11
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: not found
      • Article: not found

      The greying of resource communities in northern British Columbia: implications for health care delivery in already-underserviced communities

      ,
      The Canadian Geographer/Le G?ographe canadien
      Wiley-Blackwell

      Read this article at

      ScienceOpenPublisher
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Related collections

          Most cited references12

          • Record: found
          • Abstract: not found
          • Article: not found

          Restructuring health and rural communities in New Zealand

            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            The Retreat of the State and Long-Term Care Provision: Implications for Frail Elderly People, Unpaid Family Carers and Paid Home Care Workers

              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Long-term care restructuring in rural Ontario: retrieving community service user and provider narratives.

              This paper examines the extensive restructuring of community-based long-term care that was initiated in Ontario, Canada in 1996, and does so with particular reference to longstanding problems of provision in rural communities. Specifically, it draws on a case study focussed on two small rural towns to develop a 'situated understanding' of service-user and service-provider perspectives on service coordination issues and on service cuts, particularly as they affect the ability of elderly people reliant on publicly-funded community services to stay in their homes, to continue to 'age in place'. The general and specific antecedents of long-term care reform are considered prior to the presentation of the case study. General antecedents include the rapid aging of Canada's population and aggressive strategies to reduce government deficits, while specific antecedents flow from a decade of failed attempts to address longstanding issues of service coordination and from the ideologically-driven, free market stance of the provincial government elected in 1995. The analysis of interviews conducted with 14 community-service users and 17 providers suggests that the managed competition system introduced as the centerpiece of long-term care reform has resulted in increasing diversity and uncertainty on both sides of the service provision equation. Despite continued attempts by rural elderly people and their families to 'cut and paste' support packages, it seems that the restructuring of publicly-funded community services, combined with a substantial re-investment in long-term care facilities, will make some elderly people more vulnerable to institutionalization.
                Bookmark

                Author and article information

                Journal
                The Canadian Geographer/Le G?ographe canadien
                The Canadian Geographer/Le G?ographe canadien
                Wiley-Blackwell
                0008-3658
                1541-0064
                March 2005
                March 2005
                : 49
                : 1
                : 1-24
                Article
                10.1111/j.0008-3658.2005.00077.x
                43454953-fda6-4c66-b197-f6de4ff3cf7b
                © 2005

                http://doi.wiley.com/10.1002/tdm_license_1.1

                History

                Comments

                Comment on this article