HLTHAGE 1BB3 Lecture 11: 1BB3 Formal Health Care
15 Jan 2016
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Document Summary
Has never been single health care system. We take medicare for granted, and more often than not complain about it instead of defending it . Late 1980s/ early 1990s: move to decentralization move from institutional to regional care government) Consumer group (patients, citizens) define needs (not doctor or either level of. Capable of meeting provinces" goals of cost control, better health, higher responsiveness to local needs, flexibility, coordination of services, etc. Many provinces intend to shift health services from institutions to community. 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. Funding, more demands due to complexity of client needs, and more stress on caregivers. Delisting of services (eg. annual eye exams) Efforts to control increases in service fees. Reduction in hospital services and increase in various community-based & home care services. Concern about potential for privatization (private clinics)
