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Manufacturing Social Exclusion in the Home Care Market

Canadian Public PolicyPublished 1 June 2001
Jane Aronson, Sheila M. Neysmith
Citations68
SJR quartileQ2
SJR score0.52
SNIP0.69

TL;DR

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.

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.

Keywords

Social SciencesEconomics, Econometrics and FinanceHealth Professions