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Lecture 12

HLTC43 Lecture 12.pdf

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Department
Health Studies
Course
HLTC43H3
Professor
Scott Sams
Semester
Summer

Description
HLTC43 Lecture 12 Wednesday, July 31, 2013 10:11 AM Cue Column: Note-Taking Area: The Future of Health Policy Purpose: 1. Review the factors that help us understand the ongoing development of Canadian health policy. 2. Explore the prospects for health care reform and public policies that will enhance population health. 1) Review the factors that help us understand the ongoing development of Canadian health policy. • Political determinants of health ○ Poli is contest of who gets what ○ Only so much wealth to go around, who benefits  Working poor, or rich ppl? ○ Health shaped by action/incation  Campaigns, funding  What about stuff we don't do and choose not to do? ○ Health embedded in broader soc,econ,poli system  To do something to make it better, need to understand how system works • Ideology ○ Ideology: values/beliefs; how you see world; blueprint for social order ○ Collectivist  Polis model of society □ Inequalities are soc and econ abhorrences  Bad and need to be tackled by state and society ◊ i.e. inequality is bad and need to fix it □ Citizens have entitlement to rights  Ex. To good health/HC  Social democracy □ Closely related to this □ "Jack Layton" ○ Market-oriented  Health inequalities are natural result (& inevitable) of genetics or silent hand of mkt  Leave econ to own devices, you'll generate most wealth □ Trickles down } raises everyone up  Neoliberalism □ This idea is reflected to neolib  Closely associated to Conservative party □ Label for  Free trade  Open mkts □ "globalization"  Compete w/ other countries, etc. □ Advance human wellbeing by liberating ppl's entrepreneurial freedoms • Conceptualizing health policy ○ Health is highly political (conclusion) □ Advance human wellbeing by liberating ppl's entrepreneurial freedoms • Conceptualizing health policy ○ Health is highly political (conclusion) ○ Social determinants of health  Soc sci approach  Soc and econ factors} greatest influence on health □ Fix health problems thru income inequality, poor housing, access to good food, income supports for econ uncertainty ○ Medicalized  Traditional health sci POV  Health policy = HC □ How ppl think of health in first place □ Traditional way of thinking: "health is HC"  Thinking about society □ What do we do as society □ How to deal with individual  What treatment etc. • Health paradigms ○ Interventions based on soc/indi ○ Societal  Socio-environmental □ Risks faced in everyday enviro □ What comm and soc factors provide good heatlh □ Interventions at soc level to address high risk things  Ex. Workplace safety stds  Structural/critical □ Esoteric = 'really out there' □ How soc organized  How distributes resources  Unequal distri of resources □ Focus on collective □ "Problem is the system"  'prob is capitalism' etc. □ Hall's typological of 1st, 2nd, 3rd order of change ○ Individualized  Medical Health is absence of disease □  Intervention is indi medical attn  Behavioural/lifestyle □ Health as "you're a failure"  You're obese b/c you eat too much ◊ The persons fault  It's like preventative, but takes many forms ◊ Ex. Educate ppl • Social theory ○ Frameworks to understand diff phenomenon  Rooted in diff values ○ Macro, meso and micro  Macro □ Contours of poli system □ Hall's 3rd order of change  Meso □ Intermediate stuff □ Hall's 2nd order □ Focus: mid level institutions etc., policies used to enact broad visions of health  Micro  Micro □ Day to day function of policy □ Hall's 1st order  Setting
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