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Examining fiscal federalism, regionalization and community-based initiatives in Canada's health care delivery system.
- Source :
-
Social work in public health [Soc Work Public Health] 2008; Vol. 23 (4), pp. 69-88. - Publication Year :
- 2008
-
Abstract
- This study focuses on the ability of Canadian provinces to shape in different ways the development of various provincial health delivery systems within the constraints of the mandates of the federal Canada Health Act of 1984 and the fiscal revenues that the provinces receive if they comply with these mandates. In so doing, it will examine the operation of Canadian federalism with respect to various provincial health systems. This study applies a comparative analysis framework developed by Heisler and Peters to facilitate an understanding of the dimensionality of provincial health delivery systems as applied to the case of provincial regionalization and community-based initiatives. The three sets of relationships touched upon are: first, the levels of government and the nature of their involvement in public policy concerning the provincial health care delivery systems; and secondly, understanding of the factors influencing provincial governments' political dispositions to act in various directions. A third dimension that is taken are the factors influencing the "timing" of particular decisions. A fourth area noted by Heisler and Peters and other comparative analysts is the nature and characteristics of public and private sector activities in health care and other social policy areas. While the evolving nature of public and private sector health care delivery activities within Canada's provincial and territorial systems is a significant policy matter in the Canadian context, due to the space limitations of this article, they are not discussed herein.
- Subjects :
- Canada
Health Care Reform
National Health Programs economics
Regional Health Planning organization & administration
Community Networks economics
Community Networks legislation & jurisprudence
Community Networks organization & administration
National Health Programs legislation & jurisprudence
Regional Health Planning economics
Regional Health Planning legislation & jurisprudence
Subjects
Details
- Language :
- English
- ISSN :
- 1937-1918
- Volume :
- 23
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Social work in public health
- Publication Type :
- Academic Journal
- Accession number :
- 19213478
- Full Text :
- https://doi.org/10.1080/19371910802162280