Health Care: A Community Concern?

By Anne Crichton; Ann Robertson et al. | Go to book overview

CHAPTER 1

An Explanation of the Approach
Three themes will be developed in this book:
1. Because the present organization of health care delivery is less efficient and effective than it could be, there is a perceived need for reform and restructuring
2. That understanding how the health care system may be reformed depends upon a better understanding of the context of its organization, that is, the Canadian welfare state and our commitment to it
3. That one aspect of reform and restructuring is community involvement.

As an introduction to an exploration of these themes, the first four chapters will present, first, the framework which will be used for analysing the health care system in its context and second, three brief summaries of the themes which will be discussed more fully later.


The Reasons for Taking This Approach

In 1986 the federal Minister of Health, Jake Epp, called an international conference in Ottawa (WHO 1986) in conjunction with the World Health Organization's (WHO) European office, to discuss the concept of health promotion. He had become interested in this extension of Canada's approach to health care delivery because the previous government had passed, in 1984, the Canada Health Act, 1 which can be seen as bringing to a close the first stage of development of publicly financed health care. The passage of this act ensured that all provinces receiving federal grant aid would provide

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1
This act brought together the legislation in 1948 for the National Health Grants, the 1957 Hospital Insurance and Diagnostic Services Act and the 1966 Medical Care Insurance Act (see Chapter 2).

-3-

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