Document Preview

HLST 1010 Chapter 12 summary Page 1
1 / 5

About the Download

Evolution of the Health Care division of labor Canada and US health care developed along similar lines Initial provision of care was varied: Aboriginal healers, religious order etc. Difference between Upper and Lower Canada vs Western Territories.
The modern medical profession became dominant both due to the first world war as well as lobbying for exclusive rights to practice medicine. Due the time, medical school was seen as a professional status, therefore gender segregation happened. Women were generally cast into supporting roles such as nursing and dental. Both seen as semi-professional status and functioning under direct supervision of men.
As time passed, the Medical dominance started to decline. Womens movements meant nursing was gaining status. However, even with that, Medical dominance was embedded into the medicare laws.
All professions are subject to “Rationalizatio process” to determine the mo efficient use of healthcare resources. 2 issues:
1. Flexibility to respond to shortage and surpluses 2. Keeping costs low This resulted in drastica changes to who does what in healthcare.
Reforms directed at who provides care Same as health care resource planning, determines:
• What types of worker should exist • What will each type do • What training and educational requirements are required. When medicare cme into effect, provinces sponsored reviews of the health care division of labour trying to address these problems:
Specifically, Ontario Committee f the healing arts suggested: • Increasing med school enrollment • Expansion of scope to include nurses and midwives
This was done in light of doctor shortage.
1982, Ontario appointed Health Professionals Legislation Review (HPLR) to recommend regulation framework for healthcare workers. This was achieved by regulations through 13 controlled acts rather than exclusive scopes of practice. For example: