1.

Record Nr.

UNINA9910456301603321

Titolo

The governance of health care in Canada / / edited by Tom Mclntosh, Pierre-Gerlier Forest, and Gregory P. Marchildon

Pubbl/distr/stampa

Toronto, Ontario ; ; Buffalo, New York ; ; London, England : , : University of Toronto Press, , 2004

©2004

ISBN

1-281-99630-0

9786611996307

1-4426-8139-X

Descrizione fisica

1 online resource (398 p.)

Collana

Romanow Papers ; ; Volume 3

Disciplina

362.1/0971

Soggetti

Medical care - Canada

Medical economics - Canada

Medical policy - Canada

Electronic books.

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Note generali

Papers originally commissioned as part of the research activities of the Commission on the Future of Health Care in Canada headed by Roy J. Romanow.

Nota di bibliografia

Includes bibliographical references.

Nota di contenuto

Frontmatter -- Contents -- Acknowledgments -- Contributors -- Introduction: Restoring Trust, Rebuilding Confidence - The Governance of Health Care and the Romanow Report / Mcintosh, Tom -- Part I. The Constitutional Context -- 1. Health and the Distribution of Powers in Canada / Braën, André -- 2. Constitutional Jurisdiction over Health and Health Care Services in Canada / Leeson, Howard -- 3. How Will the Charter of Rights and Freedoms and Evolving Jurisprudence Affect Health Care Costs? / Greschner, Donna -- Part II. The Intergovernmental Context -- 4. Intergovernmental Cooperation Mechanisms: Factors for Change? / Pelletier, Réjean -- 5. Roles and Responsibilities in Health Care Policy / Maioni, Antonia -- 6. Health Care Politics and the Intergovernmental Framework in Canada / Johnson, Candace -- 7. The Conditions for a Sustainable Public Health System in Canada / Imbeau, Louis M. / Chenard, Kina / Dudas, Adriana



-- Part III. The Social and Legal Context -- 8. Political Elites and Their Influence on Health Care Reform in Canada / Lavis, John N. -- 9. Creating a More Democratic Health System: A Critical Review of Constraints and a New Approach to Health Restructuring / Tomblin, Stephen -- 10. Could New Regulatory Mechanisms Be Designed after a Critical Review of Health Technology Innovations? / Lehoux, Pascale -- 11. Strengthening the Foundations: Modernizing the Canada Health Act / Flood, Colleen M. / Choudhry, Sujit

Sommario/riassunto

The twelve papers in this third volume of the research program for the Romanow Commission offer a detailed analysis of the governance of health care in Canada from the perspective of constitutionalism, intergovernmental relations, and societal context.In the first section, the authors deal with the formal division of powers regarding health care as outlined in the Canadian constitution and the Charter of Rights and Freedoms. The second section outlines the strengths and weaknesses of the intergovernmental governance of health care. Finally, the third section focuses on governance of health care outside of the governmental sphere. The theme that resonates throughout the contributions ? and which is in itself a call for deeper analysis ? is that health care governance has become locked in a cycle of mutual recrimination, blame assigning, and blame avoidance from the federal and provincial levels right down to the level of the individual citizen.