Week 6 Flashcards
Current issues in health care
-growing costs
-decreased federal contributions
-tension between federal government and provinces
-lack of focus on prevention and social determinants of health
-drugs, mental health, dental care not covered
Mazankowski report
-increase role of private sector
-require more direct payments from citizens
-less taxation
Mazankowski user fees
-encourages people to be healthier and deter unnecessary service seeking
Kirby report
-reduce dependency on government
-sustainability by providing greater funding
Kirby user fees
-does not agree
-decreases access to care and increase inequities in medical savings
Romanow report
-ensure long term sustainability of universally accessible
-recommit to principle of need over income
-health care is a right, not a commodity
Romanow user fees
-does not agree
-will decrease access to care and increase inequalities
Medical savings accounts
-makes people consider what health care they actually need
-initial downpayment required
-not 100% covered
Regionalization
-administration devolved to municipal or regional governments
Regionalization theory
-local control
-better targeted services
-citizen involvement
-compatible with public health
Regionalization reality
-seen as a way to reduce funding
-could increase costs
Examples of public private partnerships
-brampton civic hospital
-407 toll highway
Public private partnerships
-privitization by stealth
-lack of accountability
-violation of health act principles
Health care guarantees
-wait times for specialist care perceived as an issue
-there are now pre-determined wait-time deadlines for various procedures
-after deadline, service provided by other private or public provider
Who’s idea was primary health reform
-kirby
Primary health reform goal
-make service provision more streamlined to control costs
Primary health reform suggestions
-create multidisciplinary health care teams
-alternatives to fee-for-service like capacitation or blended approaches
-incorporate health promotion and disease prevention into primary care
Mazankowski specific suggestions
-yes to medical savings accounts
-yes to encourage specialization and revenue generation
-yes to public private services
-yes to health care guarantee
Kirby specific suggestions
-yes to medical savings accounts
-yes to regional health authorities
-yes to health care guarantees
-yes to primary care reform
Romanow specific suggestions
-no to medical savings accounts
-no to public private partnerships
-caution to health care guarantee
-expand medicare to include home care and palliative care
