Health Care: a Community Concern?

Anne Crichton, PhD, taught health policy at the University of British Columbia from 1969 to 1985. Since retiring, she has been writing on the Canadian and Australian health care systems. She has served on the Vancouver Regional Health Board and is now doing research on this regional board's evolution. Ann Robertson, PhD, has been an assistant professor in the Department of Behavioural Sciences at the University of Toronto since 1993. Her research interests include health promotion, women's health, aging policy and new methodologies for community-based research. She has worked in community development as a Seniors' Wellness Coordinator for the Vancouver Health Department. Christine Gordon, MSc, has worked for a number of years as a consultant in health and social policy and community development. She has been engaged in social change movements, including anti-poverty activism, the promotion of equal opportunity, and disability rights. She is a founder of the B.C. Health Communities Network, the Global Health Network, and the B.C. Coalition for Health Care Reform.

A good summary of the evolution of the Canadian welfare state and Medicare. Harley D. Dickinson, Canadian Public Policy

• Charts and Lists Executive Summary Preface and Acknowledgements Acronyms Part I: Themes of the Book 1. An Explanation of the Approach 2. Canadaâs Publicly Financed Health Care System 3. The Welfare State in Canada 4. The Redistribution of Power Away from Local Communities and the Prospects for its Return Part II: The Context of Health Policy Development 5. Development of Canadaâs Welfare State Programs 6. From Welfare State to Welfare Society? Part III: Canadaâs Publicly Financed Health Care System Evolves 7. Developing Federal and Provincial Organizations for Providing Collectivist Health Services, 1948--66 8. Questioning Canadian Health Care Organizational Policies, 1967--86 Part IV: Service Delivery Systems and Their Response to the Need for Change to a Collective Care Organization 9. Care in the Doctorâs Office 10. Support Services for Physicians in General Practice 11. Medical Practice Organization: Alternative Medical Care Delivery Methods 12. Evolution of Public Health Departments 13. Community Care for the Elderly 14. Rural Health Services 15. Four Preventive Care Programs Part V. Developing Control by Formal Authorities 16. Developing Provincial Policies and Building Up Administrative Structures 17. Some Issues in Horizontal and Vertical Coordination Part VI. Research on Organizational Issues 18. Development of Research and Planning Activities 19. Research on Organization Theory and its Relevance for Canadian Health Policy Development 20. Health Promotion: Development of a Demonstration Strategies 21. Economic Evaluation of Models of Community Services: A Critique of Applications of the Concept Part VII: Reform and Restructuring 22. The Welfare State Approach is Questioned 23. The Impact of the Federal Deficit and Accumulating Debts 24. Provincial Inquiries into Health Care Organization 25. The Challenge of Human Rightsâ Policies to Traditional Health Care Systems 26. A New Look at Community Inputs 27. The Health Care System in the Welfare Society Part VIII: Afterword 28. Continuing Cutbacks: Implications for Health Services and Health 29. Regionalization 30. Where Do We Go from Here Appendix A Appendix B Bibliography Government Publications Index