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Planning the Restructuring of Long-Term Care: The Demand, Need and Provision of Institutional Long-Term Care Beds in Newfoundland and Labrador
Nicole Hughes, Jacqueline McDonald, Brendan J. Barrett, Patrick S. Parfrey. Healthcare Management Forum, 2008-06-01
Topic: Risk, prevention and care in population studies
The Canadian population is aging. In Newfoundland and Labrador, nursing homes and supervised care facilities provide Long-Term Care (LTC). There may be a mismatch between the provision of LTC beds and clients' needs. To compare the type and annual rate of clients seeking placement to LTC, incident annual cohorts (N = 1,496) in five provincial health regions within Newfoundland and Labrador were compared using objective measures of disability. Client need was assessed using a decision tree and the optimal distribution of LTC beds was determined. Within the four island regions, little difference was observed in degree of disability, but Labrador clients differed from the island regions in age, degree and type of disability. A decision tree suggested that optimal placement was 7% to housing, 34% to supervised care, 17% to supervised care for cognitive impairment and 42% to nursing home care. In Newfoundland and Labrador, institutional LTC is dependent on nursing homes, whereas the major need is for appropriate supervised care for those with modest disability, with or without cognitive impairment. Different approaches to restructuring of long-term care in each region are necessary because of the differences in rates of presentation for LTC and differences in availability of nursing home and appropriate supervised care beds.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Hughes, N., McDonald, J., Barrett, B. J., & Parfrey, P. S. (2008). Planning the Restructuring of Long-Term Care: The Demand, Need and Provision of Institutional Long-Term Care Beds in Newfoundland and Labrador. Healthcare Management Forum. https://doi.org/10.1016/s0840-4704(10)60540-6
Vancouver
Hughes N, McDonald J, Barrett BJ, Parfrey PS. Planning the Restructuring of Long-Term Care: The Demand, Need and Provision of Institutional Long-Term Care Beds in Newfoundland and Labrador. Healthcare Management Forum. 2008. doi:10.1016/s0840-4704(10)60540-6. PMID: 18795554.
BibTeX
@article{hughes2008-18795554,
author = {Hughes, Nicole and McDonald, Jacqueline and Barrett, Brendan J. and Parfrey, Patrick S.},
title = {{Planning the Restructuring of Long-Term Care: The Demand, Need and Provision of Institutional Long-Term Care Beds in Newfoundland and Labrador}},
journal = {Healthcare Management Forum},
year = {2008},
doi = {10.1016/s0840-4704(10)60540-6},
pmid = {18795554},
url = {https://doi.org/10.1016/s0840-4704(10)60540-6}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
Key findings
- A decision tree suggested that optimal placement was 7% to housing, 34% to supervised care, 17% to supervised care for cognitive impairment and 42% to nursing home care.
Why it matters
This planning study compared long-term care clients in Newfoundland and Labrador and used a decision tree to estimate optimal placement across housing, supervised care, and nursing home care. It addresses long-term care bed planning, not treating, curing, or preventing Alzheimer's disease.
Study details
- Participants1,496
- Evidence strengthLow
How this study scored 33/100
Published in a peer-reviewed journal. Scored zero for study design, effect reported and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Healthcare Management Forum) |
| Journal's citation record | 0 / 4 | Healthcare Management Forum: journal h-index 41 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 1 / 5 | 2008 — within 20 year(s) of the newest study here |
| Sample size | 3 / 4 | 1,496 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 1 / 7 | Cited 2 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.1 citations a year over 20 year(s) since 2008 |
| Impact for its field and year | 1 / 6 | Cited 0.6× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 0 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 3 / 4 | Last-listed author Patrick S. Parfrey: h-index 76 (OpenAlex, whole career) |
| Institution's track record | 0 / 3 | Memorial University of Newfoundland: institution h-index 477 (OpenAlex) |
| Multi-centre collaboration | 1 / 3 | OpenAlex lists 2 institution(s) in 2 countries |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 18795554) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Total | 33 / 100 | — |
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