‘Hitting Home’: The Home as a Site for Long Term Health Care”
Funded by the Social Sciences and Humanities Research
Council of
Strategic Themes: Society, Culture and the Health of Canadians
Principal
Investigator: Patricia McKeever (Faculty of Nursing,
Co-Investigators: Jan Angus (Nursing, University of Toronto), Mary Chipman (Public Health Sciences, University of Toronto), Alf Dolan (Biomedical Engineering, University of Toronto), Isabel Dyck (Geography, Queen Mary, London), Joan Eakin (Public Health Sciences, University of Toronto), Kim England (Geography, University of Washington), Denise Gastaldo (Nursing, University of Toronto), and Blake Poland (Public Health Sciences, University of Toronto).
PROJECT
SUMMARY: The Canadian
health care system has changed dramatically due to treatment advances,
technological innovations, demographic trends, and contemporary policy goals.
Many institutional settings have been closed and those that remain have been
reduced in size and function. Consequently, the community sector is providing
more services, and home care programmes and markets are proliferating in every
province. As a result, the homes of Canadians have become primary settings for
formal health care and social support service provision. Since public funds are
not meeting the escalating demands for services, care recipients and their
families are assuming more responsibilities and absorbing new costs. A large proportion of home care services are
provided to people who have chronic illnesses, disabilities or the frailties of
age. In these situations, on long-term bases, homes function simultaneously as
personal or family dwellings and sites for complex, labour intensive health
care work. Many of the consequences this system of care has for care
recipients, households, homes and workers remain unknown. However, because many
Canadians who have disabling conditions live in impoverished circumstances,
high demands are being made on homes in which space, amenities and resources
may be limited. The “Hitting Home” Project
will illuminate the living and working conditions in households receiving
long-term home care services. The project is based on ideas from geography and
sociology that underscore the significance of the home, the family, and health
care work. Twenty case studies and a telephone survey of 900 households will be
conducted in