Almost home :: reforming home and community care in Ontario /
"Almost Home is a 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 stakeho...
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Weitere Verfasser: | , |
| Format: | Elektronisch E-Book |
| Sprache: | English |
| Veröffentlicht: |
Toronto ; Buffalo :
University of Toronto Press,
©2004.
|
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Zusammenfassung: | "Almost Home is a 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 analyse the policy content and process of five different attempts to reform home and community care in Ontario between 1985 and 1996, as introduced by Liberal, New Democratic, and Conservative governments."--Jacket |
| Beschreibung: | 1 online resource (xvi, 340 pages) |
| Bibliographie: | Includes bibliographical references (pages 307-325) and index. |
| ISBN: | 9781442670754 1442670754 1281992674 9781281992673 |
Internformat
MARC
| LEADER | 00000cam a2200000 a 4500 | ||
|---|---|---|---|
| 001 | ZDB-4-EBA-ocn666900839 | ||
| 003 | OCoLC | ||
| 005 | 20241004212047.0 | ||
| 006 | m o d | ||
| 007 | cr cn||||||||| | ||
| 008 | 100929s2004 onc ob s001 0 eng d | ||
| 040 | |a IDEBK |b eng |e pn |c IDEBK |d JG0 |d CN3GA |d QE2 |d MT4IT |d E7B |d OCLCQ |d FXR |d CELBN |d N$T |d OCLCQ |d JSTOR |d OCLCF |d NLGGC |d YDXCP |d EBLCP |d DEBSZ |d OCLCQ |d DEBBG |d OCL |d OCLCQ |d TOA |d AGLDB |d CSAIL |d MOR |d VT2 |d OTZ |d FVL |d OCLCQ |d IOG |d STF |d VTS |d CEF |d COCUF |d LOA |d AU@ |d OCLCO |d USU |d JBG |d OCLCO |d G3B |d OCLCA |d YOU |d OCLCA |d REC |d BRX |d K6U |d OCLCO |d CNTRU |d OCLCO |d M8D |d UKAHL |d OCLCQ |d DEGRU |d LEAUB |d TEF |d OCLCQ |d OCLCO |d OCLCQ |d S2H |d OCLCO |d OCL |d OCLCQ |d P@U |d SFB |d INARC |d FUT |d OCLCO |d OCLCQ |d OCLCL | ||
| 016 | |z 20049007238 | ||
| 019 | |a 431555293 |a 499058308 |a 647739598 |a 752409099 |a 804815593 |a 815761183 |a 923069999 |a 992822103 |a 1013956578 |a 1058344811 |a 1118488215 | ||
| 020 | |a 9781442670754 |q (electronic bk.) | ||
| 020 | |a 1442670754 |q (electronic bk.) | ||
| 020 | |a 1281992674 | ||
| 020 | |a 9781281992673 | ||
| 020 | |z 0802089658 |q (bound) | ||
| 020 | |z 080208639X |q (pbk.) | ||
| 020 | |z 9780802089656 | ||
| 020 | |z 9780802086396 | ||
| 024 | 7 | |a 10.3138/9781442670754 |2 doi | |
| 035 | |a (OCoLC)666900839 |z (OCoLC)431555293 |z (OCoLC)499058308 |z (OCoLC)647739598 |z (OCoLC)752409099 |z (OCoLC)804815593 |z (OCoLC)815761183 |z (OCoLC)923069999 |z (OCoLC)992822103 |z (OCoLC)1013956578 |z (OCoLC)1058344811 |z (OCoLC)1118488215 | ||
| 037 | |a 22573/ctt55m00 |b JSTOR | ||
| 043 | |a n-cn--- | ||
| 045 | |a x8y0 | ||
| 050 | 4 | |a RA645.37.C3 |b B37 2004 | |
| 055 | 0 | 2 | |a RA645.37* |
| 055 | 3 | |a RA645.37 C3 |b B37 2004 | |
| 055 | 0 | 0 | |a RA645 .37 C3 |b B37 2004 |
| 060 | 4 | |a 2006 I-923 | |
| 060 | 4 | |a WZ 70 DC2 |b B225a 2004 | |
| 072 | 7 | |a MED |x 041000 |2 bisacsh | |
| 072 | 7 | |a MED |x 058070 |2 bisacsh | |
| 072 | 7 | |a MED |x 059000 |2 bisacsh | |
| 072 | 7 | |a MED036000 |2 bisacsh | |
| 072 | 7 | |a MBP |2 bicssc | |
| 082 | 7 | |a 362.1/4/0971309049 |2 22 | |
| 049 | |a MAIN | ||
| 100 | 1 | |a Baranek, Patricia M. | |
| 245 | 1 | 0 | |a Almost home : |b reforming home and community care in Ontario / |c Patricia M. Baranek, Raisa B. Deber, A. Paul Williams. |
| 260 | |a Toronto ; |a Buffalo : |b University of Toronto Press, |c ©2004. | ||
| 300 | |a 1 online resource (xvi, 340 pages) | ||
| 336 | |a text |b txt |2 rdacontent | ||
| 337 | |a computer |b c |2 rdamedia | ||
| 338 | |a online resource |b cr |2 rdacarrier | ||
| 347 | |a text file | ||
| 347 | |b PDF | ||
| 504 | |a Includes bibliographical references (pages 307-325) and index. | ||
| 505 | 0 | |a 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 -- 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 -- 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 -- 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. | |
| 505 | 0 | |a 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 -- 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 groups -- 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 Government 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. | |
| 520 | 1 | |a "Almost Home is a 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 analyse the policy content and process of five different attempts to reform home and community care in Ontario between 1985 and 1996, as introduced by Liberal, New Democratic, and Conservative governments."--Jacket | |
| 650 | 0 | |a Home care services |x Government policy |z Ontario |x History |y 20th century. | |
| 650 | 0 | |a Long-term care of the sick |x Government policy |z Ontario |x History |y 20th century. | |
| 650 | 0 | |a Home care services |x Government policy |z Ontario. | |
