Health Care: A Community Concern?

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

CHAPTER 9

Care in the Doctor's Office

When national health insurance legislation was enacted by the federal government in 1957 and 1966 there was already a medical care delivery system in place. The purpose of the health insurance legislation was to provide more adequate and better distributed funding to support this system of care. It was not until the whole new funding system was in place that questions began to be raised about the health outcomes of this subsidized traditional structure of organization (Le Clair 1975), for until then, the main thrust of government policies had been towards improving universal access of individuals to hospitals and physicians' services.


The Model Is Established: Regional Hierarchies of Organization

The medical model of health care was firmly established in Canada in the nineteenth century. Desrosiers (1979) associated its rise with industrialization in Quebec, but elsewhere demand for medical services was not confined to the cities. When the prairies were settled early in the twentieth century, one of the principal objectives of the farmers' cooperatives' policies was to encourage well qualified physicians to serve rural communities (Badgley and Wolfe 1967).

In 1910 Flexner reviewed the work of medical schools in North America and made it clear that they should provide teaching based on scientific research in laboratories and teaching hospitals. The effect of this study was to put medical schools at the top of a pyramid — a "regional hierarchy" (Fox 1987) — with quaternary care specialists working in university health science centres at the peak, tertiary specialists providing service in metropolitan areas, secondary specialists working in hospitals in the larger population centres in the middle (although often these secondary centres in the provinces are known as regional centres) and primary care giving general practi

-65-

Notes for this page

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this book

This book has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this book

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this page

Cited page

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited page

Bookmark this page
Health Care: A Community Concern?
Table of contents

Table of contents

Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this book

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen
/ 409

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.