Pat Armstrong – författare

Creative Team Work describes a new way of doing rapid ethnography to capture the rich complexity and contradictions of social relations. It is about the imagination, stimulation, and reflection that can come with international, interdisciplinary teams sharing the development, application, analysis, and dissemination of research. Although the book is based on a large, seven-year project studying care homes to search for promising practices and is guided by feminist political economy, the lessons we have learned are relevant for everyone undertaking empirical investigation. All research needs to consider theory -- the organization of information, ethics, and dissemination, for example. The specific techniques and approaches the authors discuss can be applied to a wide range of qualitative methods and are not exclusive to this kind of ethnography. By dissecting experiences and uniting chapters through the theme of creative, reflexive team work, the book considers issues and methods of interest to all those struggling through the research process, with or without team support.

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.

Thinking Women and Health Care Reform in Canada explores why health care is a woman's issue and seeks to address gender equity in health services. Written by members of Women and Health Care Reform (WHCR), this collection establishes the importance of including gender in discussions and decisions surrounding health sector reform.In twelve concise chapters, Thinking Women and Health Care Reform in Canada addresses a wide range of issues, including obesity, maternity care, mental health of health care workers, and private health insurance. This thought-provoking collection is an essential read for students and researchers in the fields of women's studies, health sciences, sociology, and nursing, as well as for anyone who is looking for a new picture of health care in Canada.

Incorporating in-depth historical and empirical research, this book examines the widely acknowledged crisis in the long-term care labour force. A diverse array of experts compare labour force strategies in Canada, Norway and Sweden and invite readers to rethink approaches to the long term care labour force, starting with the lives of those who do the work.Focusing on different dominant strategies, chapter authors analyze how innovative approaches might be employed to reorganize, retain, reduce, replace, and recruit workers. They assess each strategy in terms of promoting the right to care and explore limitations on the right to access quality care services and the right to provide quality long-term care. Ultimately, they argue that the conditions of work are the conditions of care, conditions that include the overall structures, policies and practices that shape the work and care.The Labour Crisis in Long-term Care is a thought-provoking book that will appeal to students and researchers in health services, aging, labour policy, sociology of work and social work. Managers, researchers and leaders in health care and health policy decision-makers will also benefit from this important resource.

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.

With increasing demands for evidence-based decision-making, the academic community must be ready to train researchers who can reduce the gap between health care research and practice. One program dedicated to promoting such training is the Canadian Health Services Research Foundation (CHSRF, now the Canadian Foundation for Healthcare Improvement) and Canadian Institutes for Health Research (CIHR) Chair Program. Participants of these programs were selected to develop innovative research programs that bridge this divide, as well as to mentor the next generation on building partnerships with organizations outside the university through applied research.The CHSRF/CIHR Chairs have come together in Shaping Academia for the Public Good to draw out valuable lessons learned throughout its first decade. It includes chapters on funding, knowledge transfer, policy frameworks, working with multiple stakeholders, and managing organizational settings, among other topics. Shaping Academia for the Public Good will be a helpful resource for those interested in the potential of new research approaches to improve our healthcare system.

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.

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.

How can we plan, organize, distribute, and offer care in ways that treat both those who need it and those who provide it with dignity and respect?Using the example of residential services, Troubling Care: Critical Perspectives on Research and Practices investigates the fractures in our care systems and challenges how caring work is understood in social policy, in academic theory, and among health care providers. In this era defined by government cutbacks and a narrowing sense of collective responsibility, long-term residential care for the elderly and disabled is being undervalued and undermined.A result of a seven-year interdisciplinary research project-in-progress, this book draws together the work of fourteen leading health researchers, including sociologists, medical practitioners, social workers, policy researchers, cultural theorists, and historians. Using a feminist political economy lens, these scholars explore and challenge the theories, work organization, practices, and state-society relations that have come to shape long-term care.Troubling Care offers critical perspectives on the often disquieting arena of care provision and proposes alternatives for thinking about and meeting the needs of some of our most vulnerable citizens in ways that go beyond residential care. This book seeks to bridge not only the gaps between disciplines, but also those between theory and practice.Features:takes an interdisciplinary approach, making this work appropriate for courses in a variety of disciplines including sociology, medicine, social work, health policy, cultural studies, and political economyincludes the work of fourteen leading health researchers, including sociologists, medical practitioners, social workers, policy researchers, cultural theorists, and historiansbridges the gap between theory and practice by incorporating both theoretical research and specific case examples

This thoughtful book provides a refreshing, comparative perspective on the future of care homes in our post-pandemic world. Building on more than a decade of collaborative international and interdisciplinary research in Canada, Germany, Norway, Sweden, the UK and the US, it employs a feminist political economy framework to address the key challenges facing care homes in this turbulent era.With particular attention to lessons learned in Canada, Sweden, and Norway, the contributing authors argue that publicly-funded care homes remain critical to care arrangements but require policy and practice transformations to produce equitable and supportive conditions. Attentive to the specific contexts and tensions that shape care, chapters address key questions about care home quality and labour in relation to gender, race, ethnicity, religion and class. The book analyses the physical and social boundaries that set the conditions for quality of life and care, moving beyond the minimum to explain how nursing homes can provide joy.Offering alternative approaches to the complex challenges facing this vital public service, this book will be a key reference for students and scholars of health policy, comparative social policy and social work. Its integration of statistical, policy and practice analysis with ethnographic research will prove invaluable to those concerned with long-term care policy and practice.

Health care is Canada’s best-loved social program–and for good reason. For more than 30 years, Canadians have enjoyed high quality health care based on need and not on ability to pay. But it is a complex system: changes proposed and those already underway can be difficult to understand and evaluate. What do ‘public’ and ‘private’ mean as they apply to our current health care system and in proposed reforms? As the boomer generation ages, will the growing number of seniors bankrupt Medicare? What do we mean by wait times and are they increasing? Who pays for drugs and how can we ensure Canadians have equitable access to necessary drugs? Can technologies significantly improve care and reduce costs? This book explains how the Canadian system works and assesses reforms underway.

Long-term residential care operates in the shadows; too often viewed as a necessary evil best left invisible. This book is takes a different approach. It is about daring to dream about developing alternative forms of long-term, residential care based on an understanding of what exists today and of what is possible in the future. Taking into account the fact that the overwhelming majority of residents and providers are women, the book makes gender a central concern in planning for care that treats both workers and residents with dignity and respect. The chapters do not set out the perfect blueprint for such care. Rather they are thought-provoking essays, based on the research and experiences with care today, intended to stimulate a start in designing long-term care that we would be willing to call home.

Health care is Canada’s best-loved social program — and for good reason. For over forty years, Canadians have enjoyed high quality health services based on need rather than on ability to pay. Yet we hear almost daily accounts of problems with the system. We are bombarded with warnings that public health care is unsustainable, especially in light of the baby boomer generation reaching retirement age. Such stories can help undermine our support for public care even though they are often based on poor, partial or even false information. Our best defence of a public system is knowledge about how it works and how it can be improved in order to keep it.This second edition of About Canada: Health Care is an accessible, up-to-date introduction to how the Canadian health care system works, how it is changing and what can be done to make it better. Pat and Hugh Armstrong explain a range of complicated and important questions: What do “public” and “private” mean as they apply to our current health care system and in proposed reforms? As the boomer generation ages, will the growing number of seniors bankrupt Medicare? What do we mean by wait times and are they increasing? Who pays for drugs and how can we ensure Canadians have equitable access to necessary drugs? Can technologies significantly improve care and reduce costs?