Continuing Care Renewal or Retreat? BC Residential and Home Health Restructuring 2001-2004

Continuing Care Renewal or Retreat? BC Residential and Home Health Restructuring 2001-2004

Author:

Publisher: Canadian Centre Policy Alternatives

Published: 2005

Total Pages: 54

ISBN-13: 0886274133

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It reviews the actual changes in the number of beds and services available to seniors and people with disabilities using sources from the Ministry of Health, the Canadian Institute for Health Information, other provinces, and the regional health authorities themselves. [...] The commission argued that by shifting resources from institutional and acute care to the community, and by focusing on health promotion and early intervention strategies, individual health status could be improved and health care costs controlled.2 The reality of the closer to home strategy has not, however, always kept pace with the government's rhetoric and the funding has rarely "followed the [...] The first section examines the overall context in which the restructuring of residential and home health care services is occurring: that is, the reduction in the availability of acute care beds and changes in population demographics. [...] Access to available long-term care beds is lower than the provincial average when measured relative to population and access to available home support, From 2001 to December 2004, and home care is the lowest in the province."15 there was a net closure of 26 Similarly, the undersupply of residential care and assisted living units residential care facilities, in the Capital Regional District (i.e. [...] However, the provincial government's decision to promote the substitution of assisted living beds for residential care beds was based on another assumption: that the costs of assisted living to the health authorities would be about half as much as Although the discussion is residential care.20 In The Picture of Health (2002) the provincial government framed in terms of the benefits states that its.


Almost Home

Almost Home

Author: Patricia M. Baranek

Publisher: University of Toronto Press

Published: 2004-01-01

Total Pages: 364

ISBN-13: 9780802086396

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While Medicare continues to resist political and ideological forces aimed at shrinking the state's role, cost constraints, demographic pressures and technological advancements are increasing pressure on home and community care.


Health Care

Health Care

Author: Anne Crichton

Publisher: University of Calgary Press

Published: 1997

Total Pages: 432

ISBN-13: 1895176840

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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.


Health Systems in Transition

Health Systems in Transition

Author: Gregory P. Marchildon

Publisher: University of Toronto Press

Published: 2006-01-01

Total Pages: 177

ISBN-13: 0802094007

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The health care system in Canada is much-touted in the international sphere, but often overlooked when it comes to an examination of its actual administration and regulation. Health Systems in Transition: Canada provides an objective description and analysis of the public, private, and mixed components that make up health care in Canada today. Published in co-operation with the World Health Organization Regional Office for Europe on behalf of the European Observatory on Health Systems and Policies, Gregory P. Marchildon's study offers a statistical and visual description of the many facets of Canadian health care financing, administration, and service delivery. This study's most distinctive feature is a comparative description and analysis. For international comparison, five other countries have been selected: The United States, Australia, the United Kingdom, France, and Sweden. Because public health care administration and delivery is highly decentralized in Canada, Marchildon also analyzes the important health status and health care features within Canada by province and territory, and describes in some detail the unique constitutional, jurisdictional, and financial features of the Canadian system. Balancing careful assessment, summary, and illustration, Health Systems in Transition: Canada is a thorough and illuminating look at one of the nation's most complex institutions.


Health and Canadian Society

Health and Canadian Society

Author: David Coburn

Publisher: University of Toronto Press

Published: 1998-01-01

Total Pages: 668

ISBN-13: 9780802080523

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Health and Canadian Society provides a comprehensive overview of the relationship between health, health care, and Canadian society. It is a wide-ranging volume that moves from personal and micro concerns to a more macro and institutional focus. It includes chapters of a descriptive nature and others with a more explanatory intent. They have been selected from the major journals or have been expressly written for this book. Ninety-five percent of the contributions are new to this edition. The chapters and the studies reported on are methodologically diverse, ranging from ethnographic studies to statistical analyses of data from large national surveys. Though the chapters are written by anthropologists, economists, historians, political scientists, and physicians, as well as sociologists, they all have a sociological "turn." Recognized as the standard textbook on the sociology of health in Canada, Health and Canadian Society is an essential reference for sociologists, health care providers, health administrators, and policy planners.


