Module 7: Optimizing Health Systems in LTC
166 7.1 LTC Legislation
In Canada, LTC is one of the areas of health care that is neither publicly guaranteed nor insured under the Canada Health Act.[1] Health & health care jurisdiction is a shared responsibility between federal & provincial governments. LTC services are governed by provincial and territorial legislation and not a part of Canada’s universal health coverage model.[2] Variability across Canada includes:
- Services offered
- How care requirements are assessed
- Services that are publicly funded
- How facilities are governed[3]
LTC ownership:
- In Canada, 46% of LTC homes are publicly (government) owned and 54% are privately owned
- 100% of territorial LTC homes are publicly owned
- 98% of LTC homes in Labrador and Newfoundland are publicly owned
- 88% are publicly owned in Québec
- 86% are private, not-for-profit homes in New Brunswick
- 65% are privately owned in British Columbia; 37% private for-profit & 28% not-for-profit
- 57% are private for-profit homes in Ontario[4]
Optional Readings