title: Management challenges faced by managers of New Zealand long-term care facilities.
abstract: This article reports on a postal survey of 78 long-term care managers in one region of New Zealand, of whom 45 (58%) responded. Most long-term care managers (73.2%) were middle-aged females holding nursing but not management qualifications. Most long-term care facilities (69%) tended to be stand-alone facilities providing a single type of care (rest home or continuing care hospital). The most prominent issues facing managers were considered to be inadequate funding to match the growing costs of providing long-term care and occupancy levels. Managers believed that political/regulatory, economic and social factors influenced these issues. Despite a turbulent health care environment and the challenges facing managers, long-term care managers reported they were coping well and valued networking.
authors.affiliation: Best Care (Whakapai Hauora), Palmerston North, New Zealand.
authors.forename: E
authors.initials: E
authors.lastname: Madas
authors.forename: N
authors.initials: N
authors.lastname: North
mesh_terms: D005260:Female; D006268:Health Facilities / Q000191:economics; D058016:Health Facility Administration; D006270:Health Facility Administrators; D006801:Humans; D008134:Long-Term Care / Q000191:economics / Q000458:organization & administration*; D008297:Male; D009520:New Zealand; D011795:Surveys and Questionnaires