Complete B03 Textbook Study Guide

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University of Toronto Scarborough
Health Studies
Anna Walsh

Suleiman Furmli HLTB03- Textbook Notes Summer 2009 HLTB03 J Fundamentals of Health Health, Illness & Healthcare in Canada Part 1- Overview The Canadian Healthcare System and the Health Status in Canada Mechanistic-individualistic clinical approach is dominant paradigm in medicine Treatment focuses on surgical or chemical interventions Reductionist Approach Blames illnesses on individuals, behaviors and consumption patterns Both of these approaches obscure the social nature of disease i.e. That disease is embedded in social, economic, political and cultural contexts Attempts to reform and transform medicine must be tied to wider strategies of change in the social structure Medicare originated in the failure of the market to ensure that people received necessary medical care and hospital services Original Cost-sharing agreement between the federal and provincial governments discouraged experimentation with non-medical and non-hospital forms of treatment and it discouraged provincial governments with improving efficiency in delivery of services. @Z}K]LL]L2L2KLZ]L2[ZL[Z encouraged provincial governments to make reforms at the provincial level through Regionalization. National Forum on Health (NFH) Created in 1994 and intended to help involve the public to improve the healthcare system and the health status of the population Was influential in 2 ways: (1) Development and use of expanded and improved health information systems & (2) Targeted Funding Romanow commission 2001 Confirmed and highlighted 4 objective guides to good health policy 1) Sustainability, 2) Access, 3) Quality, 4) Accountability Supported the principle of a public payer and rejected options to increased privatization Health Care Policy = Treatment of illness and injury Public Health Policy = Preventing illness and injury Public Health Concerns first started because of rise in British industrial Capitalism, urbanization and colonialism www.notesolution.comSuleiman Furmli HLTB03- Textbook Notes Summer 2009 Epidemiological Transition change in pattern of disease in a country from infectious and communicable (ex. Flu, smallpox, etc.) to non-communicable (ex. Cancers and CVD) 5 Main parts to the current Health System: 1. Health Surveillance 2. Disease and Injury Prevention 3. Health Protection 4. Population Health Assessment 5. Health Promotion Chapter 1 J Sociology, Medicine, Health and Illness: An Overview Localized Pathology Notion that ill health could be caused by the malfunctioning of one particular part of the body machinery Work of bacteriologists and other scientists undeniably had a positive impact on the control of infectious diseases and led to improvements of medical practice BUT there is doubt about the historical importance of these discoveries This is because it is argued that the major decline in mortality and morbidity was due to better nutrition, sanitation and other environmental improvements Flexner Report (1910) One of the reasons for the ascendancy of scientific laboratory-based medicine and the dominant position of Allopathic Medicine Method of treating disease using agents that produce different effects than that of the disease being treated As a result of this report: 1) 92 Medical Schools were shut-down or reorganized 2) The norm for medical education became laboratory-based medicine 3) Reduced competition and higher income for doctors 4) Formation of medical associations 5) Tightening of licensing standards 6) Marginalization of CAM Corporate interest and funding were also vested in this report because: 1. Justification of environment and workers to allow for high profits 2. Diverted away attention from illness-generating condition of capitalist production and class structure 3. Need for a workforce healthy enough to participate in the production process Health and Illness:
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