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Almost home : reforming home and community care in Ontario / / Patricia M. Baranek, Raisa B. Deber, A. Paul Williams
| Almost home : reforming home and community care in Ontario / / Patricia M. Baranek, Raisa B. Deber, A. Paul Williams |
| Autore | Baranek Patricia M. |
| Pubbl/distr/stampa | Toronto, [Ontario] ; ; Buffalo, [New York] ; ; London, [England] : , : University of Toronto Press, , 2004 |
| Descrizione fisica | 1 online resource (357 p.) |
| Disciplina | 362.1/4/0971309049 |
| Soggetto topico |
Home care services - Government policy - Ontario - History - 20th century
Long-term care of the sick - Government policy - Ontario - History - 20th century Home care services - Government policy - Ontario Long-term care of the sick - Government policy - Ontario |
| Soggetto genere / forma | Electronic books. |
| ISBN |
0-8020-8639-X
1-281-99267-4 9786611992675 1-4426-7075-4 |
| Formato | Materiale a stampa  |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto | Frontmatter -- Contents -- Acknowledgments -- Abbreviations -- CHAPTER ONE. Introduction and Overview -- CHAPTER TWO. Conceptual Framework -- CHAPTER THREE. Research Methodology: The Case Study Approach -- CHAPTER FOUR. Long-Term Care Reform in the Liberal Period, 1985-1990 -- CHAPTER FIVE. Long-Term Care Reform under the New Democratic Party, 1990-1993 -- CHAPTER SIX. The New Democratic Government and the Multi-Service Agency, 1994-1995 -- CHAPTER SEVEN. The Progressive Conservatives Implement Long-Term Care, 1995-1996 -- CHAPTER EIGHT. Moving towards Home: Policy Change and Policy Stasis beyond the Medicare Mainstream -- References -- Index |
| Record Nr. | UNINA-9910456365803321 |
Baranek Patricia M.
|
||
| Toronto, [Ontario] ; ; Buffalo, [New York] ; ; London, [England] : , : University of Toronto Press, , 2004 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Almost home : reforming home and community care in Ontario / / Patricia M. Baranek, Raisa B. Deber, A. Paul Williams
| Almost home : reforming home and community care in Ontario / / Patricia M. Baranek, Raisa B. Deber, A. Paul Williams |
| Autore | Baranek Patricia M. |
| Pubbl/distr/stampa | Toronto, [Ontario] ; ; Buffalo, [New York] ; ; London, [England] : , : University of Toronto Press, , 2004 |
| Descrizione fisica | 1 online resource (357 p.) |
| Disciplina | 362.1/4/0971309049 |
| Soggetto topico |
Home care services - Government policy - Ontario - History - 20th century
Long-term care of the sick - Government policy - Ontario - History - 20th century Home care services - Government policy - Ontario Long-term care of the sick - Government policy - Ontario |
| Soggetto genere / forma | History |
| ISBN |
0-8020-8639-X
1-281-99267-4 9786611992675 1-4426-7075-4 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
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 pushinh 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 -- 2.2 Neo-institutionalism and policy communities -- 2.2.1 Ideas -- 2.2.2 Insitutions -- 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 -- 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 goverments -- 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 -- 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 cange 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 of the implementation process for strategies for change -- 4.5 Conclusions.
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 mocel -- 5.2.6 Institutional changes within government: the shift from MCSS to MOH -- 5.2.7 A new model begins to emerge -- 5.3 The NDP and the multi-service agency model -- 5.3.1 The recession and the social contract -- 5.3.2 The locus of policy development shifts -- 5.3.3 The partnership documents -- 5.3.4 Anticipating objections -- 5.4 Conclusions -- 6. The New Democratic government and the multi-service agency, 1994-1995 -- 6.1 The New Democrats and the multi-service agency -- 6.2 Bill 173, an Act respecting long-term care -- 6.3 Government interests -- 6.3.1 Direct delivery -- 6.3.2 Human resource issues: unionization and protection of collective agreements -- 6.3.3 For-profit versus non-for-profit delivery -- 6.3.4 External purchase of services -- 6.3.5 Mandated basket of services -- 6.3.6 Entitlement to home care -- 6.3.7 User fees -- 6.4 Policy interests of societal gropus -- 6.4.1 'Consumers' -- 6.4.2 Providers -- 6.4.3 Labour -- 6.4.4 Volunteers -- 6.4.5 Other interests -- 6.4.6 Activities of the provider coalition -- 6.5 A babel of values -- 6.6 Amendments to Bill 173 -- 6.7 Perceived influence of societal interest groups -- 6.8 Conclusions -- 7. The Progressive Conservatives implement long-term care, 1995-1996 -- 7.1 The Progressive conservatives -- 7.2 The Progressive Conservatives on campaign -- 7.3 The Progressive Conservatives and the community care access centres -- 7.3.1 The PC consultation -- 7.3.2 The consultation report -- 7.3.3 Assessment of the consultations -- 7.3.4 The CCAC model -- 7.3.5 Assessment of CCACs -- 7.4 Governmen interests in the development of the CCAC model -- 7.5 Societal interets -- 7.5.1 Changing structure of societal groups -- 7.5.2 Interests advanced by societal groups at the consultation -- 7.6 Influence of interests -- 7.7 Conclusions -- 8. Moving towards home: policy change and policy stasis beyond the medicare mainstream -- 8.1 Reforming community -based long-term care in Ontario -- 8.2 Summary: policy content and process under successive governments -- 8.2.1 One-stop shopping/access (Liberal, 1987) -- 8.2.2 Service access organizations (Liberal, 1990) -- 8.2.3 Service coordination agency (NDP, 1991) -- 8.2.4 Multiservice agencies (NDP, 1993) -- 8.2.5 Community care access centres (PC, 1996) -- 8.2.6 Summary of the reform models -- 8.3 Ideas, interests, and institutions -- 8.3.1 Ideas -- 8.3.2 Interests -- 8.3.3 Institutions -- 8.4 Epilogue: Reining in the community care access centres -- 8.4.1 Romanow and the future of medicare -- 8.5 Whither the state in health care? -- References -- Index. |
| Record Nr. | UNINA-9910780669203321 |
|
Baranek Patricia M.
