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| Format: | Artículo científico |
| Language: | en |
| Published: |
Instituto Nacional de Salud Pública
1998
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| Subjects: | |
| Online Access: | https://www.redalyc.org/articulo.oa?id=10640309 |
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Table of Contents:
- Reforming health care in Canada: current issues Enis Baris Salud Canada health care reform consumer participation This paper examines the current health care reform issuesin Canada. The provincial health insurance plans of the 1960sand 1970s had the untoward effects of limiting the federalgovernments clout for cost control and of promoting asystem centered on inpatient and medical care. Recently,several provincial commissions reported that the currentgovernance structures and management processes are outmodedin light of new knowledge, new fiscal realities andthe evolution of power among stake-holders. They recommenddecentralized governance and restructuring for bettermanagement and more citizen participation. AlthoughCanadas health care system remains committed to safeguardingits guiding principles, the balance of power may beshifting from providers to citizens and technocrats. Also,all provinces are likely to increase their pressure on physiciansby means of salary caps, by exploring payment methodssuch as capitation, limiting access to costly technology,and by demanding practice changes based on evidence ofcost-effectiveness. 1998 artículo científico 0036-3634 https://www.redalyc.org/articulo.oa?id=10640309 en http://www.redalyc.org/revista.oa?id=106 Salud Pública de México application/pdf Instituto Nacional de Salud Pública Salud Pública de México (México) Num.3 Vol.40