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Manufacturing Social Exclusion in the Home Care Market

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  • Jane Aronson
  • Sheila M. Neysmith

Abstract

This paper examines how the health care perspective which dominates home care obscures the broader processes of social exclusion that play out in this arena of public policy. A study of elderly women and women with disabilities receiving home care in Ontario reveals how managed community care generates and reinforces service users' social isolation and their spatial, institutional, and political exclusion. Analysis of study participants' experiences points to the challenges of moving away from a market discourse and a health framework to develop home care policy which achieves the inclusion and participation of elderly citizens and citizens with disabilities in need of assistance at home.

Suggested Citation

  • Jane Aronson & Sheila M. Neysmith, 2001. "Manufacturing Social Exclusion in the Home Care Market," Canadian Public Policy, University of Toronto Press, vol. 27(2), pages 151-165, June.
    • Handle: RePEc:cpp:issued:v:27:y:2001:i:2:p:151-165
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    References listed on IDEAS

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    1. Dyck, Isabel, 1995. "Hidden geographies: The changing lifeworlds of women with multiple sclerosis," Social Science & Medicine, Elsevier, vol. 40(3), pages 307-320, February.
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    Cited by:

    1. Jane Aronson & Sheila M. Neysmith, 2006. "Obscuring the costs of home care: restructuring at work," Work, Employment & Society, British Sociological Association, vol. 20(1), pages 27-45, March.
    2. Kieran Walsh & Thomas Scharf & Norah Keating, 2017. "Social exclusion of older persons: a scoping review and conceptual framework," European Journal of Ageing, Springer, vol. 14(1), pages 81-98, March.
    3. Abelson, Julia & Gold, Sara Tedford & Woodward, Christel & O'Connor, Denise & Hutchison, Brian, 2004. "Managing under managed community care: the experiences of clients, providers and managers in Ontario's competitive home care sector," Health Policy, Elsevier, vol. 68(3), pages 359-372, June.

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