Evidence map›Paper›PMID 25305396›Full record

ArticleHealthcare policy = Politiques de sante2014

Approaches to accountability in long-term care.

Whitney Berta, Audrey Laporte, Walter P Wodchis

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 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. COVID-19 and Long-Term Care: What Have We Learned?Healthcare policy = Politiques de sante · 2022
    Article
  3. Article
  4. Article
  5. Article
  6. Thinking about accountability.Healthcare policy = Politiques de sante · 2014
    Article
  7. Accountability in the City of Toronto's 10 long-term care homes.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

3 authors.

Whitney BertaAssociate Professor, Institute of Health Policy, Management & Evaluation, University of Toronto, Toronto, ON.
Audrey LaporteAssociate Professor, Institute of Health Policy, Management & Evaluation, University of Toronto, Adjunct Scientist, Institute for Clinical Evaluative Sciences, Toronto, ON.
Walter P WodchisAssociate Professor, Institute of Health Policy Management & Evaluation, University of Toronto, Research Scientist, Toronto Rehabilitation Institute, Adjunct Scientist, Institute for Clinical Evaluative Sciences, Toronto, ON.

Funding

Canadian Institutes of Health Research PHE-101967
6 · The paper itself

Abstract

This paper discusses the array of approaches to accountability in Ontario long-term care (LTC) homes. A focus group involving key informants from the LTC industry, including both for-profit and not-for-profit nursing home owners/operators, was used to identify stakeholders involved in formulating and implementing LTC accountability approaches and the relevant regulations, policies and initiatives relating to accountability in the LTC sector. These documents were then systematically reviewed. We found that the dominant mechanisms have been financial incentives and oversight, regulations and information; professionalism has played a minor role. More recently, measurement for accountability in LTC has grown to encompass an array of fiscal, clinical and public accountability measurement mechanisms. The goals of improved quality and accountability are likely more achievable using these historical regulatory approaches, but the recent rapid increase in data and measurability could also enable judicious application of market-based approaches.

Indexed as

Social ResponsibilityAccreditationAgedDocumentationFocus GroupsGovernment RegulationHomes for the AgedHumansLong-Term CareNursing HomesOntarioOwnershipPrivate SectorPublic SectorQuality Assurance, Health CareReimbursement, Incentive

Identifiers

PMID25305396
PMCPMC4255566

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.