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A critical policy analysis of an emerging agenda for home care in one Canadian province. | LitMetric

A critical policy analysis of an emerging agenda for home care in one Canadian province.

Health Soc Care Community

School of Nursing, Thompson Rivers University, 900 McGill Road, PO Box 3010, Kamloops, British Columbia, Canada V2C 5N3.

Published: May 2006

AI Article Synopsis

  • The demand for home care is increasing, necessitating urgent policy attention to grapple with complex issues surrounding responsibilities and limits of care.
  • The research involves a critical policy analysis that examines how context, process, and content interact in home care policies within a regional health system in Canada, incorporating perspectives from various policy actors.
  • The findings indicate that the emerging policy focus is leaning towards medicalization, which conflicts with primary health care principles and may further marginalize vulnerable populations, highlighting tensions between equity, efficiency, choice, and universal care responsibilities.

Article Abstract

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 contexts 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 of study includes thematic and comparative analyses of perspectives derived from policy documents, and interviews with policy actors (decision-makers, healthcare providers, public advocates) 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 revealed 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.

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Source
http://dx.doi.org/10.1111/j.1365-2524.2006.00616.xDOI Listing

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