| 650 | 0 | |a Long-term care of the sick |x Government policy |z Ontario. | |
| 650 | 0 | |a Medical policy. |0 http://id.loc.gov/authorities/subjects/sh85083002 | |
| 650 | 1 | 2 | |a Home Care Services |x history |0 https://id.nlm.nih.gov/mesh/D006699Q000266 |
| 650 | 2 | 2 | |a Health Care Reform |x history |0 https://id.nlm.nih.gov/mesh/D018166Q000266 |
| 650 | 2 | 2 | |a Health Policy |0 https://id.nlm.nih.gov/mesh/D006291 |
| 650 | 2 | 2 | |a History, 20th Century |0 https://id.nlm.nih.gov/mesh/D049673 |
| 650 | 2 | 2 | |a Long-Term Care |x history |0 https://id.nlm.nih.gov/mesh/D008134Q000266 |
| 651 | 2 | |a Ontario |0 https://id.nlm.nih.gov/mesh/D009864 | |
| 650 | 6 | |a Soins à domicile |x Politique gouvernmentale |z Ontario |x Histoire |y 20e siècle. | |
| 650 | 6 | |a Soins de longue durèe |x Politique gouvernmentale |z Ontario |x Histoire |y 20e siècle. | |
| 650 | 6 | |a Soins à domicile |x Politique gouvernmentale |z Ontario. | |
| 650 | 6 | |a Soins de longue durèe |x Politique gouvernmentale |z Ontario. | |
| 650 | 6 | |a Soins à domicile |x Politique gouvernementale |z Ontario |x Histoire |y 20e siècle. | |
| 650 | 6 | |a Soins de longue durée |x Politique gouvernementale |z Ontario |x Histoire |y 20e siècle. | |
| 650 | 6 | |a Soins à domicile |x Politique gouvernementale |z Ontario. | |
| 650 | 6 | |a Soins de longue durée |x Politique gouvernementale |z Ontario. | |
| 650 | 6 | |a Politique sanitaire. | |
| 650 | 6 | |a Médecine |x Histoire |y 20e siècle. | |
| 650 | 7 | |a MEDICAL |x Home Care. |2 bisacsh | |
| 650 | 7 | |a MEDICAL |x Nursing |x Home & Community Care. |2 bisacsh | |
| 650 | 7 | |a MEDICAL |x Nursing Home Care. |2 bisacsh | |
| 650 | 7 | |a MEDICAL |x Health Policy. |2 bisacsh | |
| 650 | 7 | |a Medical policy |2 fast | |
| 650 | 7 | |a Home care services |x Government policy |2 fast | |
| 650 | 7 | |a Long-term care of the sick |x Government policy |2 fast | |
| 651 | 7 | |a Ontario |2 fast |1 https://id.oclc.org/worldcat/entity/E39QbtfRpxgHMDVfYpYYqvRBmM | |
| 648 | 7 | |a 1900-1999 |2 fast | |
| 655 | 0 | |a Electronic books. | |
| 655 | 7 | |a History |2 fast | |
| 700 | 1 | |a Deber, Raisa B., |d 1949- |1 https://id.oclc.org/worldcat/entity/E39PBJrgKBMVyFjGbDG3y6y8G3 |0 http://id.loc.gov/authorities/names/n90693790 | |
| 700 | 1 | |a Williams, A. Paul |q (Alan Paul), |d 1951- |1 https://id.oclc.org/worldcat/entity/E39PCjtJy8rccMHYPvFdW7mwyb |0 http://id.loc.gov/authorities/names/n86809941 | |
| 758 | |i has work: |a Almost home (Text) |1 https://id.oclc.org/worldcat/entity/E39PCFRJvgGW7M7h67hFFBW343 |4 https://id.oclc.org/worldcat/ontology/hasWork | ||
| 776 | 0 | 8 | |i Print version: |a Baranek, Patricia M. |t Almost home. |d Toronto ; Buffalo : University of Toronto Press, ©2004 |z 9780802089656 |w (DLC) 2005272795 |w (OCoLC)54692122 |
| 856 | 4 | 0 | |l FWS01 |p ZDB-4-EBA |q FWS_PDA_EBA |u https://search.ebscohost.com/login.aspx?direct=true&scope=site&db=nlebk&AN=467895 |3 Volltext |
| 938 | |a Internet Archive |b INAR |n almosthomereform0000bara | ||
| 938 | |a Project MUSE |b MUSE |n musev2_104411 | ||
| 938 | |a Askews and Holts Library Services |b ASKH |n AH35090094 | ||
| 938 | |a Canadian Electronic Library |b CELB |n 10218947 | ||
| 938 | |a De Gruyter |b DEGR |n 9781442670754 | ||
| 938 | |a ProQuest Ebook Central |b EBLB |n EBL3255042 | ||
| 938 | |a ebrary |b EBRY |n ebr10218947 | ||
| 938 | |a EBSCOhost |b EBSC |n 467895 | ||
| 938 | |a ProQuest MyiLibrary Digital eBook Collection |b IDEB |n 199267 | ||
| 938 | |a YBP Library Services |b YANK |n 3004308 | ||
| 994 | |a 92 |b GEBAY | ||
| 912 | |a ZDB-4-EBA | ||
| 049 | |a DE-863 | ||
Datensatz im Suchindex
| DE-BY-FWS_katkey | ZDB-4-EBA-ocn666900839 |
|---|---|
| _version_ | 1816881739280154624 |
| adam_text | |
| any_adam_object | |
| author | Baranek, Patricia M. |
| author2 | Deber, Raisa B., 1949- Williams, A. Paul (Alan Paul), 1951- |
| author2_role | |
| author2_variant | r b d rb rbd a p w ap apw |
| author_GND | http://id.loc.gov/authorities/names/n90693790 http://id.loc.gov/authorities/names/n86809941 |
| author_facet | Baranek, Patricia M. Deber, Raisa B., 1949- Williams, A. Paul (Alan Paul), 1951- |
| author_role | |
| author_sort | Baranek, Patricia M. |
| author_variant | p m b pm pmb |
| building | Verbundindex |
| bvnumber | localFWS |
| callnumber-first | R - Medicine |
| callnumber-label | RA645 |
| callnumber-raw | RA645.37.C3 B37 2004 |
| callnumber-search | RA645.37.C3 B37 2004 |
| callnumber-sort | RA 3645.37 C3 B37 42004 |
| callnumber-subject | RA - Public Medicine |
| collection | ZDB-4-EBA |
| contents | 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 -- 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 -- 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 -- 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 model -- 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 groups -- 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 Government 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. |
