Consumers and health policy development: Confessions of a guarded optimist

International Journal for Quality in Health Care

Volumn 8, Issue 5, 1996, Pages 479-484

  Kushner, Carol ^a  

^a Kushner Consulting   (Canada)

Author keywords

Consumers and long term care policy; Health policy; Public policy

Indexed keywords

AGED; ARTICLE; CANADA; CONSUMER; ELDERLY CARE; HEALTH CARE POLICY; HUMAN; LEGAL ASPECT; LONG TERM CARE; MANAGEMENT; ORGANIZATION AND MANAGEMENT; PUBLIC OPINION;

AGED; CONSUMER PARTICIPATION; HEALTH POLICY; HEALTH SERVICES FOR THE AGED; HUMANS; LONG-TERM CARE; ONTARIO; POLICY MAKING; PUBLIC OPINION;

EID: 0030255551     PISSN: 13534505     EISSN: None     Source Type: Journal    
DOI: 10.1093/intqhc/8.5.479     Document Type: Article

References (24)

1. Government of Ontario, Redirection of Long Term Care and Support Services in Ontario, Queen's Park, Toronto, 1991.
2. Senior Citizens' Consumer Alliance for Long-Term Care Reform, Consumer Report: on Long-Term Care Reform (Advance copy), Toronto, 1992.
3. Senior Citizens' Consumer Alliance for Long-Term Care Reform, Public Hearings into the Government of Ontario's Proposals for the Redirection of Long-Term Care, Toronto, November 1991.
4. Senior Citizens' Consumer Alliance for Long-Term Care Reform, Consumer Report on Long-Term Care Reform (Advance Copy), Toronto, June 1992.
5. The numbers in this case were impressive. One of the founding members, the United Senior Citizens of Ontario, has over 1,000 seniors clubs throughout the province. Another founder, the Ontario Coalition of Senior Citizen Organizations, is a non-profit umbrella group of organizations with extensive experience in lobbying and political activism, representing over 300000 seniors. The third founding member of the Alliance was the Consumers' Association of Canada (Ontario) with longstanding involvement in health issues. Together the Alliance boasted that it represented about 1 million people, which at the time made it the largest consumer organization in provincial history.
6. Rachlis M and Kushner C, Strong Medicine: How to Save Canada's Health Care System, HarperCollins, Toronto, 329-330.
7. The three Ministers in question were: Frances Lankin, Minister of Health, Elaine Ziemba, The Minister for Seniors Issues, and Zanana Akande, the Minister for Community and Social Services.
8. 'Senior Citizens' Consumer Alliance for Long-Term Care Reform, Consumer Report on Long-Term Care Reform (Advance copy), Toronto, June, 1992.
9. Ontario Ministry of Health, Ministry of Community and Social Services, Ministry of Citizenship, Partnerships in Long-Term Care: A new way to plan, manage and deliver services and community support; a policy framework, Queen's Park, Toronto, April 1993.
10. Ontario Ministry of Health, Ministry of Community and Social Services, Ministry of Citizenship, Building Partnerships in Long-Term Care: A new way to plan, manage and deliver services and community support; a local planning framework, Queen's Park, Toronto, May 1993.
11. Ontario Ministry of Health, Ministry of Community and Social Services, Ministry of Citizenship, Partnerships in Long-Term Care: A new way to plan, manage and deliver services and community support; an implementation framework, Queen's Park, Toronto, June 1993.
12. Ontario Ministry of Health, Ministry of Community and Social Services, Ministry of Citizenship, Partnerships in Long-Term Care: A new way to plan, manage and deliver services and community support; Guidelines for the establishment of multiservice agencies, Queen's Park, Toronto, September 1993.
13. The legislation was introduced as Bill 173, An Act to Reform Long Term Care in Ontario, was passed into law in 1994.
14. For a discussion of user fees and their effects on medication use see: Strong Medicine, Chapters 5 and 6, op. cit.
15. Lindbloom C, The science of muddling through. Public Administration Review 1959; 19: 79-99.
16. Marmor T R and Christianson J B, Health Care Policy: A Political Economy Approach, Sage Publishers, Beverly Hills, 1982.
17. Alford R, Health Care Politics: Ideological and Interest Group Barriers to Reform, University of Chicago Press, Chicago, 1975.
18. Sabatier P, Knowledge, Policy-oriented learning, and policy change: An advocacy coalition framework. Knowledge: Creation, Diffusion, Utilization 1987; 8: 649-692.
19. Kasper J F, Mulley A Jr and Wennberg J, Developing Shared Decision-making programs to improve the quality of health care, ORB, June 1992, 183-190.
20. Williamson C, A Manager's Guide to Consumers, Health Service Journal, 30 November 1995, 28-29.
21. Aronson J, Giving consumers a say in policy development: Influencing policy or just being heard?. Canadian Journal of Public Policy 1993; XIX: 367-378.
22. Price Waterhouse Management Consultants, A comparison of the administrative component of the current and proposed home care systems in Ontario, Toronto, August 13,1994, (Appendix 1) in: Funding Long-Term Care: The Cost of the MSA Model (commissioned by the Senior Citizens' Consumer Alliance for Long-Term Care Reform), September 1994.
23. What follows is largely paraphrased from an article in the Toronto Star by Thomas Walkom a regular columnist covering Queen's Park, The article is dated November 29, 1994.
24. Price Waterhouse Management Consultants, A comparison of client service provision under the current and proposed community-based long-term care systems in Ontario, December 1994, Toronto, in: The Revised Price Waterhouse Report on the MSA Model of Long-Term care reform, with a preamble by the Senior Citizens' Consumer Alliance, Toronto, February 1995.