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EPDF and EPUB available Open Access under CC-BY-NC-ND licence. The COVID-19 pandemic has made unpaid care more visible through its absence, while also increasing the need for it. Drawing on a range of research projects covering Canada, Germany, Norway, Sweden, the UK and the US, this book documents a broad spectrum of unpaid work performed by residents, relatives, volunteers and staff in nursing homes. It demonstrates how boundaries between paid and unpaid work are flexible, varying considerably with conditions, time, place and intersectional populations. By examining the complex labour process within nursing homes, this book provides insight and understanding which will be critical in planning for nursing home care post-pandemic.
Nursing homes are where some of the most vulnerable live and work. In too many homes, the conditions of work make it difficult to make care as good as it can be. For the last eight years an international team from Germany, Sweden, Norway, the UK, the US and Canada have been searching for promising practices that treat residents, families and staff with dignity and respect in ways that can also bring joy. While we did find ideas worth sharing, we also saw a disturbing trend toward privatization. Privatization is the process of moving away not only from public delivery and public payment for health services but also from a commitment to shared responsibility, democratic decision-making, and the idea that the public sector operates according to a logic of service to all. This book documents moves toward privatization in the six countries and their consequences for families, staff, residents, and, eventually, us all. None of the countries has escaped pressure from powerful forces in and outside government pushing for privatization in all its forms. However, the wide variations in the extent and nature of privatization indicate privatization is not inevitable and our research shows there are alternatives.
Nursing homes are where some of the most vulnerable live and work. In too many homes, the conditions of work make it difficult to make care as good as it can be. For the last eight years an international team from Germany, Sweden, Norway, the UK, the US and Canada have been searching for promising practices that treat residents, families and staff with dignity and respect in ways that can also bring joy. While we did find ideas worth sharing, we also saw a disturbing trend toward privatization. Privatization is the process of moving away not only from public delivery and public payment for health services but also from a commitment to shared responsibility, democratic decision-making, and the idea that the public sector operates according to a logic of service to all. This book documents moves toward privatization in the six countries and their consequences for families, staff, residents, and, eventually, us all. None of the countries has escaped pressure from powerful forces in and outside government pushing for privatization in all its forms. However, the wide variations in the extent and nature of privatization indicate privatization is not inevitable and our research shows there are alternatives.
This is the third and final volume in the authoritative History of the British Trade Unions since 1889. It covers the years between 1934 and 1951. These years saw gradual recovery from the world-wide economic depression, the Second World War, and its aftermath of austerity and development. It was a period of great achievement for the labour movement. Hugh Armstrong Clegg traces the story of the trade unions, their policies, their leaders, and their relations with government. Professor Clegg carefully sets his study against the economic and political background of the period, and provides a wealth of valuable detail. This is a comprehensive and dispassionate account by a leading authority on British trade unions and their history, which will be an important source for all historians of the labour movement in Britain.
In Health Matters, contributors from a range of disciplinary and interdisciplinary traditions address multiple dimensions of health care, such as nursing, midwifery, home care, pharmaceuticals, medical education, and palliative care. Through their explorations, the book poses questions about the role that the forms of expertise associated with evidence-based health care play in shaping how we understand and organize health services. Authors critique instrumental, managerial ways of knowing health care and focus on how such ways of knowing limit our understandings of and responses to health care problems and are linked with the growing commodification, individualization, and privatization of Canadian health services. Working with analytic perspectives such as feminism, Marxist political economy, critical ethnography, science and technology studies, governmentality studies, and institutional ethnography, the volume demonstrates how critical social science perspectives contribute alternative perspectives about what counts as health care problems and how to best to address them.
Who counts as a health care worker? The question of where we draw the line between health care workers and non-health care workers is not merely a matter of academic nicety or a debate without consequences for care. It is a central issue for policy development because the definition often results in a division among workers in ways that undermine care. Critical to Care uses a wide range of evidence to reveal the contributions that those who provide personal care, who cook, clean, keep records, and do laundry make to health services. As a result of current reforms, these workers are increasingly treated as peripheral even though the research on what determines health demonstrates that their work is essential. The authors stress the invisibility and undervaluing of 'women's work' as well as the importance of context in understanding how this work is defined and treated. Through a gendered analysis, Critical to Care establishes a basis for discussing research, policy, and other actions in relation to the work of thousands of marginalized women and men every day.
As access to sufficient health care continues to become a dominant--and divisive--issue in the world today, this resource acts as a primer to the public health care system Canada has had in place for the last 30 years. While explaining the program's cost efficiency and dramatically better health outcomes compared with the United States' private health care system, it also addresses the complexities of the program, as well as the aspects that need improvement--such as wait times and the aging boomer generation. This analysis offers a detailed introduction on how the Canadian system works and assesses reforms currently underway, concluding that expanding Canada's public health care system, rather than privatizing it, is the best way to improve it.
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