Skip to main content
Can We Afford Consumers Choice in Home Care?
Care Management Journals
  • Carol L. McWilliam, University of Western Ontario
  • Jeffrey S. Hoch, University of Toronto
  • Peter C. Coyte, University of Toronto
  • Moira Stewart, University of Western Ontario
  • Evelyn Vingilis, University of Western Ontario
  • Catherine Ward-Griffin, University of Western Ontario
  • Allan Donner, University of Western Ontario
  • Gina Browne, McMaster University
  • Karen Anderson, University of Western Ontario
Document Type
Publication Date

As demands for home care escalate in a system concerned with cost containments, initiatives promoting client involvement in the management oftheir chronic illnesses and attendant services have attracted increasing attention. For longer term in-home care, varied approaches to case management reflect these trends. This article reports a study exploring the cost consequences of clients' choice of three approaches to case management within a single home care context. The first involved leaving the control of services and care to the system's case manager. The second option was to share this control in partnership with their in-home service providers. The third approach featured clients directing their own case management Overall the average costs per month of services for clients in the three groups did not differ significantly over 6 or more months. However, clients who chose direct involvement in their case management actually had significantly lower cost increases than clients with little control over their case management. While further investigation is needed, offering clients choice of involvement in their in-home case management may both lower costs and optimize clients' potential for involvement in their care.

Published in: Care Management Journals, Volume 8, Number 4, 2007, pp. 171-178(8). DOI: 10.1891/152109807782590600
Citation Information
Carol L. McWilliam, Jeffrey S. Hoch, Peter C. Coyte, Moira Stewart, et al.. "Can We Afford Consumers Choice in Home Care?" Care Management Journals Vol. 8 Iss. 4 (2007) p. 171 - 178
Available at: