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Market-Modelled Home Care in Ontario: Deteriorating Working Conditions and Dwindling Community Capacity

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  • Jane Aronson
  • Margaret Denton
  • Isik Zeytinoglu

Abstract

The closure of a non-profit, unionized home support agency in Hamilton in 2002 offers an illuminating case study of the local impacts of Ontario's contractual approach to home care. A survey of the 317 support workers who were laid off revealed that only 38 percent stayed in the home-care sector; most were absorbed by for-profit, non-unionized agencies where their employment conditions deteriorated. These findings are at odds with the long-established connection between quality of home-care employment and quality of home-care service. They have implications for developing criteria for dispersing public funds in mixed economies of community care, and for conceptualizing the capacity-building responsibilities of governments in their coordination.

Suggested Citation

  • Jane Aronson & Margaret Denton & Isik Zeytinoglu, 2004. "Market-Modelled Home Care in Ontario: Deteriorating Working Conditions and Dwindling Community Capacity," Canadian Public Policy, University of Toronto Press, vol. 30(1), pages 111-125, March.
    • Handle: RePEc:cpp:issued:v:30:y:2004:i:1:p:111-125
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    Citations

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    Cited by:

    1. Margaret Denton & Isik Urla Zeytinoglu & Sharon Davies & Danielle Hunter, 2005. "Where Have All The Home Care Workers Gone?," Social and Economic Dimensions of an Aging Population Research Papers 128, McMaster University.
    2. Isik U. Zeytinoglu & Margaret Denton & Sharon Davies & M. Bianca Seaton & Jennifer Millen, 2009. "Visiting and Office Home Care Workers’ Occupational Health: An Analysis of Workplace Flexibility and Worker Insecurity Measures Associated with Emotional and Physical Health," Quantitative Studies in Economics and Population Research Reports 429, McMaster University.
    3. 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.
    4. Mark W Skinner & Mark W Rosenberg, 2005. "Co-Opting Voluntarism? Exploring the Implications of Long-Term Care Reform for the Nonprofit Sector in Ontario," Environment and Planning C, , vol. 23(1), pages 101-121, February.
    5. Margaret Denton & Isik Urla Zeytinoglu & Sharon Davies & Danielle Hunter, 2005. "Where Have All The Home Care Workers Gone?," Quantitative Studies in Economics and Population Research Reports 393, McMaster University.
    6. Skinner, Mark W. & Rosenberg, Mark W., 2006. "Managing competition in the countryside: Non-profit and for-profit perceptions of long-term care in rural Ontario," Social Science & Medicine, Elsevier, vol. 63(11), pages 2864-2876, December.
    7. Zeytinoglu, Isik U. & Denton, Margaret & Davies, Sharon & Plenderleith, Jennifer Millen, 2009. "Casualized employment and turnover intention: Home care workers in Ontario, Canada," Health Policy, Elsevier, vol. 91(3), pages 258-268, August.
    8. Alameddine, Mohamad & Laporte, Audrey & Baumann, Andrea & O'Brien-Pallas, Linda & Mildon, Barbara & Deber, Raisa, 2006. "'Stickiness' and 'inflow' as proxy measures of the relative attractiveness of various sub-sectors of nursing employment," Social Science & Medicine, Elsevier, vol. 63(9), pages 2310-2319, November.
    9. Isik U. Zeytinoglu & Margaret Denton & Sharon Davies & M. Bianca Seaton & Jennifer Millen, 2008. "Visiting and Office Home Care Workers’ Occupational Health: An Analysis of Workplace Flexibility and Worker Insecurity Measures Associated with Emotional and Physical Health," Social and Economic Dimensions of an Aging Population Research Papers 234, McMaster University.

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