| Description |
1 online resource (xvi, 340 pages) |
| Physical Medium |
polychrome |
| Description |
text file |
| Bibliography |
Includes bibliographical references (pages 307-325) and index. |
| Summary |
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. |
| Contents |
""CONTENTS""; ""ACKNOWLEDGMENTS""; ""ABBREVIATIONS""; ""1 Introduction and Overview""; ""1.1 From Hospital to Home and Community""; ""1.1.1 The Medicare Mainstream""; ""1.1.2 Outside the Mainstream: Community-Based Long-Term Care""; ""1.1.3 Policy Content: Financing, Delivery, and Allocation""; ""1.2 The Case of Ontario's Reform of Community-Based Long-Term Care""; ""1.2.1 Factors Pushing towards Reform""; ""1.2.2 Models for Reform""; ""1.3 Looking Ahead: The Making and Meaning of LTC Reform in Ontario""; ""2 Conceptual Framework""; ""2.1 Introduction"" |
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""2.2 Neo-institutionalism and Policy Communities""""2.2.1 Ideas""; ""2.2.2 Institutions""; ""2.2.3 Interests""; ""2.3 Policy Outcomes: Design Decisions""; ""2.3.1 The Public/Private Mix""; ""2.3.2 Financing""; ""2.3.3 Delivery""; ""2.3.4 Allocation""; ""2.4 Summary and Conclusions: Policy Legacy""; ""3 Research Methodology: The Case Study Approach""; ""3.1 Qualitative Research and Case Studies""; ""3.2 Data Sources""; ""3.2.1 Documents""; ""3.2.2 Interviews""; ""3.3 Determination of the Policy Community""; ""3.4 The Community-Based LTC Policy Community""; ""3.5 Analytical Strategies"" |
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""3.5.1 Historical Review""""3.5.2 Policy Analysis""; ""3.5.3 Content Analysis""; ""4 Long-Term Care Reform in the Liberal Period, 1985�1990""; ""4.1 Long-Term Care Reform under the Liberal Governments""; ""4.2 Liberal Minority Government, 1985�1987: One-Stop Shopping""; ""4.2.1 Institutional Changes and Underlying Government Interests""; ""4.2.2 A New Agenda""; ""4.2.3 Societal Interests and Influence on Reform""; ""4.2.4 Assessment of One-Stop Access by Members of the Policy Community""; ""4.3 Liberal Majority Government, 1987�1990: Service Access Organizations"" |
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""4.3.1 Paradigm Shift through Institutional Change""""4.3.2 MCSS Takes Charge""; ""4.4 Rationale for and Scope of the Reform""; ""4.4.1 Strategies for Change and the Service Access Organizations""; ""4.4.2 Service Access Organizations""; ""4.4.3 Integration of Services through Institutional Change""; ""4.4.4 Influence of Societal Interests on the Development of the SAO Model""; ""4.4.5 The Mobilization of Interests""; ""4.4.6 Assessment of SAO by the LTC Policy Community""; ""4.4.7 Beginning the Implementation Process for Strategies for Change""; ""4.5 Conclusions"" |
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""5 Long-Term Care Reform under the New Democratic Party, 1990�1993""""5.1 The First Attempt at Long-Term Care Reform under the New Democratic Party""; ""5.2 The Early Days of the NDP Government, 1990�1992: Delay, Then More of the Same""; ""5.2.1 Redirection and the Service Coordination Agency Model""; ""5.2.2 Service Coordination Agency: A Liberal Model in NDP Clothing?""; ""5.2.3 Consultation with the Community""; ""5.2.4 Mobilization of Interests""; ""5.2.5 The Coalitions Propose a New Model""; ""5.2.6 Institutional Changes within Government: The Shift from MCSS to MOH"" |
| Local Note |
eBooks on EBSCOhost EBSCO eBook Subscription Academic Collection - North America |
| Subject |
Home care services -- Government policy -- Ontario -- History -- 20th century.
|
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Home care services -- Government policy. |
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Ontario. |
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History. |
| Chronological Term |
20th century |
| Subject |
Home care services. |
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Long-term care of the sick -- Government policy -- Ontario -- History -- 20th century.
|
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Long-term care of the sick -- Government policy. |
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Long-term care of the sick. |
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Home care services -- Government policy -- Ontario.
|
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Long-term care of the sick -- Government policy -- Ontario.
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Home Care Services -- history. |
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Health Care Reform -- history. |
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Health Policy. |
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History, 20th Century. |
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Long-Term Care -- history. |
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Ontario. |
| Chronological Term |
1900 - 1999 |
| Genre/Form |
Electronic books.
|
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History.
|
| Added Author |
Deber, Raisa B., 1949-
|
|
Williams, A. Paul (Alan Paul), 1951-
|
| Other Form: |
Print version: Baranek, Patricia M. Almost home. Toronto ; Buffalo : University of Toronto Press, ©2004 9780802089656 (DLC) 2005272795 (OCoLC)54692122 |
| ISBN |
9781442670754 (electronic book) |
|
1442670754 (electronic book) |
|
1281992674 |
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9781281992673 |
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0802089658 (bound) |
|
080208639X (paperback) |
|
9780802089656 |
|
9780802086396 |
|
