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Market-Modelled Home Care: Impact on Job Satisfaction and Propensity to Leave


  • Margaret Denton
  • Isik Zeytinoglu
  • Karen Kusch
  • Sharon Davies


Responding to increasing health-care costs, deficit financing and the aging of the population, many OECD nations are exploring new cost-efficient health-care models. One such model, designed to manage the homebased health-care system through the application of quasi-market principles has been adopted by the province of Ontario. Findings from a case study of 835 Ontario home-care workers indicate that a market-modelled approach to health-care restructuring may be leading to decreased levels of job satisfaction and a greater propensity to leave among workers in the home-care sector.

Suggested Citation

  • Margaret Denton & Isik Zeytinoglu & Karen Kusch & Sharon Davies, 2007. "Market-Modelled Home Care: Impact on Job Satisfaction and Propensity to Leave," Canadian Public Policy, University of Toronto Press, vol. 33(s1), pages 81-99, January.
  • Handle: RePEc:cpp:issued:v:33:y:2007:i:s1:p:81-99

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    References listed on IDEAS

    1. Kane, Nancy M. & Saltman, Richard B., 1997. "Comparative experience in home care and pharmaceutical policy," Health Policy, Elsevier, vol. 41(Supplemen), pages 1-7, September.
    2. Light, Donald W., 2001. "Managed competition, governmentality and institutional response in the United Kingdom," Social Science & Medicine, Elsevier, vol. 52(8), pages 1167-1181, April.
    3. Williams, Allison M., 1996. "The development of Ontario's Home Care Program: A critical geographical analysis," Social Science & Medicine, Elsevier, vol. 42(6), pages 937-948, March.
    4. Woodward, Christel A. & Abelson, Julia & Tedford, Sara & Hutchison, Brian, 2004. "What is important to continuity in home care?: Perspectives of key stakeholders," Social Science & Medicine, Elsevier, vol. 58(1), pages 177-192, January.
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    Cited by:

    1. Zeytinoglu, Isik U. & Denton, Margaret & Brookman, Catherine & Plenderleith, Jennifer, 2014. "Task shifting policy in Ontario, Canada: Does it help personal support workers’ intention to stay?," Health Policy, Elsevier, vol. 117(2), pages 179-186.
    2. Onoka, Chima A. & Hanson, Kara & Mills, Anne, 2016. "Growth of health maintenance organisations in Nigeria and the potential for a role in promoting universal coverage efforts," Social Science & Medicine, Elsevier, vol. 162(C), pages 11-20.

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