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Centre for Policy on Ageing | |
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A critical policy analysis of an emerging agenda for home care in one Canadian province | Author(s) | Susan Duncan, Linda Reutter |
Journal title | Health & Social Care in the Community, vol 14, no 3, May 2006 |
Pages | pp 242-253 |
Source | www.blackwellpublishing.com/hsc |
Keywords | Domiciliary services ; Health services ; General practice ; Social policy ; Research Reviews ; Canada. |
Annotation | Amidst projections of the increased care demands and expectations for home care, policy in this area demands urgent attention. Home care is inherently complex, as it challenges us to deliberate fundamental issues of responsibility for care, and the limits of care for people in their most immediate context and needs. This research takes the form of a critical policy analysis of the interaction of the context, process and content of policy proposals in home care in a regional health system in one Canadian province. The method includes thematic and comparative analyses of perspectives derived from policy documents and interviews with decision-makers and healthcare providers regarding their perspectives of policy problems and processes. The content and process of policy in home care interact in important ways with political, economic, social and historical contexts. This critical analysis reveals that the emerging policy agenda in regional home care is one of medicalisation, which stands in contrast to the principles of primary health care, and potentially leads to further marginalisation of the most vulnerable. This contrast is characterised by tensions between the fundamental values of equity and efficiency, choice and universality, and public vis-à-vis individual responsibility for the provision of care. (RH). |
Accession Number | CPA-060606203 A |
Classmark | N: L: L5: TM2: 3A:6KC: 7S |
Data © Centre for Policy on Ageing |
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...from the Ageinfo database published by Centre for Policy on Ageing. |
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