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

Abstract

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 experiences of NGO/government interactions around this issue and seeks to gain a greater understanding of the role of NGOs in shaping performance 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.