Setting
In Canada, publicly funded NHs are under the governance of the Ministry of Health of each province, meaning there are differences in their management and organization across the country. In the province of Quebec, NH clinical care is provided by general practitioners (GPs) and pharmacists, both on a part-time basis, and with 24/7 coverage by registered nurses. Also, consistent with their mission to care for people with complex needs, NH admission requires an important loss of autonomy as measured by the iso-SMAF score (usually above 11 on a scale of 1 to 14). The scores of this assessment algorithm provide a numerical autonomy profile classification based on the SMAF tool [