| ctrlnum | (OCoLC)666900839 |
| dewey-full | 362.1/4/0971309049 |
| dewey-hundreds | 300 - Social sciences |
| dewey-ones | 362 - Social problems and services to groups |
| dewey-raw | 362.1/4/0971309049 |
| dewey-search | 362.1/4/0971309049 |
| dewey-sort | 3362.1 14 9971309049 |
| dewey-tens | 360 - Social problems and services; associations |
| discipline | Soziologie |
| era | 1900-1999 fast |
| era_facet | 1900-1999 |
| format | Electronic eBook |
| fullrecord | <?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>11828cam a2201177 a 4500</leader><controlfield tag="001">ZDB-4-EBA-ocn666900839</controlfield><controlfield tag="003">OCoLC</controlfield><controlfield tag="005">20241004212047.0</controlfield><controlfield tag="006">m o d </controlfield><controlfield tag="007">cr cn|||||||||</controlfield><controlfield tag="008">100929s2004 onc ob s001 0 eng d</controlfield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">IDEBK</subfield><subfield code="b">eng</subfield><subfield code="e">pn</subfield><subfield code="c">IDEBK</subfield><subfield code="d">JG0</subfield><subfield code="d">CN3GA</subfield><subfield code="d">QE2</subfield><subfield code="d">MT4IT</subfield><subfield code="d">E7B</subfield><subfield code="d">OCLCQ</subfield><subfield code="d">FXR</subfield><subfield code="d">CELBN</subfield><subfield code="d">N$T</subfield><subfield code="d">OCLCQ</subfield><subfield code="d">JSTOR</subfield><subfield code="d">OCLCF</subfield><subfield code="d">NLGGC</subfield><subfield code="d">YDXCP</subfield><subfield code="d">EBLCP</subfield><subfield code="d">DEBSZ</subfield><subfield code="d">OCLCQ</subfield><subfield code="d">DEBBG</subfield><subfield code="d">OCL</subfield><subfield code="d">OCLCQ</subfield><subfield code="d">TOA</subfield><subfield code="d">AGLDB</subfield><subfield code="d">CSAIL</subfield><subfield code="d">MOR</subfield><subfield code="d">VT2</subfield><subfield code="d">OTZ</subfield><subfield code="d">FVL</subfield><subfield code="d">OCLCQ</subfield><subfield code="d">IOG</subfield><subfield code="d">STF</subfield><subfield code="d">VTS</subfield><subfield code="d">CEF</subfield><subfield code="d">COCUF</subfield><subfield code="d">LOA</subfield><subfield code="d">AU@</subfield><subfield code="d">OCLCO</subfield><subfield code="d">USU</subfield><subfield code="d">JBG</subfield><subfield code="d">OCLCO</subfield><subfield code="d">G3B</subfield><subfield code="d">OCLCA</subfield><subfield code="d">YOU</subfield><subfield code="d">OCLCA</subfield><subfield code="d">REC</subfield><subfield code="d">BRX</subfield><subfield code="d">K6U</subfield><subfield code="d">OCLCO</subfield><subfield code="d">CNTRU</subfield><subfield code="d">OCLCO</subfield><subfield code="d">M8D</subfield><subfield code="d">UKAHL</subfield><subfield code="d">OCLCQ</subfield><subfield code="d">DEGRU</subfield><subfield code="d">LEAUB</subfield><subfield code="d">TEF</subfield><subfield code="d">OCLCQ</subfield><subfield code="d">OCLCO</subfield><subfield code="d">OCLCQ</subfield><subfield code="d">S2H</subfield><subfield code="d">OCLCO</subfield><subfield code="d">OCL</subfield><subfield code="d">OCLCQ</subfield><subfield code="d">P@U</subfield><subfield code="d">SFB</subfield><subfield code="d">INARC</subfield><subfield code="d">FUT</subfield><subfield code="d">OCLCO</subfield><subfield code="d">OCLCQ</subfield><subfield code="d">OCLCL</subfield></datafield><datafield tag="016" ind1=" " ind2=" "><subfield code="z">20049007238</subfield></datafield><datafield tag="019" ind1=" " ind2=" "><subfield code="a">431555293</subfield><subfield code="a">499058308</subfield><subfield code="a">647739598</subfield><subfield code="a">752409099</subfield><subfield code="a">804815593</subfield><subfield code="a">815761183</subfield><subfield code="a">923069999</subfield><subfield code="a">992822103</subfield><subfield code="a">1013956578</subfield><subfield code="a">1058344811</subfield><subfield code="a">1118488215</subfield></datafield><datafield tag="020" ind1=" " ind2=" "><subfield code="a">9781442670754</subfield><subfield code="q">(electronic bk.)</subfield></datafield><datafield tag="020" ind1=" " ind2=" "><subfield code="a">1442670754</subfield><subfield code="q">(electronic bk.)</subfield></datafield><datafield tag="020" ind1=" " ind2=" "><subfield code="a">1281992674</subfield></datafield><datafield tag="020" ind1=" " ind2=" "><subfield code="a">9781281992673</subfield></datafield><datafield tag="020" ind1=" " ind2=" "><subfield code="z">0802089658</subfield><subfield code="q">(bound)</subfield></datafield><datafield tag="020" ind1=" " ind2=" "><subfield code="z">080208639X</subfield><subfield code="q">(pbk.)