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Managing competition in the countryside: Non-profit and for-profit perceptions of long-term care in rural Ontario
- Source :
-
Social Science & Medicine . Dec2006, Vol. 63 Issue 11, p2864-2876. 13p. - Publication Year :
- 2006
-
Abstract
- Abstract: This paper contributes to the current debates surrounding private delivery of health care services by addressing the distinctive challenges, constraints and opportunities facing for-profit and non-profit providers of long-term care in rural and small town settings. It focuses on the empirical case of Ontario, Canada where extensive restructuring of long-term care, under the rubric of managed competition, has been underway since the mid-1990s. In-depth interviews with 72 representatives from local governments, public health institutions and authorities, for-profit and non-profit organisations, and community groups during July 2003 to December 2003 form the platform for a qualitative analysis of the implications of managed competition as it relates to the provision of long-term care in the countryside. The results suggest that the introduction and implementation of managed competition has accentuated the problems of service provision in rural communities, and that the long-standing issues of caregiving in rural situations transcend the differences, perceived or otherwise, between for-profit and non-profit provision. Understanding the implications of market-oriented long-term care restructuring initiatives for providers, and their clients, in rural situations requires a re-focussing of research beyond the for- versus non-profit dichotomy. [Copyright &y& Elsevier]
- Subjects :
- *MANAGED care programs
*LONG-term health care
*PUBLIC health
*MEDICAL care
Subjects
Details
- Language :
- English
- ISSN :
- 02779536
- Volume :
- 63
- Issue :
- 11
- Database :
- Academic Search Index
- Journal :
- Social Science & Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 22796922
- Full Text :
- https://doi.org/10.1016/j.socscimed.2006.07.028