Restoring trust: COVID-19 and the future of long-term care in Canada

被引：103

作者：

Estabrooks, Carole A. ^{[1
]}

Straus, Sharon E. ^{[2
]}

Flood, Colleen M. ^{[3
]}

Keefe, Janice ^{[4
]}

Armstrong, Pat ^{[5
]}

Donner, Gail J. ^{[6
]}

Boscart, Veronique ^{[7
]}

Ducharme, Francine ^{[8
]}

Silvius, James L. ^{[9
]}

Wolfson, Michael C. ^{[3
,10
]}

机构：

[1] Univ Alberta, Fac Nursing, Edmonton, AB, Canada

[2] Univ Toronto, Dept Med, Toronto, ON, Canada

[3] Univ Ottawa, Fac Law, Ottawa, ON, Canada

[4] Mt St Vincent Univ, Dept Family Studies & Gerontol, Halifax, NS, Canada

[5] York Univ, Dept Sociol, Toronto, ON, Canada

[6] Univ Toronto, Fac Nursing, Toronto, ON, Canada

[7] Conestoga Coll, CIHR Schlegel Ind Res Chair Coll Seniors Care, Kitchener, ON, Canada

[8] Univ Montreal, Fac Nursing, Montreal, PQ, Canada

[9] Univ Calgary, Cumming Sch Med, Calgary, AB, Canada

[10] Univ Ottawa, Sch Epidemiol & Publ Hlth, Ottawa, ON, Canada

来源：

FACETS | 2020年 / 5卷

关键词：

long-term care; nursing homes; COVID-19; pandemic; quality of care; quality of life; end of life; LTC transformation; data quality; accountability; NURSING-HOME RESIDENTS; QUALITY-OF-CARE; HEALTH-CARE; STAFFING LEVELS; ADVANCED DEMENTIA; PHYSICAL RESTRAINTS; NONMALIGNANT PAIN; OLDER-PEOPLE; LIFE CARE; END;

D O I：

10.1139/facets-2020-0056

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

The Royal Society of Canada Task Force on COVID-19 was formed in April 2020 to provide evidence-informed perspectives on major societal challenges in response to and recovery from COVID-19. The Task Force established a series of working groups to rapidly develop policy briefings, with the objective of supporting policy makers with evidence to inform their decisions. This paper reports the findings of the CVOID-19 Long-Term Care (LTC) working group addressing a preferred future for LTC in Canada, with a specific focus on COVID-19 and the LTC workforce. First, the report addresses the research context and policy environment in Canada's LTC sector before COVID-19 and then summarizes the existing knowledge base for integrated solutions to challenges that exist in the LTC sector. Second, the report outlines vulnerabilities exposed because of COVID-19, including deficiencies in the LTC sector that contributed to the magnitude of the COVID-19 crisis. This section focuses especially on the characteristics of older adults living in nursing homes, their caregivers, and the physical environment of nursing homes as important contributors to the COVID-19 crisis. Finally, the report articulates principles for action and nine recommendations for action to help solve the workforce crisis in nursing homes.

引用

页码：651 / 691

页数：41

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