|
||
| Toronto, [Ontario] ; ; Buffalo, [New York] ; ; London, [England] : , : University of Toronto Press, , 2004 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Almost home : reforming home and community care in Ontario / / Patricia M. Baranek, Raisa B. Deber, A. Paul Williams
| Almost home : reforming home and community care in Ontario / / Patricia M. Baranek, Raisa B. Deber, A. Paul Williams |
| Autore | Baranek Patricia M. |
| Pubbl/distr/stampa | Toronto, [Ontario] ; ; Buffalo, [New York] ; ; London, [England] : , : University of Toronto Press, , 2004 |
| Descrizione fisica | 1 online resource (357 p.) |
| Disciplina | 362.1/4/0971309049 |
| Soggetto topico |
Home care services - Government policy - Ontario - History - 20th century
Long-term care of the sick - Government policy - Ontario - History - 20th century Home care services - Government policy - Ontario Long-term care of the sick - Government policy - Ontario |
| Soggetto genere / forma | History |
| ISBN |
0-8020-8639-X
1-281-99267-4 9786611992675 1-4426-7075-4 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
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 pushinh 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 -- 2.2 Neo-institutionalism and policy communities -- 2.2.1 Ideas -- 2.2.2 Insitutions -- 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 -- 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 goverments -- 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 -- 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 cange 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 of the implementation process for strategies for change -- 4.5 Conclusions.
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 mocel -- 5.2.6 Institutional changes within government: the shift from MCSS to MOH -- 5.2.7 A new model begins to emerge -- 5.3 The NDP and the multi-service agency model -- 5.3.1 The recession and the social contract -- 5.3.2 The locus of policy development shifts -- 5.3.3 The partnership documents -- 5.3.4 Anticipating objections -- 5.4 Conclusions -- 6. The New Democratic government and the multi-service agency, 1994-1995 -- 6.1 The New Democrats and the multi-service agency -- 6.2 Bill 173, an Act respecting long-term care -- 6.3 Government interests -- 6.3.1 Direct delivery -- 6.3.2 Human resource issues: unionization and protection of collective agreements -- 6.3.3 For-profit versus non-for-profit delivery -- 6.3.4 External purchase of services -- 6.3.5 Mandated basket of services -- 6.3.6 Entitlement to home care -- 6.3.7 User fees -- 6.4 Policy interests of societal gropus -- 6.4.1 'Consumers' -- 6.4.2 Providers -- 6.4.3 Labour -- 6.4.4 Volunteers -- 6.4.5 Other interests -- 6.4.6 Activities of the provider coalition -- 6.5 A babel of values -- 6.6 Amendments to Bill 173 -- 6.7 Perceived influence of societal interest groups -- 6.8 Conclusions -- 7. The Progressive Conservatives implement long-term care, 1995-1996 -- 7.1 The Progressive conservatives -- 7.2 The Progressive Conservatives on campaign -- 7.3 The Progressive Conservatives and the community care access centres -- 7.3.1 The PC consultation -- 7.3.2 The consultation report -- 7.3.3 Assessment of the consultations -- 7.3.4 The CCAC model -- 7.3.5 Assessment of CCACs -- 7.4 Governmen interests in the development of the CCAC model -- 7.5 Societal interets -- 7.5.1 Changing structure of societal groups -- 7.5.2 Interests advanced by societal groups at the consultation -- 7.6 Influence of interests -- 7.7 Conclusions -- 8. Moving towards home: policy change and policy stasis beyond the medicare mainstream -- 8.1 Reforming community -based long-term care in Ontario -- 8.2 Summary: policy content and process under successive governments -- 8.2.1 One-stop shopping/access (Liberal, 1987) -- 8.2.2 Service access organizations (Liberal, 1990) -- 8.2.3 Service coordination agency (NDP, 1991) -- 8.2.4 Multiservice agencies (NDP, 1993) -- 8.2.5 Community care access centres (PC, 1996) -- 8.2.6 Summary of the reform models -- 8.3 Ideas, interests, and institutions -- 8.3.1 Ideas -- 8.3.2 Interests -- 8.3.3 Institutions -- 8.4 Epilogue: Reining in the community care access centres -- 8.4.1 Romanow and the future of medicare -- 8.5 Whither the state in health care? -- References -- Index. |
| Record Nr. | UNINA-9910818671103321 |
|
Baranek Patricia M.
