Market-Modelled Home Care: Impact on Job Satisfaction and
Propensity to Leave
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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 adopted by the province of Ontario.
Findings from a case study of 835 Ontario home-care workers indicate
that a market-modelled approach to health-care restructuring may be
leading to decreased levels of job satisfaction and a greater
propensity to leave among workers in the home-care sector.