":"https:\/\/irpp.org\/fr\/","push-errors":false,"_links":{"self":[{"href":"https:\/\/irpp.org\/fr\/wp-json\/wp\/v2\/research-studies\/9265","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/irpp.org\/fr\/wp-json\/wp\/v2\/research-studies"}],"about":[{"href":"https:\/\/irpp.org\/fr\/wp-json\/wp\/v2\/types\/research-studies"}],"version-history":[{"count":0,"href":"https:\/\/irpp.org\/fr\/wp-json\/wp\/v2\/research-studies\/9265\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/irpp.org\/fr\/wp-json\/wp\/v2\/media\/11151"}],"wp:attachment":[{"href":"https:\/\/irpp.org\/fr\/wp-json\/wp\/v2\/media?parent=9265"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/irpp.org\/fr\/wp-json\/wp\/v2\/categories?post=9265"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/irpp.org\/fr\/wp-json\/wp\/v2\/tags?post=9265"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}