Simplified Understanding April 2015 BC CARE PROVIDERS ASSOCIATION

Methodology 2 The results included in this presentation are based on an online study conducted from March 25 to March 29, 2015, among 814 British Columbians aged 18+ who are Your Insights panel members. Your Insights is Insights West’s in-house access panel offering on-demand samples for both clients and research suppliers looking for Western Canadian populations. The data has been statistically weighted according to Canadian census figures for British Columbia for age, gender and region. Results have a margin of error of ±3.5 percentage points, 19 times out of 20. The results included in this presentation are based on an online study conducted from March 25 to March 29, 2015, among 814 British Columbians aged 18+ who are Your Insights panel members. Your Insights is Insights West’s in-house access panel offering on-demand samples for both clients and research suppliers looking for Western Canadian populations. The data has been statistically weighted according to Canadian census figures for British Columbia for age, gender and region. Results have a margin of error of ±3.5 percentage points, 19 times out of 20.

Simplified Understanding DETAILED RESULTS

Having enough money to cover future care costs including long-term care Having access to a publicly funded residential seniors care home or home care services when needed Receiving quality and affordable long-term care or home care services One of the key concerns for British Columbians (54%) is having enough money to cover future care costs, including long-term care, quality is a secondary problem. Health Care Concerns 4 Base: All respondents (n=814) How often do you worry about each of the following? Not WorriedWorried FrequentlyOftenNot at allNot too much

Base: All respondents (n=814) We are going to ask you some questions about long-term residential care services, which are defined by the Ministry of Health as “providing 24- hour professional supervision and care in a protective, supportive environment for people who have complex care needs and can no longer be cared for in their own homes or in an assisted living residence” From what you have seen, read or heard, have wait times to get access to publicly funded long term residential care services increased, stayed the same or decreased over the last decade? Almost half (48%) think wait times for long-term residential services are increasing. However, average wait time is now 45 days (down from 365 in 2001) Views on Long Term Residential Care Services 5 Stayed the Same Not Sure BC General Population13%30% Gender Female10%31% Male17%29% Age 18 to 3412%48% 35 to 5413%32% 55+14%17% Yes13%26% No13%32% Gender Age “Experience” DecreasedIncreased

Stayed the Same Not Sure BC General Population15%30% Gender Female12%31% Male18%28% Age 18 to 3411%46% 35 to 5415%30% 55+16%19% Yes16%25% No14%33% Gender Age “Experience” DecreasedIncreased Almost half (47%) think wait times for publicly funded homecare services are increasing. However, inconsistent tracking makes it impossible to know. Views on Publicly Funded Homecare Services 6 Base: All respondents (n=814) And, from what you have seen, read or heard, have wait times to get access to publicly funded homecare services (that is, services provided by community health workers to clients who require personal assistance with activities of daily living in their own residence) increased, stayed the same or decreased over the last decade?

Two-in-five British Columbians (38%) think financial or physical abuse against seniors in publicly funded care homes and seniors receiving home care has increased. Incidents of Financial or Physical Abuse 7 Base: All respondents (n=814) From what you have seen, read or heard, have the number of incidents of financial or physical abuse against seniors in publicly funded care homes and seniors receiving home care, increased, stayed the same or decreased over the last decade? Stayed the Same Not Sure BC General Population24%33% Gender Female22%33% Male26%33% Age 18 to 3424%34% 35 to 5423%35% 55+25%29% Yes25%30% No23%34% Gender Age “Experience” DecreasedIncreased

Three-in-ten British Columbians (29%) believe they will have a choice as to which publicly funded care home they will live in. People in private long-term residential care homes typically receive different and/or enhanced care compared to those that who are in publicly funded beds A significant majority of seniors in care homes are living with some form of dementia such as Alzheimer’s Similar to a hospital setting, most of the food at residential care homes is cooked offsite and brought into the care homes each day I will have a choice as to which publicly funded care home I want to live in when such care is required Myths and Misconceptions 8 Base: All respondents (n=814) We are going to ask you other questions about care for seniors. There are no right or wrong answers. We’re interested in whether you think each of the statements below are true or not true. Do you think each of the statements is true or not true? FalseTrue False

