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HLTHAGE 1BB3 Lecture Notes - Fall Prevention, Population Health, Medical Model

Health, Aging and Society
Course Code
Anju Joshi

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The Health Care System & Aging:
Canada’s health care system:
- Does it serve older adults well?
- What are some of the major issues and trends?
- Federal and provincial and territorial governments role
Canada health act:
- Principles state that health services must be:
Publicly administered- not privately
Comprehensive- includes all different types of care, ex. not one type of surgery
Universal- available all across the country the same way
Accessible- can’t put limits on the system
Portable- across Canada it has to be the same health care
Models of health care:
1. Medical model:
- Treatment of diseases, illnesses, and injuries
- Body as machine- fix it
- Physicians have a great deal of control- provide treatment and act as gatekeepers to other
health care services
- Relies heavily on use of hospitals, drugs, surgery and rehab
2. Social model:
- Medical care is only one dimension of health care
- Physician one member of a health care team
- Focus is on all aspects of the person
- Long-term care (formal and informal care)
- Less funding for services to support people at home/out of institutions
- Variety of location for provision of services
3. Health promotion model:
- Focus on prevention and self-care
- Lifestyle changes/ environmental improvements
- Examples: anti-smoking, physical fitness, work place safety, pollution control, seatbelts, fall
- The Medical model is still the dominant model in Canada
4. Population health model:
- Takes a broad view of health and illness
- Factors which influence health status include: Gender, income inequality/class status, social
integration and networks
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