HEALTH CARE:  A COMMUNITY CONCERN?  Developments in the Organization of Canadian Health Services

HEALTH CARE: A COMMUNITY CONCERN? Developments in the Organization of Canadian Health Services

By Anne Crichton
Book Description

Developed within the context of the expansion of the Canadian welfare state in the years following the Great Depression, the present organization of Canadian health care delivery is now in serious need of reform. This book documents the causes and effects of changes made in this century to Canada's health care policy. Particular emphasis is placed on the decades following 1940, the years in which Canada moved away from an individualistic entrepreneurial medical care system, first toward a collectivist biomedical model and then to a social model for health care.

Table of Contents
  • Creative Commons Page
  • Cover
  • Title Page
  • Bibliographic Information
  • Table of Contents
  • Charts and Lists
  • Executive Summary
  • Preface and Acknowledgments
  • Acronyms
  • Part I Themes of the Book
    • 1. An Explanation of the Approach
    • 2. Canada's Publicly Financed Health Care System
    • 3. The Welfare State in Canada
    • 4. The Redistribution of Power Away from LocalCommunities
  • Part II The Context of Health Policy Development
    • 5. Development of Canada's Welfare State Programs
    • 6. From Welfare State to Welfare Society?
  • Part III Canada's Publicly Financed Health Care System Evolves
    • 7. Developing Federal and Provincial Organizations
    • 8. Questioning Canadian Health Care OrganizationalPolicies 1967-86
  • Part IV Service Delivery Systems and Their Response to the Needfor Change to a Collective Care Organization
    • 9. Care in the Doctor's Office
    • 10. Support Services for Physicians in General Practice
    • 11. Medical Practice Organization: Alternative MedicalCare Delivery Models
    • 12. Evolution of Public Health Departments
    • 13. Community Care for the Elderly
    • 14. Rural Health Services
    • 15. Four Preventive Care Programs
  • Part V Developing Control by Formal Authorities
    • 16. Developing Provincial Policies and Building UpAdministrative Structures
    • 17. Some Issues in Horizontal and Vertical Coordination
  • Part VI Research on Organizational Issues
    • 18. Development of Research and Planning Activities
    • 19. Research on Organization Theory and its Relevance forCanadian Health Policy Development..
    • 20. Health Promotion: Development of a DemonstrationStrategy
    • 21. Economic Evaluation of Models of Community Services:
  • Part VII Reform and Restructuring
    • 22. The Welfare State Approach is Questioned
    • 23. The Impact of the Federal Deficit and AccumulatingDebts
    • 24. Provincial Inquiries into Health Care Organization
    • 25. The Challenge of Human Rights' Policies to TraditionalHealth Care Structures
    • 26. A New Look at Community Inputs
  • 27. The Health Care System in the Welfare Society
  • Part VIII Afterword
    • 28. Continuing Cutbacks: Implications for Health Servicesand Health
    • 29. Regionalization
    • 30. Where Do We Go from Here?
  • Appendix A
  • Appendix B
  • Bibliography
  • Government Publications
  • Index
  • About the Authors
  • Back Cover
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