{"id":{"repo_id":"uwo","oai_identifier":"oai:uwo.scholaris.ca:20.500.14721/38522"},"canonical_url":"https://search.dev.ndltd.org/etd/uwo/oai:uwo.scholaris.ca:20.500.14721/38522","repository":{"repo_id":"uwo","name":"Western University","base_url":"https://uwo.scholaris.ca/server/oai/request"},"display":{"title":"Lessons Learned from COVID-19? A Comparative Policy Analysis of Long-Term Care Policies in Two Francophone Countries","abstract":"The COVID-19 pandemic disproportionately affected older adults in long-term care (LTC) homes, exposing systemic challenges. This study compares LTC policy responses in Québec (Canada) and France across regulation, service provision, funding, and workforce. It identifies lessons from the pandemic by comparing LTC policies and changes in Québec and France. Using a multiple case design with cross-case analysis, this study involved document analysis, comparison of changes to recommendations, and expert consultations. Findings reveal that despite a shared vision for care, both systems face ongoing workforce challenges and gaps between expert recommendations and implementation. In Québec, some progress has been made toward these recommendations, although full implementation was found to be incomplete. In France, reform is impacted by bureaucratic inertia. Both countries faced criticism over visitation restrictions, which experts stated to be unlikely to be repeated. These findings underscore the urgent need for more responsive system reform, supported by sustained political investment.","abstract_html":"The COVID-19 pandemic disproportionately affected older adults in long-term care (LTC) homes, exposing systemic challenges. This study compares LTC policy responses in Québec (Canada) and France across regulation, service provision, funding, and workforce. It identifies lessons from the pandemic by comparing LTC policies and changes in Québec and France. Using a multiple case design with cross-case analysis, this study involved document analysis, comparison of changes to recommendations, and expert consultations. Findings reveal that despite a shared vision for care, both systems face ongoing workforce challenges and gaps between expert recommendations and implementation. In Québec, some progress has been made toward these recommendations, although full implementation was found to be incomplete. In France, reform is impacted by bureaucratic inertia. Both countries faced criticism over visitation restrictions, which experts stated to be unlikely to be repeated. These findings underscore the urgent need for more responsive system reform, supported by sustained political investment.","abstract_has_math":false,"creators":["Muzzi, Gabrielle"],"institution":"The University of Western Ontario","degree_name":"M Sc","degree_level":null,"degree_discipline":"Health and Rehabilitation Sciences","degree_department":null,"school":null,"contributors":[],"advisors":["Zecevic, Aleksandra"],"committee_chairs":[],"committee_members":[],"year":2025,"date_issued":"2025-08-12","date_published":"2025-08-12","updated_at":"2026-07-27T21:55:58Z","subjects":["Health policy","long-term care","long-term care home","regulation","service provision","funding","workforce","comparative analysis","comparison","Canada","Québec","France"],"languages":["en"],"rights":["Attribution-NonCommercial-NoDerivatives 4.0 International"],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://hdl.handle.net/20.500.14721/38522","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Zecevic, Aleksandra"]},{"key":"dc:creator","label":"Author","values":["Muzzi, Gabrielle"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2025-08-15T15:00:18Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2025-08-15T15:00:18Z"]},{"key":"dc:date.issued","label":"Date","values":["2025-08-12"]},{"key":"dc:publisher","label":"Institution","values":["The University of Western Ontario"]},{"key":"dc:type","label":"Dc Type","values":["thesis"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Health and Rehabilitation Sciences"]},{"key":"thesis:degree_name","label":"Degree Name","values":["M Sc"]},{"key":"thesis:institution_name","label":"Thesis Institution Name","values":["The University of Western Ontario"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Health policy","long-term care","long-term care home","regulation","service provision","funding","workforce","comparative analysis","comparison","Canada","Québec","France"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["en"]},{"key":"dc:rights","label":"Dc Rights","values":["Attribution-NonCommercial-NoDerivatives 4.0 International"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://hdl.handle.net/20.500.14721/38522"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["The COVID-19 pandemic disproportionately affected older adults in long-term care (LTC) homes, exposing systemic challenges. This study compares LTC policy responses in Québec (Canada) and France across regulation, service provision, funding, and workforce. It identifies lessons from the pandemic by comparing LTC policies and changes in Québec and France. Using a multiple case design with cross-case analysis, this study involved document analysis, comparison of changes to recommendations, and expert consultations. Findings reveal that despite a shared vision for care, both systems face ongoing workforce challenges and gaps between expert recommendations and implementation. In Québec, some progress has been made toward these recommendations, although full implementation was found to be incomplete. In France, reform is impacted by bureaucratic inertia. Both countries faced criticism over visitation restrictions, which experts stated to be unlikely to be repeated. These findings underscore the urgent need for more responsive system reform, supported by sustained political investment."]},{"key":"dc:title","label":"Title","values":["Lessons Learned from COVID-19? A Comparative Policy Analysis of Long-Term Care Policies in Two Francophone Countries"]}]}],"canonical_facts":{"dc:contributor.advisor":["Zecevic, Aleksandra"],"dc:creator":["Muzzi, Gabrielle"],"dc:date.accessioned":["2025-08-15T15:00:18Z"],"dc:date.available":["2025-08-15T15:00:18Z"],"dc:date.issued":["2025-08-12"],"dc:description.abstract":["The COVID-19 pandemic disproportionately affected older adults in long-term care (LTC) homes, exposing systemic challenges. This study compares LTC policy responses in Québec (Canada) and France across regulation, service provision, funding, and workforce. It identifies lessons from the pandemic by comparing LTC policies and changes in Québec and France. Using a multiple case design with cross-case analysis, this study involved document analysis, comparison of changes to recommendations, and expert consultations. Findings reveal that despite a shared vision for care, both systems face ongoing workforce challenges and gaps between expert recommendations and implementation. In Québec, some progress has been made toward these recommendations, although full implementation was found to be incomplete. In France, reform is impacted by bureaucratic inertia. Both countries faced criticism over visitation restrictions, which experts stated to be unlikely to be repeated. 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