HLTC05H3 Lecture Notes - Social Capital, Asthma, Schistosomiasis
Document Summary
Lecture 7 doctors, drugs, and global health (rylko-bauer and farmer 2002 trouiller et al. Widening racial, ethnic and class disparities in access to care and health outcomes. Public health care - increasingly scrutinized in us. Transformation into a market-based system (service industry?) shaped by forces of competition, commercialization and corporatization. Manifest in growth of managed care (in us and canada), drug and biotechnology industries. Mcos (managed care organizations: more neoliberalized, used by us and itre going to pay. *lower cost, greater efficiency, better quality care* Early hmos largely local and not-for-profit: now become privatized for profit. Accompanied by privatization of health care services (profit) Patients and physicians are managed through cost-containment techniques that put strict controls on use of medical services and patients" choice of doctors & medical options and offer financial incentives to doctors/hospitals to cut costs, services. Costs, increasing efficiencies, making profits theoretical goal and make profits.
