HLTB40H3 Chapter Notes - Chapter 2: Health Human Resources, Canada Health Act, Disease Surveillance
Document Summary
Federal systems: virtues of centralism seem especially pronounced, slower reaction time to medical crisis. The national level government has more economic & administrative capacity to establish complex hc services but the responsibility falls on smaller jurisdictions with less revenue. Rich provinces such as ontario have much of the fiscal ability & technocratic expertise to design & implement hc services while many smaller & poorer provinces struggle to main the status quo. Larger & wealthier provinces are better able to take advantages of the advances in information technology that require heavy capital investment. Severe regional disparities can lead to significant inequities in health & health care between citizens & to the extent that access to health services is viewed as an aspect of citizenship. When the government tries to establish comparable health care between regions via transfer payments, this could increase the e(cid:272)o(cid:374)o(cid:373)i(cid:272) (cid:271)urde(cid:374) o(cid:374) pro(cid:448)i(cid:374)(cid:272)es (cid:449)ho do(cid:374)"t ha(cid:448)e as (cid:373)u(cid:272)h (cid:373)o(cid:374)ey.
