| |
Centre for Policy on Ageing | |
 | |
|
| Long-term care goes to market: managed competition and Ontario's reform of community-based services | | Author(s) | A Paul Williams, Jan Barnsley, Sandra Leggat |
| Journal title | Canadian Journal on Aging, vol 18, no 2, Summer 1999 |
| Pages | pp 125-153 |
| Keywords | Services ; Community care ; Reorganisation ; Quality ; Canada. |
| Annotation | A shift in emphasis from institutions to community poses important challenges for providers and policy makers, key among them being the challenge of providing a sufficient volume of high quality community-based services to meet consumer needs. The most recent reform of long-term care in Ontario is of particular interest because, as suggested by the provincial government's maxim "highest quality, best price", it promises cost-efficiency while maintaining or improving quality. To do this, it employs a "managed competition" model in which for-profit and not-for-profit providers compete for service contracts under the auspices of local Community Care Access Centres run by volunteer boards. This paper draws on the comments of senior government officials and representatives of provider organisations, as well as published documents, to highlight issues and problems posed by the province's latest reform. It suggests that the managed competition process may result in the subordination of service quality and consumer choice to pressures for cost-containment. (AKM). |
| Accession Number | CPA-991022249 A |
| Classmark | I: PA: 5SR: 59: 7S |
Data © Centre for Policy on Ageing |
|
| ...from the Ageinfo database published by Centre for Policy on Ageing. |
| |
|