HLST 3230 Lecture Notes - Lecture 1: Canada Health Act, Transfer Payment, The Incentive

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Money is spent on: hospitals, pharmaceuticals, physicians. Lecture 1: the canadian health system (september 6th) Misaligned incentive & poor accountability - integration of physicians into the accountability of care with performance- based funding and relevant modes of remuneration. Incentive misaligned: fee for service instead of pay for performance. Some of the main players in the healthcare system: health professionals, community agencies Institutions: public health units, community health centres, governments , planning/coordinating agencies, the public What are the roles: health care is a provincial responsibility (constitution 1867 and charter of rights and. Freedom 1982: federal government influences health care through canada health act, $"s (various transfer payment mechanisms) Welfare for specific classes of people (aboriginal/armed forces/federal inmates: provincial government- Establishment, maintenance and management of hospitals, asylums, charities and eleemosynary [charitable] institutions. The ministry of health provides policy, financing and overall governance and oversight.

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