Addressing the Capital Requirement: Perspectives on the Need for More Long-Term-Care Beds in Ontario

Home » Addressing the Capital Requirement: Perspectives on the Need for More Long-Term-Care Beds in Ontario

BLAIR ROBLIN
Oakville, Ontario, Canada
RAISA DEBER
Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
ANDREA BAUMANN
Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada

Keywords: long-term-care homes, capital funding, return on capital, construction, redevelopment, ownership structure.

Abstract:
Il manque à l’Ontario, à l’heure actuelle, 70 000 places en soins de longue durée (SLD), soit 38 000 pour vider les listes d’attentes et 32 000 de plus pour compenser les installations qui doivent être remplacées, pour un cout total de plus de 20 milliards de dollars. Cette étude porte sur les sources et les exigences du financement des maisons de soins de longue durée en Ontario, ainsi que sur les structures de propriété dans ce secteur. Des entrevues semi-structurées permettent de comprendre les moyens dont disposent les propriétaires de maisons de SLD, leurs difficultés et leur volonté d’entreprendre les projets de construction nécessaires. Les propriétaires qui ont répondu au sondage ont nommé les difficultés suivantes : le manque d’accès au capital de financement, le rendement insuffisant du capital privé, les différences dans le financement selon le modèle de propriété, les différences de couts selon la région, ainsi qu’une règlementation contraignante. Des options concernant les politiques sont proposées pour surmonter ces obstacles et stimuler la construction et la relance des maisons de SLD. Mots clés : maison de soins de longue durée, fonds pour les dépenses en capital, rendement du capital, construction, relance, structure de propriété.

Ontario has an immediate need for 70,000 long-term-care (LTC) beds—38,000 to address current waitlists and a further 32,000 in need of replacement, which together will cost more than $20 billion. This study examines funding sources and requirements and ownership structures in the LTC homes sector in Ontario. Semi-structured interviews were used to understand the ability, challenges, and willingness of LTC home owners to undertake the needed construction. Respondents identified poor access to capital funding, inadequate returns on private capital, differences in funding by ownership model, differing costs by region, and regulatory obstacles. Policy options are identified to overcome constraints and spur construction and redevelopment of LTC homes.

 


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