Almost Home : : Reforming Home and Community Care in Ontario / / Patricia M. Baranek, Raisa Deber, A. Paul Williams.

• Superior document: Title is part of eBook package: De Gruyter University of Toronto Press eBook-Package Backlist 2000-2013
• VerfasserIn: Baranek, Patricia M.,; Deber, Raisa,; Williams, A. Paul,
• Place / Publishing House: Toronto : : University of Toronto Press, , [2016]; ©2004
• Year of Publication: 2016
• Language: English
• Physical Description: 1 online resource (350 p.)

Almost Home is a rich and comprehensive study of the policy questions underlying the shift in medical care from hospitals to homes and communities, a change that is reshaping Canadian health care policy and politics. Using document analysis, and interviews with government officials and other key stakeholders in the policy community, the authors analyze the policy content and process of five different attempts to reform home and community care in Ontario between 1985 and 1996, as introduced by governments from three different political parties.As this study demonstrates, the ongoing shift from the Medicare 'mainstream' of physician and hospital care to the Medicare 'margins,' entails not only a shift in the site of care but an erosion of the post-war state's role in health care. While Medicare continues to resist political and ideological forces aimed at shrinking the state's role, cost constraints, demographic pressures and technological advancements are increasing pressure on home and community care.The authors have made a significant contribution to research on policy development and change. Their rigorously analytical approach fills a major gap in book-length literature on long-term health care in Canada.

Table of Contents

Frontmatter -- Contents -- Acknowledgments -- Abbreviations -- CHAPTER ONE. Introduction and Overview -- CHAPTER TWO. Conceptual Framework -- CHAPTER THREE. Research Methodology: The Case Study Approach -- CHAPTER FOUR. Long-Term Care Reform in the Liberal Period, 1985-1990 -- CHAPTER FIVE. Long-Term Care Reform under the New Democratic Party, 1990-1993 -- CHAPTER SIX. The New Democratic Government and the Multi-Service Agency, 1994-1995 -- CHAPTER SEVEN. The Progressive Conservatives Implement Long-Term Care, 1995-1996 -- CHAPTER EIGHT. Moving towards Home: Policy Change and Policy Stasis beyond the Medicare Mainstream -- References -- Index