Choice, risk, and responsibility in Manitoba’s self and family managed home care program

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dc.contributor.authorDansereau, Lisette
dc.contributor.examiningcommitteeMenec, Verena (Community Health Sciences)
dc.contributor.examiningcommitteeFunk, Laura (Sociology and Criminology)
dc.contributor.examiningcommitteeBaumbusch, Jennifer (University of British Columbia)
dc.contributor.supervisorKelly, Christine
dc.date.accessioned2024-04-03T19:02:08Z
dc.date.available2024-04-03T19:02:08Z
dc.date.issued2024-03-28
dc.date.submitted2024-03-28T17:59:03Zen_US
dc.date.submitted2024-04-03T16:20:12Zen_US
dc.date.submitted2024-04-03T17:37:08Zen_US
dc.degree.disciplineCommunity Health Sciences
dc.degree.levelDoctor of Philosophy (Ph.D.)
dc.description.abstractEnhancing choice in home care has become part of a national discourse that aligns with aging in place strategies. Choice in home care is best realized through the mechanism of direct funding (DF), where the client and/or a family member is given funding to make their own decisions about their care services. Having more choice is generally accepted as automatically beneficial, but choice also involves making decisions and accepting any risks involved in taking on that responsibility. The literature indicates there are several benefits for working-age adults who take responsibility for their own care, but there are a number of gaps in our understanding of the ways older adults and their caregivers experience having more choice over their home care services. The objectives of this dissertation are to identify whether and how having choice in home care may have policy implications, and to explore and describe experiences of choice, risk, and responsibility among clients and families using DF home care. This is a thesis by publication presenting findings from three qualitative studies conducted in the context of Manitoba’s home care system. Each study examines different aspects of choice and risk and each uses different means of collecting and analyzing data. Nevertheless, all three studies are conceptually linked by the overall research objective and are philosophically linked by feminist care ethics following Tronto’s political ethics of care and Mol’s logic of care. Together, the research presented in this dissertation provides new insight into the way clients and families experience the responsibilities and risks of having choice in home care. This dissertation concludes with a set of recommendations to improve home care services in Manitoba.
dc.description.noteMay 2024
dc.identifier.urihttp://hdl.handle.net/1993/38146
dc.language.isoeng
dc.rightsopen accessen_US
dc.subjectHome care
dc.subjectSelf-management
dc.subjectPolicy
dc.subjectCaregiving
dc.titleChoice, risk, and responsibility in Manitoba’s self and family managed home care program
dc.typedoctoral thesisen_US
local.subject.manitobayes
oaire.awardNumber752-2021-2792
oaire.awardTitleDoctoral Fellowship
oaire.awardURIhttp://www.outil.ost.uqam.ca/CRSH/Resultat.aspx
project.funder.identifierhttp://dx.doi.org/10.13039/501100000155
project.funder.nameSocial Sciences and Humanities Research Council of Canada
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PhD Dissertation: Choice, Risk, and Responsibility in Manitoba’s Self and Family Managed Home Care Program This is a thesis by publication, or “sandwich” thesis, organized around three manuscripts prepared for submission to academic journals and presented in chapters 2, 3 and 4.
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