At the legislative level, Ontario passed the Regulated Health Professions Act (RHPA) in 1991 that restructured the governance of health professions in the province. According to Beardwood (1999), this Act comes in the process of controlling the autonomy of health care professionals. It reduced the organizational autonomy by introducing the state/public in the college committees and thus into the governance of the professions. The clinical autonomy was also reduced by loosening professional boundaries and making them more permeable to other professions. Beardwood concluded that this Act uncoupled health care professions from their subordination to medicine, but decreased the various dimensions of autonomy of all health professions and introduced the gradual imposition of administrative and managerial power over health care …show more content…
Reforms were accompanied reducing the size of the workforce, contracting out, part-time work, and pressures for greater productivity by the remaining employees. The trend is to have small highly skilled core work force and a periphery of less qualified staff who can be hired and let go at will (Armstrong & Armstrong, 1996). The term “new managerialism” or “managed care”, which arose in the 1980s, was widely used in Canada in the 1990s to prioritize downsizing and restructuring in health care sector. Ontario policy makers believed that managerial private sector style could be applied in the health sector to make more efficiency through the dissemination of a business culture including flexible performance and cost effectiveness (Beardwood et al., 1999). Managerial techniques were transferred from industry to health care and power was transferred from professions to management. Health professionals were not satisfied with this change as they were not able to see the benefits of this reform except the perceived cost, which will come
Many policies have shaped Canadian healthcare. In 1962, Saskatchewan enacted the Medical Care Insurance Act (MCIA). The MCIA provided coverage in the province for services provided by physicians. Physicians were allowed to bill the patient for any amount over what the government would pay. Other provinces began considered similar programs. In 1966, the federal government passed the Medical Care Act. Under this act physician services were covered under programs administered at the provincial level. The fees were split at a 50% rate between the federal and provincial governments. Another act, known as the Hospital Act allowed the provinces to develop their own health plans. Some provinces took a more inflexible approach to billing. After these acts were implemente...
The concepts discussed within the article regarding medicalization and changes within the field of medicine served to be new knowledge for me as the article addressed multiple different aspects regarding the growth of medicalization from a sociological standpoint. Furthermore, the article “The Shifting Engines of Medicalization” discussed the significant changes regarding medicalization that have evolved and are evidently practiced within the contemporary society today. For instance, changes have occurred within health policies, corporatized medicine, clinical freedom, authority and sovereignty exercised by physicians has reduced as other factors began to grow that gained importance within medical care (Conrad 4). Moreover, the article emphasized
Topic and Specific Case: The topic that I have chosen is the impact that the shift to neoliberal government policies has had on workers in Canada. I have chosen to explore this topic through looking at the restructuring of unemployment insurance in the 1990’s neoliberal era when it came to be called employment insurance (McBride, 2005, pg. 90).
Saskatchewan’s governmental agencies approach to the shortage of doctors in the province favors too much the structuralist approach and would be more effective in the long term if switched to a humanistic approach. Throwing money at a problem may work for a little bit but what happens when the money runs out? So are current programs a true fix or a short-term solution doomed to fail. We look at the possible causes for the shortage of doctors and then examine the governmental responses put in place to deal with the problem, both past and present. We look at which perspectives are more successful between the structuralist approach and the humanist approach when it comes to the Canadian health care system.
In Canada there is a process to lawmaking that follows the rationalistic model — they are the functionalist view, conflict theory and the ‘moral entrepreneur’ thesis. In this essay, the rationalistic model, will at first, be explained then this paper will inform the reader to the functionalist view, the conflict perspective then the moral entrepreneur theory and what four different Canadian laws follow this theory. The essay will then, finally, explain which law is best understood with reference to the theory that it is linked to in comparison with others.
Autonomy is an important ethical principal that should be considered with great attention, especially with the limitation of personal autonomy one finds in hospitals. Burkhardt (2008) and Nathaniel define autonomy as self-governing and describe it as including four elements, the ability to determine personal goals, decide on a plan of action, to be respected, and to have freedom to act on choices. In John’s situation, his vulnerability in contrast to the power that the health care professionals hold over him put all four of these elements into jeopardy. Since his advance directive and his current choices differ, the matter of respec...
