Managing under managed community care: the experiences of clients, providers and managers in Ontario’s competitive home care sector

Home, Work and the Shifting Geographies of Care

“…Home care has become an important aspect of these ''cost effective'' health reforms. At least initially publicly funded home care in Ontario increased while the number of beds available in hospitals decreased (in part due to a round of hospital closures and mergers) and hospital stays became shorter as patients are released (''quicker and sicker'') to complete their convalescence at home supplemented by some publicly funded home care (Abelson, et al, 2004;Cloutier-Fisher and Skinner, 2006).…”

Casualized employment and turnover intention: Home care workers in Ontario, Canada

“…Staff shortages and retention problems in home care are well known in Canada [1,2,5,6] and the workforce and work environment issues continue to be the priority concern for health care managers and policy makers [7][8][9]. Similarly in Europe [10][11][12][13] and in the U.S. [14] labour supply-demand imbalances are creating challenges for decision-makers.…”

Quasi-markets Targets and the Evaluation of Nursing-home Funding in the Valencian Region

“…Market based solutions could create the opposite results as those expected and the worsening on equity, as happened in Canada (Randal and Williams, 2006;Abelson et al, 2004;Cloutier-Fisher and Skinner, 2006). This quasi-market approach pays less attention to issues as equal access and equal opportunities, and the level of social trust on public services evaluation (Fotaki and Boyd, 2005).…”