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October 24, 2004
Almost Home: Reforming Home and Community Care in Ontario
Authors: Patricia Baranek, Raisa Deber, A. Paul Williams
ISBN: 0-8020-8965-8 $65.00 - Cloth
ISBN: 0-8020-8639-X $29.95 - Paper
Publisher: University of Toronto Press
Almost Home deals with the shift of care from the Medicare 'mainstream' of physician and hospital care, to home and community. It notes that this shift is not only a change in the site of care but also a change in the applicable rules. Care in the community is no longer bound by the rules and conditions of the Canada Health Act.
The policy questions discussed in Almost Home reflect the change that is reshaping Canadian health care policy and politics. Using document analysis, interviews with government officials, and other key stakeholders in the policy community, the authors analyze the policy content and process of five different attempts to reform home and community care in Ontario between 1985 and 1996, as introduced by Liberal, New Democratic, and Conservative governments.
