Centre for Policy on Ageing
 

 

The limits of consumer directed care as public policy in an aging society
Author(s)Sharon M Keigher
Journal titleCanadian Journal on Aging, vol 18, no 2, Summer 1999
Pagespp 182-210
KeywordsServices ; Community care ; Finance [care] ; Charges ; Consumer choice ; Europe ; United States of America.
AnnotationThis paper presents an overview of a philosophy of "consumer direction" in personal, home, and community care for disabled older persons in North America and Europe. Consumer direction is associated with direct payment schemes and other mechanisms that support user choices in the purchase of care, user empowerment and independence. To illustrate the strengths and limitations of consumer direction in practice, the paper analyses interview data collected from users and providers of existing care arrangements where older persons and their families choose and/or hire, supervise and manage their "own" home care workers who are self-employed. The author concludes that there is a need for caution against wholesale adoption of market principles in social provisions for serving older people. (AKM).
Accession NumberCPA-991022251 A
ClassmarkI: PA: QC: QEJ: WYC: 74: 7T

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