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HLTC43H3 (51)
Lecture 8

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Department
Health Studies
Course
HLTC43H3
Professor
Toba Byrant
Semester
Winter

Description
Lecture 8: Fyke Commission: Caring for Medicare (2001) - Carried out in Saskatchewan - Interdisciplinary Primary Health Services Networks – health care providers – community and emergency services - Integrate hospitals and other care facilities into PHNs - 25-30 PHCs and Community Care centers across Saskatchewan - Health Districts o Organize and manage Primary Health teams - Contract with specialists - Provincial plan to develop and deliver quality specialized services - Consolidate tertiary services in Saskatoon, Regina and Prince Albert - Wanted to strength the program in Saskatchewan - Network of 10-14 regional authorities to deliver acute and emergency care - Northern Health Strategy – address needs in remote communities - Health services delivery for aboriginal communities - “…structures dialogue between federal and provincial governments” and representatives of Aboriginal population on health service delivery o He wanted to help the aboriginal people but it meant that the federal government had to get involved Clair Commission – Emerging Solutions (2001) - Group practices of 6 to 10 physicians for comprehensive 24hr/7 primary care - Enhanced role for nurse practitioners in community-based health centers (CLSCS – Centres Locaux de services communautaires) - Core components: o Prevention o Primary care o Special needs services for seniors o Specialized services o Public financing o Funding from private sector (for-profit, non-profit), unions, health care professionals, public, charities, and federal and provincial governments.  He is willing to entertain some private funding Models of Society Polis: - Federal HR Reports: o Romanow o Kirby - Provincial HR Reports: o Fyke Market: - Mazankowski - Clair – both polis and market? - Those on the polis side argued that there are a lot of evidence that publicly funded system is cost effective Markets and Health Care Professions - Public versus private health care - Health care division of labour - Nature of work Political Ideology - United States -> Liberalism - Canada -> Socialism US – Private Model - High spending - Limited state role - They don’t want the system to change; fear of state intervention - There is evidence that this is not the most cost efficient way of delivering health care Managed Care (US) - System of health care that brings together delivery and payment and influences service use through management techniques Single-Payer System (Canada_ Monopsony - Demand comes from one source – Provincial and territorial governments - Governments: o Single purchasers of services can negotiate better deals than individuals or private insurers o i.e, “the rule of thumb is the bigger population base, the greater the economies of scale” - Enable volume discounts for health care services Mending Medicare - Canadian Center for Policy Alternative (www.policyalternatives.ca)Canadian Medicare - “… the health care we have is the result of power struggles and political choices, because other assumptions and other relations are possible” What are Markets? - Complex set of social institutions for social relations of exchange of commodity between a buyer and a seller - There is no profit with the public system and there is not much funding anymore so there is talk about privatizing Characteristics of Markets - Rules and reg
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