Aging not the key driver of HC costs mainly drugs technology and personnel Less

Aging not the key driver of hc costs mainly drugs

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Aging not the key driver of HC costs – mainly drugs, technology and personnel Less money into expensive technologies, into primary care and/or SDOH instead Part II - Alla’s Lecture Extended health services – not medically necessary, as per the CHA Principles Homecare system: Government to MOHLTC to LHINs to provider agencies which then contract HCPs to provide the needed service Private larger companies were at an advantage to bid. Competitive bidding process would lower the price, however, many agencies were unable to bid in the first place, which ultimately resulted in higher costs Feminist Political Economy – serious impact on women, due to the majority of workers being female in the paid labour workforce. Lower salary, increased workload, more contracting, no benefits or hours guaranteed. Led to more staff leaving the homecare system and moved to hospitals or into the private sector Public Homecare system – individuals had difficulty navigating the system o Not flexible e.g. timing of services, language/gender due to comfort o People who needed significant care levels were not very satisfied with the system, while those who had basic needs were satisfied with the system o May not be the same staff coming in – unable to establish rapport with staff Private homecare system – expensive, often personnel comes in for multiple hours due to efficiency. People have more say and can have someone else, request for language or specific gender. Less cancellations by staff, more consistency with the PSW/staff coming in. Regulations/accountability not as strong as public system
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  • Fall '18
  • Marina Morrow

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