</subfield></datafield><datafield tag="020" ind1=" " ind2=" "><subfield code="z">9780802089656</subfield></datafield><datafield tag="020" ind1=" " ind2=" "><subfield code="z">9780802086396</subfield></datafield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.3138/9781442670754</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(OCoLC)666900839</subfield><subfield code="z">(OCoLC)431555293</subfield><subfield code="z">(OCoLC)499058308</subfield><subfield code="z">(OCoLC)647739598</subfield><subfield code="z">(OCoLC)752409099</subfield><subfield code="z">(OCoLC)804815593</subfield><subfield code="z">(OCoLC)815761183</subfield><subfield code="z">(OCoLC)923069999</subfield><subfield code="z">(OCoLC)992822103</subfield><subfield code="z">(OCoLC)1013956578</subfield><subfield code="z">(OCoLC)1058344811</subfield><subfield code="z">(OCoLC)1118488215</subfield></datafield><datafield tag="037" ind1=" " ind2=" "><subfield code="a">22573/ctt55m00</subfield><subfield code="b">JSTOR</subfield></datafield><datafield tag="043" ind1=" " ind2=" "><subfield code="a">n-cn---</subfield></datafield><datafield tag="045" ind1=" " ind2=" "><subfield code="a">x8y0</subfield></datafield><datafield tag="050" ind1=" " ind2="4"><subfield code="a">RA645.37.C3</subfield><subfield code="b">B37 2004</subfield></datafield><datafield tag="055" ind1="0" ind2="2"><subfield code="a">RA645.37*</subfield></datafield><datafield tag="055" ind1=" " ind2="3"><subfield code="a">RA645.37 C3</subfield><subfield code="b">B37 2004</subfield></datafield><datafield tag="055" ind1="0" ind2="0"><subfield code="a">RA645 .37 C3</subfield><subfield code="b">B37 2004</subfield></datafield><datafield tag="060" ind1=" " ind2="4"><subfield code="a">2006 I-923</subfield></datafield><datafield tag="060" ind1=" " ind2="4"><subfield code="a">WZ 70 DC2</subfield><subfield code="b">B225a 2004</subfield></datafield><datafield tag="072" ind1=" " ind2="7"><subfield code="a">MED</subfield><subfield code="x">041000</subfield><subfield code="2">bisacsh</subfield></datafield><datafield tag="072" ind1=" " ind2="7"><subfield code="a">MED</subfield><subfield code="x">058070</subfield><subfield code="2">bisacsh</subfield></datafield><datafield tag="072" ind1=" " ind2="7"><subfield code="a">MED</subfield><subfield code="x">059000</subfield><subfield code="2">bisacsh</subfield></datafield><datafield tag="072" ind1=" " ind2="7"><subfield code="a">MED036000</subfield><subfield code="2">bisacsh</subfield></datafield><datafield tag="072" ind1=" " ind2="7"><subfield code="a">MBP</subfield><subfield code="2">bicssc</subfield></datafield><datafield tag="082" ind1="7" ind2=" "><subfield code="a">362.1/4/0971309049</subfield><subfield code="2">22</subfield></datafield><datafield tag="049" ind1=" " ind2=" "><subfield code="a">MAIN</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Baranek, Patricia M.</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Almost home :</subfield><subfield code="b">reforming home and community care in Ontario /</subfield><subfield code="c">Patricia M. Baranek, Raisa B. Deber, A. Paul Williams.</subfield></datafield><datafield tag="260" ind1=" " ind2=" "><subfield code="a">Toronto ;</subfield><subfield code="a">Buffalo :</subfield><subfield code="b">University of Toronto Press,</subfield><subfield code="c">©2004.</subfield></datafield><datafield tag="300" ind1=" " ind2=" "><subfield code="a">1 online resource (xvi, 340 pages)</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">computer</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">online resource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="347" ind1=" " ind2=" "><subfield code="a">text file</subfield></datafield><datafield tag="347" ind1=" " ind2=" "><subfield code="b">PDF</subfield></datafield><datafield tag="504" ind1=" " ind2=" "><subfield code="a">Includes bibliographical references (pages 307-325) and index.</subfield></datafield><datafield tag="505" ind1="0" ind2=" "><subfield code="a">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 -- 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 -- 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 -- 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.</subfield></datafield><datafield tag="505" ind1="0" ind2=" "><subfield code="a">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 -- 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 groups -- 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 Government 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.</subfield></datafield><datafield tag="520" ind1="1" ind2=" "><subfield code="a">"Almost Home is a 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 analyse the policy content and process of five different attempts to reform home and community care in Ontario between 1985 and 1996, as introduced by Liberal, New Democratic, and Conservative governments."