In 1996, a newly elected government in the Province of Ontario, Canada, introduced a managed competition environment into the home care sector through the establishment of a competitive contracting process for home care services. Through 65 in-depth, semi-structured interviews conducted between...

In this study we develop, appraise and compare alternative approaches to addressing the problem of determining the quantity and mix of nursing resources required for the health- care system in Ontario in the future. We argue that there is no ‘right’ number of nurses per se. On the contrary,...

Purpose. The paper reviews the Health Utilities Index (HUI®) as a means to describe health status and obtain utility scores reflecting health-related quality of life (HRQL). Materials. The HUI Mark 2 (HUI2) and Mark 3 (HUI3) classification and scoring systems are described. The methods used to...

Growing interest in methods of quantifying health-related quality of life has resulted in demand for a manual describing general techniques that may be customized by health researchers and used to measure preferences in applications having a wide variety of objectives. This report is intended to...