Co-constructing Performance Indicators in Home and Community Care: Assessing the Role of NGOs in Three Canadian Provinces


  • Janet M Lum Ryerson University
  • John Shields Ryerson University
  • Bryan Evans Ryerson University



Community care, Nonprofit healthcare providers, Home care, Performance indicators, Policy engagement, Policy co-creation / Soins de proximité, Prestataires de soins à but non lucratif, Soins à domicile, Indicateurs de performance, Engagement politique


This article examines the extent to which public servants interact with non-governmental organizations (NGOs) to co-construct performance indicators in the home- and community-care sector. It uses 32 intensive qualitative interviews with NGO representatives and public servants in three Canadian provinces (British Columbia, Saskatchewan, and Ontario) with distinctive home- and community-care systems to uncover the lived experiences of NGO/government interactions around this issue and seeks to gain a greater understanding of the role of NGOs in shaping permanence indicators. Varying funding and delivery models of home and community care across provinces put NGOs in different roles in the delivery of home and community supports, and hence, set different contexts for NGO/public servant interactions across the three provinces.

Cet article examine dans quelle mesure les fonctionnaires publics interagissent avec les organisations non gouvernementales (ONG) pour établir des indicateurs de performance dans les secteurs des soins à domicile et de proximité. Il se base sur 32 entretiens en profondeur avec des représentants d’ONG et des fonctionnaire publics dans trois provinces canadiennes (Colombie-Britannique, Saskatchewan et Ontario) ayant des systèmes distincts de soins à domicile et de proximité, et ce afin d’en apprendre davantage sur la réalité des interactions entre les ONG et le gouvernement. L’article cherche en outre à mieux comprendre le rôle des ONG dans la formulation des indicateurs de performance. Les divers modèles dans chaque province pour financer et offrir des soins à domicile et de proximité ont un impact sur la manière dont les ONG peuvent fournir leur aide à domicile et dans la communauté, et créent ainsi des contextes différents dans chacune des trois provinces pour les interactions entre les ONG et les fonctionnaires publics.


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Author Biographies

Janet M Lum, Ryerson University

Professor and Associate Dean of Arts Research and Graduate Studies Co-Chair, Canadian Research Network for Care in the Community




John Shields, Ryerson University

John Shields is a professor in the Department of Politics and Public Administration at Ryerson University where he currently is also the Acting Academic Director, Ryerson Centre for Immigration and Settlement (RCIS).

Bryan Evans, Ryerson University

Bryan Evans is Associate Professor in the Department of Politics and Public Administration at Ryerson University.


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