Within public health, the issue of paternalism has become a controversial topic. Questions about the ethics of public health are being asked. The role of ethics in medical practice is now receiving close scrutiny, so it is timely that ethical concepts, such as autonomy and paternalism, be re-examined in their applied context (Med J Aust. 1994). Clinically, patients are treated on a one on one basis, but public health’s obligation is toward the protection and promotion of an entire population’s health. So, based on this difference, the gaping questions targeting public health now becomes, under what conditions is it right to intervene and override an individuals’ autonomy? And if so, is the paternalistic intervention justified? Part of the concern
Regionalism is a political ideology based on a collective sense of place or attachment, and is discussed in terms of Canadian society, culture, economy and politics (Westfall, 3). Canada is known internationally as a nation incorporating several multiregional interests and identities into its unification of culture. Its diverse population is comprised of numerous ethnicities, religions, sexual orientations and traditions; and all resides under one federal government. Ever since the founding of Canada, it has developed into regional cleavages and identities, based on various geographical topologies, lifestyles and economic interests (Westfall, 6). It is these characteristics which make it problematic for the federal government to represent all demands of its people on a national level. Regionalism is thus an issue within regards to political proficiency in the Federal government.
Recently, Canada’s health-care delivery system has undergone changes, affecting access to services. Although Canada’s public health-care system is universal, privatization of health-care services has increased in the past two decades (Ives et al., 2015, p. 150-151). Privatization is “a
The healthcare reform debate has been politicized in the United States for many years where there have been deliberate efforts by various stakeholders to ensure that they push for the reforms that are in line with the cost-benefit aspects that they have already envisioned. In this paper, I will attempt to prove that the reforms that have been witnessed in the healthcare in the recent years have not been effective and helpful to the society as a whole. When President Obama came into office, he promised to oversee great reforms in the healthcare which is his government he face much priority in the social policy aspects. The congress managed to pass the Patient Protection and Affordable Care Act (PPACA).
Sovie, M. D., & Jawad, A. F. (2001, December). Hospital restructuring and its impact on outcomes. nursing staff regulations are premature. Journal of Nursing Administration, 31(12), 588-600. Retrieved from http://journals.lww.com
The Australian health care system comprises both the public and the private health sub-sectors. The health care system concerns itself with the financing, formulation, implementation, evaluation, and reforming of health services. The main sources of f...
Managing Change: Who Moved my Cheese? Darrin Ruble National University Managing Change: Who Moved my Cheese? Rashid-Al-Abri (2007) claims that change in the healthcare industry has been a dramatic phenomenon that requires the personnel to accept changes or they will be surpassed by them. Therefore, there is the need to follow the steps of change: evaluation, planning, implementation, and management. The characters are different, but the individual control that these characters display plays a fundamental role in the acceptance and the administration of change.
...mplications that allow for opportunities of change. One of the presumptions is for training and staffing (Shi & Singh, 2012). With the utilization of health care improvements, the staff will need additional instructions on the performance of equipment and how to efficiently achieve the desired results. Managers or supervisors recognize the need for supplemental staffing and training to optimize patient satisfaction and quality of care. The health care administrator must also focus on changes in insurance policies and rules governing the provision of medical assistance (Shi & Singh, 2012).
According to McConell (2012), the difference in a leader and a follower determines the success of a person regarding leadership. This chapter helps explain the content of qualities and proficiency for healthcare managers to be effective. Once again, effective management skills or certain qualifications enhance a healthcare organization environment. Healthcare managers and supervisors must have the capacity to handle challenges while the organization objectives and regulations may change over a period of time. Effective healthcare management governs the success of a healthcare organization. There are many different skill sets and leadership styles to be effective as a manager. People are interested in knowing what strategies are effective in healthcare management.