HLTH201 Lecture Notes - Lecture 9: Health Care In Canada, Integrated Delivery System, Supportive Housing

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Insured vs. funded settings: the insured services include: hospital in patient and ambulatory services which are medically necessary, medically necessary services are those provided by a physician in an office, hospital or other setting. Services funded at least in part by provinces but not covered by the canada heath act: drug plans, home care, supportive housing, long-term care, non-hospital rehabilitation (physiotherapy) Priority concerns: access to surgery (hip and knee, cancer, cataracts); and access to medical imaging (ct: the system does not measure if the treatment offered makes a difference. More about just counting the types of treatment administered. Increasing coordination: hospital merges, community hospital management boards: primary care reform: payment of groups of physicians by capitation. Increasing privatization: insurance, hospital management, perhaps of services: frail people who are very sick and complicated don"t tend to be included on the for- profit health care system. Recent news has been complaining about there not being enough hospital beds.

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