Home and community care sector accountability.

Carolyn Steele Gray, Whitney Berta, Raisa B Deber, Janet Lum

Abstract read

In one paragraph

Article in Healthcare policy = Politiques de sante, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it

0cells of the map it votes in

4citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

Community-based personal support workers' satisfaction with job-related training at the organization in Ontario, Canada: Implications for future training.Health science reports · 2022
Article
Thinking about accountability.Healthcare policy = Politiques de sante · 2014
Article
Home and community care sector accountability.Healthcare policy = Politiques de sante · 2014
Article
Approaches to accountability in long-term care.Healthcare policy = Politiques de sante · 2014
Article

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Carolyn Steele GrayPost-Doctoral Fellow, Bridgepoint Colllaboratory for Research and Innovation, Health System Performance Research Network, University of Toronto, Toronto, ON.

Whitney BertaAssociate Professor, Institute of Health Policy, Management & Evaluation, University of Toronto, Toronto, ON.

Raisa B DeberProfessor, Institute of Health Policy, Management & Evaluation, University of Toronto, Toronto, ON.

Janet LumProfessor and Associate Dean of Arts, Research and Graduate Studies, Ryerson University, Co-Chair, Canadian Research Network for Care in the Community, Toronto, ON.

Funding

Canadian Institutes of Health Research PHE-101967

6 · The paper itself

Abstract

This paper focuses on accountability for the home and community care (HCC) sector in Ontario. The many different service delivery approaches, funding methods and types of organizations delivering HCC services make this sector highly heterogeneous. Findings from a document analysis and environmental scan suggest that organizations delivering HCC services face multiple accountability requirements from a wide array of stakeholders. Government stakeholders tend to rely on regulatory and expenditure instruments to hold organizations to account for service delivery. Semi-structured key informant interview respondents reported that the expenditure-based accountability tools being used carried a number of unintended consequences, both positive and negative. These include an increased organizational focus on quality, shifting care time away from clients (particularly problematic for small agencies), dissuading innovation, and reliance on performance indicators that do not adequately support the delivery of high-quality care.

Indexed as

Social ResponsibilityCommunity Health ServicesDocumentationFinancial ManagementGovernment RegulationHome Care ServicesHumansInterviews as TopicOntarioQuality Assurance, Health Care

Identifiers

PMID25305389

PMCPMC4255569

What OpenQuestion holds

Textmetadata

Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.