--Jacket</subfield></datafield><datafield tag="650" ind1=" " ind2="0"><subfield code="a">Home care services</subfield><subfield code="x">Government policy</subfield><subfield code="z">Ontario</subfield><subfield code="x">History</subfield><subfield code="y">20th century.</subfield></datafield><datafield tag="650" ind1=" " ind2="0"><subfield code="a">Long-term care of the sick</subfield><subfield code="x">Government policy</subfield><subfield code="z">Ontario</subfield><subfield code="x">History</subfield><subfield code="y">20th century.</subfield></datafield><datafield tag="650" ind1=" " ind2="0"><subfield code="a">Home care services</subfield><subfield code="x">Government policy</subfield><subfield code="z">Ontario.</subfield></datafield><datafield tag="650" ind1=" " ind2="0"><subfield code="a">Long-term care of the sick</subfield><subfield code="x">Government policy</subfield><subfield code="z">Ontario.</subfield></datafield><datafield tag="650" ind1=" " ind2="0"><subfield code="a">Medical policy.</subfield><subfield code="0">http://id.loc.gov/authorities/subjects/sh85083002</subfield></datafield><datafield tag="650" ind1="1" ind2="2"><subfield code="a">Home Care Services</subfield><subfield code="x">history</subfield><subfield code="0">https://id.nlm.nih.gov/mesh/D006699Q000266</subfield></datafield><datafield tag="650" ind1="2" ind2="2"><subfield code="a">Health Care Reform</subfield><subfield code="x">history</subfield><subfield code="0">https://id.nlm.nih.gov/mesh/D018166Q000266</subfield></datafield><datafield tag="650" ind1="2" ind2="2"><subfield code="a">Health Policy</subfield><subfield code="0">https://id.nlm.nih.gov/mesh/D006291</subfield></datafield><datafield tag="650" ind1="2" ind2="2"><subfield code="a">History, 20th Century</subfield><subfield code="0">https://id.nlm.nih.gov/mesh/D049673</subfield></datafield><datafield tag="650" ind1="2" ind2="2"><subfield code="a">Long-Term Care</subfield><subfield code="x">history</subfield><subfield code="0">https://id.nlm.nih.gov/mesh/D008134Q000266</subfield></datafield><datafield tag="651" ind1=" " ind2="2"><subfield code="a">Ontario</subfield><subfield code="0">https://id.nlm.nih.gov/mesh/D009864</subfield></datafield><datafield tag="650" ind1=" " ind2="6"><subfield code="a">Soins à domicile</subfield><subfield code="x">Politique gouvernmentale</subfield><subfield code="z">Ontario</subfield><subfield code="x">Histoire</subfield><subfield code="y">20e siècle.</subfield></datafield><datafield tag="650" ind1=" " ind2="6"><subfield code="a">Soins de longue durèe</subfield><subfield code="x">Politique gouvernmentale</subfield><subfield code="z">Ontario</subfield><subfield code="x">Histoire</subfield><subfield code="y">20e siècle.</subfield></datafield><datafield tag="650" ind1=" " ind2="6"><subfield code="a">Soins à domicile</subfield><subfield code="x">Politique gouvernmentale</subfield><subfield code="z">Ontario.</subfield></datafield><datafield tag="650" ind1=" " ind2="6"><subfield code="a">Soins de longue durèe</subfield><subfield code="x">Politique gouvernmentale</subfield><subfield code="z">Ontario.</subfield></datafield><datafield tag="650" ind1=" " ind2="6"><subfield code="a">Soins à domicile</subfield><subfield code="x">Politique gouvernementale</subfield><subfield code="z">Ontario</subfield><subfield code="x">Histoire</subfield><subfield code="y">20e siècle.</subfield></datafield><datafield tag="650" ind1=" " ind2="6"><subfield code="a">Soins de longue durée</subfield><subfield code="x">Politique gouvernementale</subfield><subfield code="z">Ontario</subfield><subfield code="x">Histoire</subfield><subfield code="y">20e siècle.</subfield></datafield><datafield tag="650" ind1=" " ind2="6"><subfield code="a">Soins à domicile</subfield><subfield code="x">Politique gouvernementale</subfield><subfield code="z">Ontario.</subfield></datafield><datafield tag="650" ind1=" " ind2="6"><subfield code="a">Soins de longue durée</subfield><subfield code="x">Politique gouvernementale</subfield><subfield code="z">Ontario.</subfield></datafield><datafield tag="650" ind1=" " ind2="6"><subfield code="a">Politique sanitaire.</subfield></datafield><datafield tag="650" ind1=" " ind2="6"><subfield code="a">Médecine</subfield><subfield code="x">Histoire</subfield><subfield code="y">20e siècle.</subfield></datafield><datafield tag="650" ind1=" " ind2="7"><subfield code="a">MEDICAL</subfield><subfield code="x">Home Care.</subfield><subfield code="2">bisacsh</subfield></datafield><datafield tag="650" ind1=" " ind2="7"><subfield code="a">MEDICAL</subfield><subfield code="x">Nursing</subfield><subfield code="x">Home & Community Care.