1 Faculty of Health, York University, Toronto, Ontario, Canada.
Int J Health Serv. 2019 Apr;49(2):260-272. doi: 10.1177/0020731418804403. Epub 2018 Oct 3.
Home care is an integral aspect of the Canadian health care system. Services provided to individuals allow them to live with independence and dignity within the comfort of their own residences. This article examines the historical evolution of Ontario's home care reform and the current challenges faced by staff members, patients, and their caregivers in reference to health equity. Political economy and feminist lenses are used to highlight the impact of market-based health care reforms on gendered experiences and access to home care services. Research and reports are used to critique the development of the home care system to date. Findings suggest that the current home care system is underfunded, understaffed, and inequitable in access to care. At this time, policies strategically remain blinded to the harsh realities of the home care sector in order to justify cost cutting, deregulation, and privatization of services.
家庭护理是加拿大医疗保健系统的一个组成部分。为个人提供的服务使他们能够在自己的住所中舒适地独立和有尊严地生活。本文考察了安大略省家庭护理改革的历史演变,以及目前工作人员、患者及其护理人员在健康公平方面面临的挑战。政治经济学和女性主义视角被用来强调基于市场的医疗保健改革对性别经验和获得家庭护理服务的影响。研究和报告被用来批评家庭护理系统的发展现状。研究结果表明,目前的家庭护理系统资金不足、人手不足,在获得护理方面也存在不平等。目前,政策仍然对家庭护理部门的残酷现实视而不见,以便为削减成本、放松管制和服务私有化提供理由。