Health Impact Assessment

Health Impact Assessment

Author: John Kemm

Publisher: OUP Oxford

Published: 2004-04-01

Total Pages: 452

ISBN-13: 0191587001

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Health effects are often overlooked when planning development projects ranging from new runways at major airport sites to developing water supply systems to improve sanitation. Health Impact Assessment (HIA) is the assessment of the health effects, positive or negative, of a project, programme, or policy. It is therefore concerned with the health of populations and attempts to predict the future consequences for health of decisions which have not yet been implemented. HIA is a new and growing field with numerous schools of thought and areas of controversy. This book is the first to give a comprehensive overview of the concepts, theory, techniques and applications of HIA to aid all those preparing projects or carrying out assessments. It draws on examples and thinking from many different disciplines and many parts of the world. It identifies the areas of agreement and the questions remaining unanswered. It maps a confused field and signposts possible directions for future progress. HIA is intended to help decision makers in all areas foresee the consequences of their decisions, to ensure the consequences are considered and reduce the risk of population health being damaged through some indirect and unintended consequence of a decision. This book is a practical handbook for those preparing the assessments be they epidemiologists, environmentalists, health economists or public health specialists as well as serving as a conceptual guide for policy makers, decision makers and planners at national and international level. This book will serve both as a reference for the established HIA practitioner and as an introduction for the novice.


Coasts Under Stress

Coasts Under Stress

Author: Rosemary Ommer

Publisher: McGill-Queen's Press - MQUP

Published: 2007

Total Pages: 593

ISBN-13: 077353203X

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Ommer provides a unique interdisciplinary analysis of the social and environmental forces affecting local communities on Canada's east and west coasts.


A Cross-Cultural Dialogue on Health Care Ethics

A Cross-Cultural Dialogue on Health Care Ethics

Author: Harold Coward

Publisher: Wilfrid Laurier Univ. Press

Published: 2006-01-01

Total Pages: 287

ISBN-13: 0889208557

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The ethical theories employed in health care today assume, in the main, a modern Western philosophical framework. Yet the diversity of cultural and religious assumptions regarding human nature, health and illness, life and death, and the status of the individual suggest that a cross-cultural study of health care ethics is needed. A Cross-Cultural Dialogue on Health Care Ethics provides this study. It shows that ethical questions can be resolved by examining the ethical principles present in each culture, critically assessing each value, and identifying common values found within all traditions, It encourages the development of global awareness and sensitivity to and respect for the diversity of peoples and their values and will advance understanding as well as help to foster a greater balance and a fuller truth in consideration of the human condition and what makes for health and wholeness.


The Privatization of Care

The Privatization of Care

Author: Pat Armstrong

Publisher: Routledge

Published: 2019-09-25

Total Pages: 268

ISBN-13: 100065060X

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Nursing homes are where some of the most vulnerable live and work. In too many homes, the conditions of work make it difficult to make care as good as it can be. For the last eight years an international team from Germany, Sweden, Norway, the UK, the US and Canada have been searching for promising practices that treat residents, families and staff with dignity and respect in ways that can also bring joy. While we did find ideas worth sharing, we also saw a disturbing trend toward privatization. Privatization is the process of moving away not only from public delivery and public payment for health services but also from a commitment to shared responsibility, democratic decision-making, and the idea that the public sector operates according to a logic of service to all. This book documents moves toward privatization in the six countries and their consequences for families, staff, residents, and, eventually, us all. None of the countries has escaped pressure from powerful forces in and outside government pushing for privatization in all its forms. However, the wide variations in the extent and nature of privatization indicate privatization is not inevitable and our research shows there are alternatives.