</subfield><subfield code="2">bisacsh</subfield></datafield><datafield tag="650" ind1=" " ind2="7"><subfield code="a">MEDICAL</subfield><subfield code="x">Nursing Home Care.</subfield><subfield code="2">bisacsh</subfield></datafield><datafield tag="650" ind1=" " ind2="7"><subfield code="a">MEDICAL</subfield><subfield code="x">Health Policy.</subfield><subfield code="2">bisacsh</subfield></datafield><datafield tag="650" ind1=" " ind2="7"><subfield code="a">Medical policy</subfield><subfield code="2">fast</subfield></datafield><datafield tag="650" ind1=" " ind2="7"><subfield code="a">Home care services</subfield><subfield code="x">Government policy</subfield><subfield code="2">fast</subfield></datafield><datafield tag="650" ind1=" " ind2="7"><subfield code="a">Long-term care of the sick</subfield><subfield code="x">Government policy</subfield><subfield code="2">fast</subfield></datafield><datafield tag="651" ind1=" " ind2="7"><subfield code="a">Ontario</subfield><subfield code="2">fast</subfield><subfield code="1">https://id.oclc.org/worldcat/entity/E39QbtfRpxgHMDVfYpYYqvRBmM</subfield></datafield><datafield tag="648" ind1=" " ind2="7"><subfield code="a">1900-1999</subfield><subfield code="2">fast</subfield></datafield><datafield tag="655" ind1=" " ind2="0"><subfield code="a">Electronic books.</subfield></datafield><datafield tag="655" ind1=" " ind2="7"><subfield code="a">History</subfield><subfield code="2">fast</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Deber, Raisa B.,</subfield><subfield code="d">1949-</subfield><subfield code="1">https://id.oclc.org/worldcat/entity/E39PBJrgKBMVyFjGbDG3y6y8G3</subfield><subfield code="0">http://id.loc.gov/authorities/names/n90693790</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Williams, A. Paul</subfield><subfield code="q">(Alan Paul),</subfield><subfield code="d">1951-</subfield><subfield code="1">https://id.oclc.org/worldcat/entity/E39PCjtJy8rccMHYPvFdW7mwyb</subfield><subfield code="0">http://id.loc.gov/authorities/names/n86809941</subfield></datafield><datafield tag="758" ind1=" " ind2=" "><subfield code="i">has work:</subfield><subfield code="a">Almost home (Text)</subfield><subfield code="1">https://id.oclc.org/worldcat/entity/E39PCFRJvgGW7M7h67hFFBW343</subfield><subfield code="4">https://id.oclc.org/worldcat/ontology/hasWork</subfield></datafield><datafield tag="776" ind1="0" ind2="8"><subfield code="i">Print version:</subfield><subfield code="a">Baranek, Patricia M.</subfield><subfield code="t">Almost home.</subfield><subfield code="d">Toronto ; Buffalo : University of Toronto Press, ©2004</subfield><subfield code="z">9780802089656</subfield><subfield code="w">(DLC) 2005272795</subfield><subfield code="w">(OCoLC)54692122</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="l">FWS01</subfield><subfield code="p">ZDB-4-EBA</subfield><subfield code="q">FWS_PDA_EBA</subfield><subfield code="u">https://search.ebscohost.com/login.aspx?direct=true&scope=site&db=nlebk&AN=467895</subfield><subfield code="3">Volltext</subfield></datafield><datafield tag="938" ind1=" " ind2=" "><subfield code="a">Internet Archive</subfield><subfield code="b">INAR</subfield><subfield code="n">almosthomereform0000bara</subfield></datafield><datafield tag="938" ind1=" " ind2=" "><subfield code="a">Project MUSE</subfield><subfield code="b">MUSE</subfield><subfield code="n">musev2_104411</subfield></datafield><datafield tag="938" ind1=" " ind2=" "><subfield code="a">Askews and Holts Library Services</subfield><subfield code="b">ASKH</subfield><subfield code="n">AH35090094</subfield></datafield><datafield tag="938" ind1=" " ind2=" "><subfield code="a">Canadian Electronic Library</subfield><subfield code="b">CELB</subfield><subfield code="n">10218947</subfield></datafield><datafield tag="938" ind1=" " ind2=" "><subfield code="a">De Gruyter</subfield><subfield code="b">DEGR</subfield><subfield code="n">9781442670754</subfield></datafield><datafield tag="938" ind1=" " ind2=" "><subfield code="a">ProQuest Ebook Central</subfield><subfield code="b">EBLB</subfield><subfield code="n">EBL3255042</subfield></datafield><datafield tag="938" ind1=" " ind2=" "><subfield code="a">ebrary</subfield><subfield code="b">EBRY</subfield><subfield code="n">ebr10218947</subfield></datafield><datafield tag="938" ind1=" " ind2=" "><subfield code="a">EBSCOhost</subfield><subfield code="b">EBSC</subfield><subfield code="n">467895</subfield></datafield><datafield tag="938" ind1=" " ind2=" "><subfield code="a">ProQuest MyiLibrary Digital eBook Collection</subfield><subfield code="b">IDEB</subfield><subfield code="n">199267</subfield></datafield><datafield tag="938" ind1=" " ind2=" "><subfield code="a">YBP Library Services</subfield><subfield code="b">YANK</subfield><subfield code="n">3004308</subfield></datafield><datafield tag="994" ind1=" " ind2=" "><subfield code="a">92</subfield><subfield code="b">GEBAY</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">ZDB-4-EBA</subfield></datafield><datafield tag="049" ind1=" " ind2=" "><subfield code="a">DE-863</subfield></datafield></record></collection> |
