Academic journal article Canadian Journal of Public Health

Almost Home: Reforming Home and Community Care in Ontario

Academic journal article Canadian Journal of Public Health

Almost Home: Reforming Home and Community Care in Ontario

Article excerpt

Almost Home: Reforming Home and Community Care in Ontario Patricia M. Baranok, Raisa B. Deber, and A. Paul Williams. Toronto, ON: University of Toronto Press, 2004; 340pp, $29.95

Almost Home: Reforming Home and Community Care in Ontario looks chronologically at the development of community support services in Ontario between 1985 and 1996. It describes the influences of the federal government (through the Canadian Health Act), provincial political shifts and different stakeholders, from government to providers to consumers. This book is timely due to the introduction of Local Integrated Health Networks by the Ontario Liberal government on lune 28, 2005.

Historical background plays an important role in this study. With the CHA becoming law in 1984, the provincial governments were required to develop new provincial regulations for health services. Due to over forty years of Progressive Conservative power in the provincial legislature, bureaucrats had a narrow ideological focus. Ontario politics were volatile during this period with two minority governments, numerous political shifts in the provincial legislature, and Ontario's first New Democratic Parry government.

Baranek, Deber, and Williams also discuss how each political party viewed home and community care, and how the economic environment affected decision-making. …

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