(John Deutsch Institute for the Study of Economic Policy)Queen's Univ., Kingston, Canada. Presents proceedings of a conference held at Queen's Univ., on November, 17-18, 2005. Covers health-care reform, drugs for rare diseases, issues in delivery of health care, and more. For public health personnel. Softcover, hardcover also available.
The recent Chaoulli Supreme Court decision and health care proposals by Quebec and Alberta have led to renewed debate on how best to restructure the Canadian health care system. This volume offers a timely analysis of access and wait-times, alternative modes of health care delivery, and funding methods from the perspective of evidence-based policy making.
This book tells the story of how the Health Services Restructuring Commission developed a vision of an effective health services system for the twenty-first century and attempted to fill a policy and leadership void. (Midwest).
The recent Chaoulli Supreme Court decision and health care proposals by Quebec and Alberta have led to renewed debate on how best to restructure the Canadian health care system. This volume offers a timely analysis of access and wait-times, alternative modes of health care delivery, and funding methods from the perspective of evidence-based policy making.
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.
Why has health care reform proved a stumbling block for provincial governments across Canada? What efforts have been made to improve a struggling system, and how have they succeeded or failed? In Paradigm Freeze, experts in the field answer these fundamental questions by examining and comparing six essential policy issues - regionalization, needs-based funding, alternative payment plans, privatization, waiting lists, and prescription drug coverage - in five provinces. Noting hundreds of recommendations from dozens of reports commissioned by provincial governments over the last quarter century - the great majority to little or no avail - the book focuses on careful diagnosis, rather than unplanned treatment, of the problem. Paradigm Freeze is based on thirty case studies of policy reform in Alberta, Saskatchewan, Ontario, Quebec, and Newfoundland and Labrador. The contributors assess the nature and extent of healthcare reform in Canada since the beginning of the 1990s. They account for the generally limited extent of reform that has occurred, and identify the factors associated with the relatively few cases of large reform. An insightful new perspective on a problem that has plagued Canadian governments for decades, Paradigm Freeze is an important addition to the field of health policy. Contributors include John Church (University of Alberta), Michael Ducie (Alberta Health and Wellness), Pierre-Gerlier Forest (Pierre Elliott Trudeau Foundation), Stephen Tomblin (Memorial University), Jeff Braun Jackson (Ontario Professional Firefighters Association, Burlington, ON), Marie-Pascale Pomey (Université de Montréal), John N. Lavis (McMaster University), Harvey Lazar (Queen's University), Elisabeth Martin (Université Laval),Tom McIntosh (University of Regina), Dianna Pasic (McMaster University), Neale Smith (University of British Columbia), and Michael G. Wilson (McMaster University).
While Canadians are proud of their healthcare system, the reality is that it is fragmented and disorganized. Instead of a pan-Canadian system, it is a "system of systems" - thirteen provincial and territorial systems and a federal system. As a result, Canadian healthcare has not only become one of the costliest in the world, but is falling well behind many developed countries in terms of quality. Canadians increasingly realize that their healthcare system is no longer fiscally sustainable, yet change remains elusive. The standard claim is that Canada's multijurisdictional approach makes system-wide reform nearly impossible. Toward a Healthcare Strategy for Canadians disputes this reasoning, making the case for a comprehensive, system-wide, made-in-Canada healthcare strategy. It looks at the mechanics of change and suggests ways in which the various participants in the system - governments, healthcare professionals, the private sector, and patients - can work collaboratively to transform a second-rate system. Addressing critical issues of health human resources, electronic health records, integrated care, and pharmacare, Toward a Healthcare Strategy for Canadians shows how a system-wide strategic approach to this crucial policy area can make a difference in Canada’s healthcare system in the future.
This book is a collection of scholarly articles on the themes of accountability and responsibility in health care and seeks to be the premier book in that field.
The appeal of voluntary action as a solution to growing welfare needs in advanced capitalist countries raises important questions about the social impacts and spatial equity of such provision. This book addresses these issues and explores the complex relationship between voluntary action, society and space.
Poverty, Mental Health, and Social Inclusion offers a comprehensive selection of chapters written by academic researchers as well as direct practitioners and mental health consumer-survivors to examine the intersection of poverty, mental health, and social exclusion. With the aim of addressing complex issues from homelessness and housing to stigma and mental health, the volume presents the perspectives of a wide range of those affected by poverty and social exclusion including Canadian veterans, Indigenous women, homeless youth and families, and mental health consumer-survivors. Divided into four sections, the chapters explore the effects of social exclusion, examine the trajectory of how it occurs, analyze harmful policies in place that exacerbate the correlation between poverty and mental health issues, and introduce potential solutions to expand social inclusion to marginalized groups. Accessibly written, this text will be a valuable resource for courses on mental health, poverty, and social policy across the disciplines of social work, sociology, and health studies at both the graduate and undergraduate level.
