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Lecture 4

HLSC 1F90 Lecture Notes - Lecture 4: Consumerism, Primary Healthcare, Medical Equipment

Health Sciences
Course Code
Kelli An Lawrence

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Objectives: Understand the development of the health system in Canada,
Become knowledgeable about how the health care system works,
Understand implications of systems theory in relation to health services, quality of
care and population outcomes
Identify hot topics in the current health systems
How do we get to where we are?
How can we improve? (Healthcare history)
Canada's father of Medicare
Realized that people who can't afford healthcare need it the most
Tommy Douglas:
Healthcare is a social good
Social good: a good needed in adequate amounts to maintain a functioning and productive society (eg. Education)
To promote and restore and/or maintain health
People, institutions, resources arranged together, working together
WHO definition of a Health System
Public administration (of funds)
Comprehensiveness (what will be covered and payed for)
Universality (everyone is covered)
Accessibility ( everyone should have access to required services)
Portability (covered anywhere in Canada)
Principles of the Canada Health Act
Costs differ by family (how many ppl in family)
Cost differ by province (Quebec and British Columbia low)
How are services payed for?
Technologies and institutions
Prescription drug cost gone up
Use of services gone up
Population growth, economy inflation, 1988 spending, aging population
Why has the cost of healthcare gone up since 1988?
Be a knowledgeable consumer
Understand the Canadian Health Care System
Foundation of the healthcare system
Prevention/treatment of illness and injury
Basic emergency services
Primary mental healthcare
Health child development
Primary maternity care
Primary healthcare services:
Refer to/ coordinate with specialized services
Palliative and end of life care
Rehab services
Coordinate Patient's Access to specialized services
Services provided at first point of contact with system;
Service Provision:
Publically funded (provincial)
Specialized care
Services are publicly funded (provincial)
Room and board paid by individual
Specialized long-term institutional care
Secondary healthcare services include;
Services referred through doctor's referral
Accessing Healthcare: Who pays?
Why does healthcare cost more way up north in the territories?
-cost of travel to receive services
-population health status
-cost of living for health professionals
However: we're working on skype doctor visits.. etc
Province decides how many
procedures/treatments it funds based on
demographics that you will need for the year,
they only fund x number of those procedures
and the hospital has to fund the rest
Lec 4: Health Care Systems
1:32 PM
HLSC 1F90 Page 1
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