| genre | Electronic books. History fast |
| genre_facet | Electronic books. History |
| geographic | Ontario https://id.nlm.nih.gov/mesh/D009864 Ontario fast https://id.oclc.org/worldcat/entity/E39QbtfRpxgHMDVfYpYYqvRBmM |
| geographic_facet | Ontario |
| id | ZDB-4-EBA-ocn666900839 |
| illustrated | Not Illustrated |
| indexdate | 2024-11-27T13:17:30Z |
| institution | BVB |
| isbn | 9781442670754 1442670754 1281992674 9781281992673 |
| language | English |
| oclc_num | 666900839 |
| open_access_boolean | |
| owner | MAIN DE-863 DE-BY-FWS |
| owner_facet | MAIN DE-863 DE-BY-FWS |
| physical | 1 online resource (xvi, 340 pages) |
| psigel | ZDB-4-EBA |
| publishDate | 2004 |
| publishDateSearch | 2004 |
| publishDateSort | 2004 |
| publisher | University of Toronto Press, |
| record_format | marc |
| spelling | Baranek, Patricia M. Almost home : reforming home and community care in Ontario / Patricia M. Baranek, Raisa B. Deber, A. Paul Williams. Toronto ; Buffalo : University of Toronto Press, ©2004. 1 online resource (xvi, 340 pages) text txt rdacontent computer c rdamedia online resource cr rdacarrier text file Includes bibliographical references (pages 307-325) and index. 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 -- 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 -- 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 -- 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 model -- 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 groups -- 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 Government 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. "Almost Home is a 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 analyse the policy content and process of five different attempts to reform home and community care in Ontario between 1985 and 1996, as introduced by Liberal, New Democratic, and Conservative governments."--Jacket 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. Medical policy. http://id.loc.gov/authorities/subjects/sh85083002 Home Care Services history https://id.nlm.nih.gov/mesh/D006699Q000266 Health Care Reform history https://id.nlm.nih.gov/mesh/D018166Q000266 Health Policy https://id.nlm.nih.gov/mesh/D006291 History, 20th Century https://id.nlm.nih.gov/mesh/D049673 Long-Term Care history https://id.nlm.nih.gov/mesh/D008134Q000266 Ontario https://id.nlm.nih.gov/mesh/D009864 Soins à domicile Politique gouvernmentale Ontario Histoire 20e siècle. Soins de longue durèe Politique gouvernmentale Ontario Histoire 20e siècle. Soins à domicile Politique gouvernmentale Ontario. Soins de longue durèe Politique gouvernmentale Ontario. Soins à domicile Politique gouvernementale Ontario Histoire 20e siècle. Soins de longue durée Politique gouvernementale Ontario Histoire 20e siècle. Soins à domicile Politique gouvernementale Ontario. Soins de longue durée Politique gouvernementale Ontario. Politique sanitaire. Médecine Histoire 20e siècle. MEDICAL Home Care. bisacsh MEDICAL Nursing Home & Community Care. bisacsh MEDICAL Nursing Home Care. bisacsh MEDICAL Health Policy. bisacsh Medical policy fast Home care services Government policy fast Long-term care of the sick Government policy fast Ontario fast https://id.oclc.org/worldcat/entity/E39QbtfRpxgHMDVfYpYYqvRBmM 1900-1999 fast Electronic books. History fast Deber, Raisa B., 1949- https://id.oclc.org/worldcat/entity/E39PBJrgKBMVyFjGbDG3y6y8G3 http://id.loc.gov/authorities/names/n90693790 Williams, A. Paul (Alan Paul), 1951- https://id.oclc.org/worldcat/entity/E39PCjtJy8rccMHYPvFdW7mwyb http://id.loc.gov/authorities/names/n86809941 has work: Almost home (Text) https://id.oclc.org/worldcat/entity/E39PCFRJvgGW7M7h67hFFBW343 https://id.oclc.org/worldcat/ontology/hasWork Print version: Baranek, Patricia M. Almost home. Toronto ; Buffalo : University of Toronto Press, ©2004 9780802089656 (DLC) 2005272795 (OCoLC)54692122 FWS01 ZDB-4-EBA FWS_PDA_EBA https://search.ebscohost.com/login.aspx?direct=true&scope=site&db=nlebk&AN=467895 Volltext |
