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Canada (492,721)
HLTHAGE 1BB3 (288)
Anju Joshi (127)
Lecture 17

HLTHAGE 1BB3 Lecture 17: Health and Aging 1BB3 Lecture 17

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McMaster University
Health, Aging and Society
Anju Joshi

Lecture 17: Formal Health Care Canadian Health Care System -has never been single health care system -system split between federal and provincial governments: -federal government controls health care transfer payments to provinces -provincial level responsible for implementation of health care services and delivery -exception: federal government is responsible for health service delivery to special groups Health Care Act (1984) -Monique Begin -five principles of Medicare 1. university of eligibility 2. comprehensiveness of coverage 3. portability between provinces 4. accessibility by payment through taxes 5. public administration on nonprofit basis Regionalization and Health Care -late 1980s/early 1990s: move to decentralization - move from institutional to regional care -establishment of regional health authorities -14 regions of healthcare -consumer group (patients, citizens) define needs (not doctor or either level of government) -benefits or regional health authorities: -increased community participation and empowerment -buffer between province and people -capable of meeting provinces’ goals of cost control, better health, higher responsiveness to local needs, flexibility, coordination of services, etc. New Approaches to Community Care -Current Trends: -many provinces intend to shift health services from institutions to community care -however, community care still gets less funding from the federal government than acute and institutional care -availability and type of services and payment systems vary in provinces -Challenges: -funding; more demands due to complexity of clients needs, and more stress on caregivers Effects of Provincial Budget Reductions -fewer hospital beds -limits on billable services by physicians -delisting of services (ex. annual eye exams) -efforts to control increases in service fees -reduction in hospital services and increase in various community-bases and home care services -concern about potential for privatization (private clinics) -increase in wait times for diagnostic and surgical/medical treatment The Cost of Health Care Today -in 2009, Canada spent $182.1 billion, or about $5,401 per person on healthcare -Canada among the nations with the greatest per capita expenditures -older people accounted for 44% of all provincial and territorial government healthcare spending -women use more resources than men -private and public expenditures on the rise Population Aging and Health Care Costs -population aging alone does not account for the increase in healthcare costs; it’s only a modest cost driver -inflation, health care inflation, changes in technology, increased drug use, changes in patterns of disease, and treatment
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