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Closing The Gap Between Health Policy And The Home-Care Needs of Tomorrow's Elderly

Publication: Canadian Journal of Community Mental Health
September 1989

Abstract

The Canada Health Act guarantees access to medical care for all Canadians and outlines a funding mechanisms for achieving this goal. However, it also entrenches patterns of authority and service models which reflect a hierarchical model of health care. Using the field of home care, it is argued that health structures enshrined in current legislation will actually impede the development of alternative types of service and organizational arrangements needed to meet the needs of future elderly Canadians requiring health care in their homes.

Résumé

La Canada Health Act assure à tous les Canadiens l'acces aux soins médicaux et définit les mécanismes d'allocation des fonds pour atteindre cet objectif. Cependant, cette loi s'appuie sur des modèles de décision et de services qui introduisent une composante hiérarchique dans les soins de santé. A partir de l'exemple des soins à domicile, il est proposé que les structures de santé inscrites dans la législation actuelle vont à l'encontre du dévelopment des services alternatifs et des dispositifs organisationnels requis pour répondre aux besoins des Canadiens qui, dans les années à venir, nécessiteront des soins à domicile.

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cover image Canadian Journal of Community Mental Health
Canadian Journal of Community Mental Health
Volume 8Number 2September 1989
Pages: 141 - 150

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Version of record online: 29 April 2009

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Sheila M. Neysmith

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