Long term care

Program of Research into Community-based Services for Frail Seniors

This program focuses on the evaluation of community-based health services for the elderly including home-based primary care, home and community care, residential long-term care, and end of life care.


To understand the health service and policy characteristics associated with improved outcomes in  community-dwelling senior populations. Areas of research include the influence of staffing levels, physician organizational characteristics, facility ownership characteristics, provider cultural fluency, and confidence in advance care planning on outcomes such as hospital use and self-reported good health.


  • Home-based primary care/community geriatrics
  • Organizational characteristics, including facility ownership, associated with differences in health service delivery outcomes in frail elder populations
  • Staffing levels, hospitalization, emergency department visit rates and site of death at BC’s long-term care facilities
  • Outcome assessment (healthcare)
  • Seniors’ healthcare


  • Advance Care Planning & Post PATH Implementation Study – A study to understand and describe the current state of advance care planning in a home-based primary care service for frail homebound older adults in Vancouver, Canada. It includes baseline data collection in anticipation of a practice change initiative (PATH – Palliative and Therapeutic Harmonization) to improve advance care planning competency among a team of healthcare providers.
  • Re-Imagining Residential Long-term Care Study – A multi-year study examining promising practice in nursing homes in five countries.
  • Out-Sourced Study – A qualitative study to examine care aides’ perception of the impact of sub-contracting care in BC nursing homes on care quality.
  • Home ViVE Study – A study to assess the impact of home-based primary care (HomeViVE - Home Visits to Vancouver Elders) on acute care use.
  • Admission to Residential Care Study – A study to examine the factors associated with admission to a residential care facility among a cohort of community-dwelling seniors receiving home care.


Dr. Margaret McGregor