Nursing programs and programs for people with dementia have long struggled to get people to pay for the services they need.
But a new study from the University of Waterloo suggests a new challenge could be in store for nursing home patients who are considering the step program.
The researchers, led by Dr. Michael Kwan, a postdoctoral researcher in nursing at the university, say that some nursing homes have changed their scheduling and billing policies to discourage seniors from taking part in the program.
The study, published in the Canadian Journal of Nursing, found that the nursing home population in Ontario has increased over the past few years.
According to the study, there were 1.4 million seniors in Canada living in nursing homes at the end of 2015.
The study also found that seniors were more likely to use the program than non-seniors.
But Dr. Kwan and his colleagues say they’ve seen a dramatic shift in the nursing homes’ business model over the last few years and suggest that many of the changes are the result of a backlash against seniors who are being pushed into the nursing program.
“What we have seen is the industry shift from being the primary caregiver, to the primary care provider and we are seeing the shift to the caregiver side, and the caregivers side, are being the most vulnerable and least-informed about their choices,” Dr. Kevin Smith, senior research fellow at the U of W’s Department of Nursing Studies and a co-author of the study told CBC News.
“So we need to think of the caregivers as being in the driver’s seat of this, not the other way around.”
The study focused on the nursing care of seniors with dementia in Ontario.
It looked at data from the Ontario government’s long-term care and long-stay care records from 2015 to 2017 and examined trends in nursing home admissions over the same period.
The researchers looked at more than 1,400 nursing homes, including those that are managed by a nursing home corporation and those managed by the provincial government.
The results show that the industry’s business model is changing as seniors with mental illness and cognitive impairment are pushed into nursing homes.
The authors say there are many reasons for this, including changes in insurance, the new regulations on nursing home care and new legislation that will help to rein in the growth in nursing services.
“I think there are a lot of factors that are contributing to this,” said Dr. Smith.
“But we know that, as we’ve seen, the changes that have occurred have been more dramatic in the past two or three years than they were two or five years ago.
So, I think we’re in a period where there are changes in the industry.”
The report looked at trends in the number of people who received a mental health diagnosis at a nursing facility in 2015-16, the number who were admitted to the facility, and those who were hospitalized for a mental disorder in the same year.
It also looked at the percentage of seniors who received care at a care facility.
There were 2,056,619 seniors in Ontario at the time of the survey, and only 1,981,749 seniors were admitted at nursing facilities in 2015.
The authors say that this was a significant shift from the past.
“In the past, seniors were receiving care at home for a variety of mental disorders and a variety in care outcomes, including a variety,” Dr Smith said.
“Now, a lot more of them are being admitted to nursing homes for a number of mental conditions.”
The researchers also looked into the demographics of those admitted to a care home, including the number that were aged 55 to 64, the percentage who were female, and whether they were black or white.
Dr. Smith said that this research showed that the shift in nursing facilities from primary care to the care of nursing homes was “unexpected.”
“The industry has changed.
The changes have been quite dramatic,” he said.”
This is something that was not expected in this industry.”
While some seniors may find that the step or step-parenting program may be more challenging, Dr. Sainath says that many people have a right to participate.
“If you want to do it, it’s something that should be available to everybody, not just those with a disability,” she said.
The findings of the new study, however, do not address whether the change is due to the nursing-home industry being more aggressive about monitoring care, or to better tracking and monitoring seniors who might be at risk of dementia.