Suchergebnisse

This paper outlines the development of emergency health planning as a function of government. Ten provinces have the basic responsibility for the organization, preparation and operation of medical, nursing, hospital and public health services in an emergency. The Department of National Health and Welfare is responsible for the provision of advice and assistance to the provincial and municipal governments in such matters. Eight provinces have now hired full-time planning staffs to co-ordinate the health planning of the Provincial Departments of Health and Provincial Emergency Measures Organization.

THIS PAPER PROVIDES AN ASSESSMENT OF THE PROSPECTS FOR THE NATIONAL HEALTH SERVICE AS REORGANIZED IN 1982 BY REVIEWING EXPERIENCE WITH HEALTH PLANNING IN RECENT YEARS. THE CURRENT DISCUSSION OF THE HEALTH PLANNING SYSTEM MUST BE LOCATED IN A LONG TIME FRAME. ALSO, THE FALSE UNITARY BELIEF IN A SINGLE RATIONALITY WITHIN THE ORGANISATION MUST BE REPLACED BY AN UNDERSTANDING THAT PLANNING IS A PROCESS OF INFORMED BARGAINING AND NEGOTIATION BETWEEN ACTORS PURSUING OFTEN CONFLICTING GOALS AND OBJECTIVES.