History of Science 2200E Lecture Notes - Lecture 21: Quality Assurance, Health Care Reform, Primary Healthcare
4 Oct 2018
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Document Summary
Three primary elements of health-care system: coverage, quality, and cost. [note: the material on medicare is from duffin, pp 150-2 and 409-11] In 1968 in canada, the federal government under lester pearson launched the medical care payment program. Today, provinces oversee payment and delivery of care (assisted by transfer payments from federal government) Single-payer insurance introduces population level economic planning into 2- party contract; specifically: Health canada lists several problems facing our system today: The relative lack of emphasis on health promotion and disease prevention, which has been linked to high rates of preventable illness; prevention, which has been linked to high rates of preventable illness; Lack of continuity, with various providers and institutions often appearing to work in isolation from one another; Problems with access, particularly in rural and remote areas, but also in urban centres where the lack of after-hours services often results in the use of emergency rooms for non-urgent care; and.
