The closure of a non-profit, unionized home support agency in Hamilton in 2002 offers an illuminating case study of the local impacts of Ontario's contractual approach to home care. A survey of the 317 support workers who were laid off revealed that only 38 percent stayed in the home-care...

Responding to increasing health-care costs, deficit financing and the aging of the population, many OECD nations are exploring new cost-efficient health-care models. One such model, designed to manage the homebased health-care system through the application of quasi-market principles has been...

Health system reform experienced in Canada since the 1990s profoundly affected health-care workplaces and workers' attitudes. In this paper we examine associations between deteriorated external work environment, heavy workload and nurses' job satisfaction and turnover intention. Data are from...