HLTHAGE 1BB3 Lecture Notes - Lecture 17: Polypharmacy, Prescription Drug, Health Promotion
23 Apr 2017
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Document Summary
Federal government controls health care transfer payments to provinces. Provincial level responsible for implementation of health care services and delivery. Exception: federal government is responsible for health service delivery to special groups. Five principles of medicare: university of eligibility, comprehensiveness of coverage, portability between provinces, accessibility by payment through taxes, public administration on nonprofit basis. Late 1980s/early 1990s: move to decentralization - move from institutional to regional care. Consumer group (patients, citizens) define needs (not doctor or either level of government) Capable of meeting provinces" goals of cost control, better health, higher responsiveness to local needs, flexibility, coordination of services, etc. Many provinces intend to shift health services from institutions to community care. However, community care still gets less funding from the federal government than acute and institutional care. Availability and type of services and payment systems vary in provinces. Funding; more demands due to complexity of clients needs, and more stress on caregivers.
