Health Care: A Community Concern?

Table of contents

• Health Care: A Community Concern? *
• Health Care: A Community Concern? - Developments in the Organization of Canadian Health Services *
• Table of Contents *
• Charts and Lists *
• Executive Summary ix
• Preface and Acknowledgments xiii
• Acronyms xix
• Part I - Themes of the Book *
• Chapter 1 - An Explanation of the Approach 3
• Chapter 2 - Canada's Publicly Financed Health Care System 7
• Chapter 3 - The Welfare State in Canada 13
• Chapter 4 - The Redistribution of Power Away from Local Communities and the Prospects for Its Return 19
• Part II - The Context of Health Policy Development 25
• Chapter 5 - Development of Canada's Welfare State Programs 27
• Chapter 6 - From Welfare State to Welfare Society? 37
• Part III - Canada's Publicly Financed Health Care System Evolves 45
• Chapter 7 - Developing Federal and Provincial Organizations for Providing Collectivist Health Services 1948-66 47
• Chapter 8 - Questioning Canadian Health Care Organizational Policies 1967-86 53
• Part IV - Service Delivery Systems and Their Response to the Need for Change to a Collective Care Organization 63
• Chapter 9 - Care in the Doctor's Office 65
• Chapter 10 - Support Services for Physicians in General Practice 81
• Chapter 11 - Medical Practice Organization: Alternative Medical Care Delivery Models 89
• Chapter 12 - Evolution of Public Health Departments 117
• Chapter 13 - Community Care for the Elderly 125
• Chapter 14 - Rural Health Services 139
• Chapter 15 - Four Preventive Care Programs 145
• Part V - Developing Control by Formal Authorities 153
• Chapter 16 - Developing Provincial Policies and Building Up Administrative Structures 155
• Chapter 17 - Some Issues in Horizontal and Vertical Coordination 167
• Part VI - Research on Organizational Issues *
• Chapter 18 - Development of Research and Planning Activities 181
• Chapter 19 - Research on Organization Theory and Its Relevance for Canadian Health Policy Development 187
• Chapter 20 - Health Promotion: Development of a Demonstration Strategy 205
• Chapter 21 - Economic Evaluation of Models of Community Services: a Critique of Applications of the Concept 221
• Part VII - Reform and Restructuring *
• Chapter 22 - The Welfare State Approach is Questioned 237
• Chapter 23 - The Impact of the Federal Deficit and Accumulating Debts 241
• Chapter 24 - Provincial Inquiries into Health Care Organization 251
• Chapter 25 - The Challenge of Human Rights' Policies to Traditional Health Care Structures 261
• Chapter 26 - A New Look at Community Inputs 275
• Chapter 27 - The Health Care System in the Welfare Society 287
• Part VIII - Afterword *
• Chapter 28 - Continuing Cutbacks: Implications for Health Services and Health 299
• Chapter 29 - Regionalization 305
• Chapter 30 - Where Do We Go from Here? 317
• Appendix A - Definitions 323
• Appendix B - A Chart of Important Dates in the Development of Canada's Community Health Care Organization 333
• Legislative Milestones in the Development of the Social Security System 335
• List of Provincial Commissions of Inquiry and Government Responses 1984-92 337
• Bibliography 341
• Federal, Provincial, and Municipal Government Publications 385
• Index 399
• About the Authors 409

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