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An Exploratory Study of Private Home Care Services in Canada
註釋Summarizes findings of an exploratory study of private home care services for seniors in Canada, involving four main components: interviews; a literature review; four case studies of innovative private home care agencies; and a pilot survey of some private agencies across Canada. The interviews were with 17 key informants in both the public and private home care sectors in Canada and the United States. They were asked to identify major concerns in the private sector and to comment on issues such as public/private collaboration, free trade, training programs, and quality control. The literature review yielded limited material on evaluative and outcome studies, descriptions of the private sector, comparisons of for-profit and non-profit agencies, and innovative home care programs. The case studies included on-site visits and interviews, and characteristics commonly identified as important in the provision of high quality services are noted. The pilot survey elicited basic descriptive information such as staffing, clients, types of services, budgets, fees, quality controls, training, hiring practices, and problems. Three broad areas of concern emerged from the overall findings and conclusions are made regarding the need for improved quality controls and standards, improvements for services, and research and outcome evaluation.