|
||
| Toronto, [Ontario] ; ; Buffalo, [New York] ; ; London, [England] : , : University of Toronto Press, , 2004 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Restructuring Canada's Health Systems: How Do We Get There From Here? : Proceedings of the Fourth Canadian Conference on Health Economics / / Raisa Deber, Gail Thompson
| Restructuring Canada's Health Systems: How Do We Get There From Here? : Proceedings of the Fourth Canadian Conference on Health Economics / / Raisa Deber, Gail Thompson |
| Pubbl/distr/stampa | Toronto : , : University of Toronto Press, , [2017] |
| Descrizione fisica | 1 online resource (433 pages) : illustrations, tables |
| Disciplina | 338.4336210971 |
| Collana | Heritage |
| Soggetto topico |
Medical economics - Canada
Medical care, Cost of - Canada Health planning - Canada |
| ISBN |
1-4426-3816-8
1-4426-5367-1 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
COVER; CONTENTS; FOREWORD; PREFACE; WHAT HAPPENS IF WE DON'T RESTRUCTURE THE SYSTEM?; Ontario's Health Care System at the Crossroads; Discussion; UTILIZATION: THE DOCTORS DILEMMA; The Effects of Medical Care Policy in B.C.: Utilization Trends in the 1980s; Who Has Seen The Wind? Examining the Evidence and Exploring the Policy Options Pertaining to the Effect Changes in Physician Supply Have Had on Influencing Medical Utilization and Costs in Alberta; Physician Remuneration: Fee-for-service Must Go, But Then What?; Discussion; REPORTS AND COMMISSIONS: LOOKING FOR DIRECTIONS.
A Great Canadian Prescription: Take Two Commissioned Studies and Call Me in the MorningReport of the Pharmaceutical Inquiry of Ontario: An Overview; Redefining the Globe: Recent Changes in the Financing of British Columbia Hospitals; Discussion; THERE'S NO PLACE LIKE HOME; Cost-effectiveness of Home Care; There's No Place Like Home; Discussion; WHAT GAINS CAN WE EXPECT FROM HEALTH PROMOTION AND DISEASE PREVENTION, OR 'WHITHER OAT BRAN'?; Evaluation of Federal Health Promotion Initiatives; Health Promotion/Disease Prevention: What Do We Think We Know? Cholesterol Screening: The Costs and Benefits of Various ProgramsDiscussion; SOUTH OF THE BORDER; U.S. Influences on Canada: Can We Prevent the Spread of Kuru?; Canadian Influences on the U.S.: Immune System Responses?; Discussion; YANKEE INFLUENCES: PLAYING IN THE BUSH LEAGUES?; Managed Care: What Is It, and Can It Be Applied to Canada?; The American Experience with a Prospective Payment System: Some Lessons for Canada; Riverview/Fraser Valley Assertive Outreach Program; Discussion; HOSPITALS: CHANGING PRESCRIPTIONS; Changing Patterns of Governance for Hospitals: Issues and Models. Innovative Fund Raising: The St. Michael's Hospital Health CentrePurchasing Hospital Capital Equipment: What Role for Technology Assessment?; Discussion; QUALITY TIME; Assessing the Quality of Medical Care; Assessing the Quality of Medical Care; Discussion; METHODOLOGY FOR ECONOMIC EVALUATION: GIVE US THE TOOLS; Implications of Basing Health Care Resource Allocations on Cost-utility Analysis in the Presence of Externalities; Conducting Comprehensive Cost Assessments: A Case Study of an Assertive Mental Health Community Treatment Program; Discussion. ECONOMIC EVALUATIONS OF HEALTH PROGRAMS: COSTS AND CONSEQUENCESDeterminants of Medical Malpractice: The Canadian Experience; Preliminary Findings of the Economic Evaluation of an Ontario Geriatric Day Hospital; Economic Costs of Self Sufficiency in Blood Products: The Case of Albumin; Discussion; MARKETING CHANGE: HOW CAN WE GET ANYWHERE FROM HERE?; THE EMPIRE STRIKES BACK; Hospital Competition in the U.K.: A (Possibly) Useful Framework for the Future; Hospital Competition in the U.K.: A Prospective; Discussion; HOSPITALS REVISITED. |
| Record Nr. | UNINA-9910149196203321 |
| Toronto : , : University of Toronto Press, , [2017] | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||