Naturalizing dying at home for older adults: A critical analysis of policy texts

Author:

Scott Erin1,Funk Laura2ORCID,Cherba Maria3,Krawczyk Marian4,Rounce Andrea5,Stajduhar Kelli6,Robin Cohen S.7

Affiliation:

1. Department of Community Health Sciences University of Manitoba Winnipeg R3E 0W3 Manitoba Canada

2. Department of Sociology and Criminology University of Manitoba 307‐183 Dafoe Road, Isbister Building Winnipeg R3T2N2 Manitoba Canada

3. Department of Communication University of Ottawa Ottawa K1N6N5 Ontario Canada

4. School of Interdisciplinary Studies University of Glasgow Dumfries DG1 4AL Scotland UK

5. Department of Political Studies University of Manitoba Winnipeg R3T2N2 Manitoba Canada

6. School of Nursing University of Victoria Victoria V8P5C2 British Columbia Canada

7. Lady Davis Research Institute 3755 Côte Sainte Catherine Road, Montréal, Québec H3T 1E2 Canada

Abstract

AbstractPublic policy initiatives, opinion surveys, and public rhetoric in Canada suggest people wish to die at home. Discourse analysis of statements, policies, reports, and websites of municipal, provincial, and federal governments show how public policy narratives reflect specific understandings of dying at home. Dying is positioned as best kept within the private “home” space. Though frequently framed as a choice, subtle rhetoric also prioritizes home as the ideal place for care at the end of life, and death. Home death preferences are naturalized as common‐sense. Along with more nuance in policy communications, transparency in how evidence informs policy is needed.

Funder

Social Sciences and Humanities Research Council of Canada

Publisher

Wiley

Subject

Public Administration,Sociology and Political Science

Reference70 articles.

1. Alberta Health Services.2019. “Guideline for Patient's Death in the Home Setting – Frequently Asked Questions.” Alberta Health Services.https://www.albertahealthservices.ca/info/Page15828.aspx

2. Alberta Health Services.2021.Palliative and End‐of‐Life Care: Alberta Provincial Framework Addendum 2021.

3. Poststructural Policy Analysis

4. Blunkett David.2000. “Influence or Irrelevance: Can social science improve government.”Secretary of State's ESRC Lecture Speech 2nd February.Great Britain. Department for Education and Employment Economic and Social Research Council (Great Britain).

5. Planning for an (un)certain future: Choice within English end-of-life care

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