The average length of stay for a senior in residential care is getting longer The aging population will overwhelm the health care system in terms of costs There are not enough regulations and government agencies overseeing the continuing care sector to provide quality care and help protect seniors I'm more likely to get sick by visiting a care home than to bring in a bug that may make others sick While 87% think the average length of stay for a senior in residential care is getting longer, the average length has dropped from 4 years in the 1990s. Myths and Misconceptions 9 Base: All respondents (n=814) We are going to ask you other questions about care for seniors. There are no right or wrong answers. We’re interested in whether you think each of the statements below are true or not true. Do you think each of the statements is true or not true? FalseTrue False

Three-in-five (62%) believe the health care system focuses too much on acute care, to the detriment of other needs—including caring for the chronically ill elderly. Acute Care vs. Ongoing Care Needs 10 Base: All respondents (n=814) From what you have seen, read, heard or experienced, do you agree or disagree with each of the following statements? “The health care system focuses too much on acute care (such as short-term treatment for injury and illness, urgent medical conditions, or post-surgery recovery) and not on providing ongoing care needs, such as long term care or caring for the chronically ill elderly.” Not Sure BC General Population14% Gender Female17% Male11% Age 18 to 3422% 35 to 5413% 55+10% Yes10% No16% Gender Age “Experience” DisagreeAgree

61% of British Columbians disagreed that individuals with net assets over $1 million should remain eligible to receive access to publically subsidized homecare and long-term care residential care services. Subsidies and Eligibility 11 Base: All respondents (n=814) From what you have seen, read, heard or experienced, do you agree or disagree with each of the following statements? “Individuals with net assets over $1 million should remain eligible to receive access to publicly subsidized homecare and long-term residential care services.” Not Sure BC General Population7% Gender Female9% Male4% Age 18 to 3413% 35 to 546% 55+4% Yes6% No7% Gender Age “Experience” DisagreeAgree

Two thirds of British Columbians (68%) think the provincial government does not provide adequate funding for residential care. Government Funding for Residential Care 12 Base: All respondents (n=814) From what you have seen, read, heard or experienced, do you agree or disagree with each of the following statements? “The government provides adequate funding for residential care.” Not Sure BC General Population14% Gender Female15% Male13% Age 18 to 3428% 35 to 5413% 55+6% Yes11% No16% Gender Age “Experience” DisagreeAgree

While 78% believe the total number of funded hours per senior should stay the same (regardless of region or home), this varies between and within Health Authorities. Region or Care Home Differences 13 Base: All respondents (n=814) From what you have seen, read, heard or experienced, do you agree or disagree with each of the following statements? “Assuming the medical condition of the senior is the same, the total number of funded direct care hours per senior should be the same regardless of which region or care home they live in.” Not Sure BC General Population7% Gender Female8% Male5% Age 18 to 3416% 35 to 545% 55+3% Yes3% No9% Gender Age “Experience” DisagreeAgree

Nine-in-ten British Columbians (91%) support the development of a “national dementia strategy.” National Dementia Strategy 14 Base: All respondents (n=814) Do you support or oppose the development of a national dementia strategy, which would outline investments in long-term care, including the prevention and early treatment of dementia? Not Sure BC General Population5% Gender Female6% Male5% Age 18 to 346% 35 to 545% 55+5% Yes4% No6% Gender Age “Experience” OpposeSupport

Across BC, 84% of residents think government funding should increase to meet the care needs of seniors entering residential care facilities. Changes to Funding 15 Base: All respondents (n=814) Do you agree or disagree with each of the following statements? “As seniors enter residential care facilities with increased acuity or medical complexity, government funding should increase to meet these care needs.” Not Sure BC General Population8% Gender Female10% Male7% Age 18 to 3413% 35 to 5410% 55+3% Yes5% No10% Gender Age “Experience” DisagreeAgree

On average, residents think facilities are allocated $69 per day per senior on meals. In reality, the average funding is $6-$7 per day. Funding for Meals for Seniors in Care 16 Base: All respondents (n=814) What do you think is the average, in Canadian dollars, that publicly funded care homes are allocated by health authorities to provide a nutritious breakfast, lunch, dinner and snacks for seniors in care on a daily basis? Please type your response in the box below. Average $69Actual $6-7

Simplified Understanding For more information on this study, please contact: Mario Canseco Vice President, Public Affairs Insights West