| spellingShingle | Baranek, Patricia M. Almost home : reforming home and community care in Ontario / 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 -- 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 -- 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 -- 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 model -- 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 groups -- 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 Government 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. 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. Medical policy. http://id.loc.gov/authorities/subjects/sh85083002 Home Care Services history https://id.nlm.nih.gov/mesh/D006699Q000266 Health Care Reform history https://id.nlm.nih.gov/mesh/D018166Q000266 Health Policy https://id.nlm.nih.gov/mesh/D006291 History, 20th Century https://id.nlm.nih.gov/mesh/D049673 Long-Term Care history https://id.nlm.nih.gov/mesh/D008134Q000266 Soins à domicile Politique gouvernmentale Ontario Histoire 20e siècle. Soins de longue durèe Politique gouvernmentale Ontario Histoire 20e siècle. Soins à domicile Politique gouvernmentale Ontario. Soins de longue durèe Politique gouvernmentale Ontario. Soins à domicile Politique gouvernementale Ontario Histoire 20e siècle. Soins de longue durée Politique gouvernementale Ontario Histoire 20e siècle. Soins à domicile Politique gouvernementale Ontario. Soins de longue durée Politique gouvernementale Ontario. Politique sanitaire. Médecine Histoire 20e siècle. MEDICAL Home Care. bisacsh MEDICAL Nursing Home & Community Care. bisacsh MEDICAL Nursing Home Care. bisacsh MEDICAL Health Policy. bisacsh Medical policy fast Home care services Government policy fast Long-term care of the sick Government policy fast |
| subject_GND | http://id.loc.gov/authorities/subjects/sh85083002 https://id.nlm.nih.gov/mesh/D006699Q000266 https://id.nlm.nih.gov/mesh/D018166Q000266 https://id.nlm.nih.gov/mesh/D006291 https://id.nlm.nih.gov/mesh/D049673 https://id.nlm.nih.gov/mesh/D008134Q000266 https://id.nlm.nih.gov/mesh/D009864 |
| title | Almost home : reforming home and community care in Ontario / |
| title_auth | Almost home : reforming home and community care in Ontario / |
| title_exact_search | Almost home : reforming home and community care in Ontario / |
| title_full | Almost home : reforming home and community care in Ontario / Patricia M. Baranek, Raisa B. Deber, A. Paul Williams. |
| title_fullStr | Almost home : reforming home and community care in Ontario / Patricia M. Baranek, Raisa B. Deber, A. Paul Williams. |
| title_full_unstemmed | Almost home : reforming home and community care in Ontario / Patricia M. Baranek, Raisa B. Deber, A. Paul Williams. |
| title_short | Almost home : |
| title_sort | almost home reforming home and community care in ontario |
| title_sub | reforming home and community care in Ontario / |
| topic | 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. Medical policy. http://id.loc.gov/authorities/subjects/sh85083002 Home Care Services history https://id.nlm.nih.gov/mesh/D006699Q000266 Health Care Reform history https://id.nlm.nih.gov/mesh/D018166Q000266 Health Policy https://id.nlm.nih.gov/mesh/D006291 History, 20th Century https://id.nlm.nih.gov/mesh/D049673 Long-Term Care history https://id.nlm.nih.gov/mesh/D008134Q000266 Soins à domicile Politique gouvernmentale Ontario Histoire 20e siècle. Soins de longue durèe Politique gouvernmentale Ontario Histoire 20e siècle. Soins à domicile Politique gouvernmentale Ontario. Soins de longue durèe Politique gouvernmentale Ontario. Soins à domicile Politique gouvernementale Ontario Histoire 20e siècle. Soins de longue durée Politique gouvernementale Ontario Histoire 20e siècle. Soins à domicile Politique gouvernementale Ontario. Soins de longue durée Politique gouvernementale Ontario. Politique sanitaire. Médecine Histoire 20e siècle. MEDICAL Home Care. bisacsh MEDICAL Nursing Home & Community Care. bisacsh MEDICAL Nursing Home Care. bisacsh MEDICAL Health Policy. bisacsh Medical policy fast Home care services Government policy fast Long-term care of the sick Government policy fast |
| topic_facet | 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. Medical policy. Home Care Services history Health Care Reform history Health Policy History, 20th Century Long-Term Care history Ontario Soins à domicile Politique gouvernmentale Ontario Histoire 20e siècle. Soins de longue durèe Politique gouvernmentale Ontario Histoire 20e siècle. Soins à domicile Politique gouvernmentale Ontario. Soins de longue durèe Politique gouvernmentale Ontario. Soins à domicile Politique gouvernementale Ontario Histoire 20e siècle. Soins de longue durée Politique gouvernementale Ontario Histoire 20e siècle. Soins à domicile Politique gouvernementale Ontario. Soins de longue durée Politique gouvernementale Ontario. Politique sanitaire. Médecine Histoire 20e siècle. MEDICAL Home Care. MEDICAL Nursing Home & Community Care. MEDICAL Nursing Home Care. MEDICAL Health Policy. Medical policy Home care services Government policy Long-term care of the sick Government policy Electronic books. History |
| url | https://search.ebscohost.com/login.aspx?direct=true&scope=site&db=nlebk&AN=467895 |
| work_keys_str_mv | AT baranekpatriciam almosthomereforminghomeandcommunitycareinontario AT deberraisab almosthomereforminghomeandcommunitycareinontario AT williamsapaul almosthomereforminghomeandcommunitycareinontario |