Resolution #26: Long-Term Care (Official French version)
In Québec, unlike the situation in the rest of Canada and the world, most nursing homes are owned by the public sector. This situation forces the government to maintain an expensive real estate. In other Canadian provinces, private, community and municipal players all have a major role in nursing homes.
We will implement the following principle: healthcare should be provided through the public healthcare system while housing should be left to licensed community players, non-profit organizations, cooperatives, private companies and municipalities. In short, the role of the public healthcare system is to treat and not to house.
Before proceeding with such a change, the ministry must first adopt strict accreditation rules and procedures to ensure the safety of persons and the quality of services.
Our priorities will therefore be the following:
- To prioritize home care;
- To ensure universal coverage of medical, nursing and housing services by the public system and, optionally, by a complementary private plan. Other home care services for assistance in daily activities and domestic help will continue to be the subject of graduated coverage depending on the degree of dependency and of the nature of the service, and the ability to pay (in all cases, the poorest should be protected);
- To allow a patient to receive either a cash payment or a tax credit so they can choose the provider of their choice;
- To review the sums paid or the amount of tax credits offered to recipients of home care so that they can cover a larger portion of the fees charged by intermediate resources and contracted private CHSLDs;
- To provide an expansion and diversification of accommodation and housing to intermediate or family-type resources;
- To entrust management of CHSLDs by licensing or franchising to for-profit or non-profit organizations within five years;
- To adjust the contributions required by persons currently accommodated according to their ability to pay in order to better reflect the real cost of food and lodging. Such an adjustment would restore fairness compared with persons who reside in their homes at their expense; and
- To allow a patient, who is not housed in a public CHSLD within a period of 72 hours after being discharged from hospital by their physician, to require a government performance guarantee to find them a place in another home other than a CHSLD, at the expense of the government.