HLTB40H3 Lecture 4: Tutorial #4
Document Summary
Tutorial #4: explain the two major limitations of a command-and-control, hierarchical system for the administration of health care. Spill over, over data gathering capacity: without ha(cid:448)i(cid:374)g a(cid:272)(cid:272)ess to the data it"s hard to know where to put the money. Pros: citizen empowerment citizens to have more control over their health care. Cons: liability, forced regions to bear the cost, politically hard to maintain, explain the rationale for the recentralization of some components of the health care sector. To e(cid:374)sure people (cid:449)ithi(cid:374) po(cid:449)er do(cid:374)"t a(cid:271)use it. Regionalization . : differe(cid:374)t regio(cid:374)s (cid:449)ho do there o(cid:449)(cid:374) thi(cid:374)g & do(cid:374)"t (cid:272)o(cid:373)(cid:373)u(cid:374)i(cid:272)ate (cid:373)u(cid:272)h. Intergration tries to still allow this autonomy & yet increase their communication lines. The role of citizens as active participants in health policy making: 2 versions, viewed citizens as consumers of health therefore providing them with more choice, guaranteeing good service, focuses on political & policy oriented role for individuals.
