| Titre : | Managing competition in the countryside : Non-profit and for-profit perceptions of long-term care in rural Ontario. (2006) |
| Auteurs : | SKINNER (Mark-W) : CAN. Department of Geography. Trent University. Peterborough. ON. ; ROSENBERG (Mark-W) : CAN. Department of Geography. Queen's University. |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 63, n° 11, 2006) |
| Pagination : | 2864-2876 |
| Langues: | Anglais |
| Mots-clés : | Profit ; Milieu rural ; Canada ; Amérique ; Ville ; Milieu urbain ; Secteur privé ; Homme ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST-CNRS LvR0xcp8. Diffusion soumise à autorisation]. 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. |
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