Leadership in health services = Leadership dans les services de santé
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The method by which physicians are compensated, particularly the fee-for-service model, is the subject of considerable debate among health policy analysts, funding agencies, health care administrators, and the medical community at large. Prevailing arguments identify the shortcomings of the fee-for-service model but generally fail to explore alternate methods of remuneration for physicians. This article examines the deficiencies in the fee-for-service model and examines an alternate remuneration model--a salary-based system now being used in seven rural Manitoba communities.
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Health agencies in Canada provide services to a population that is culturally diverse. Most health care facilities are being asked to accommodate beliefs, values, customs, and practices from many cultures, and health care professionals are increasingly being asked to be sensitive to this need. This article documents illustrative scenarios from health agencies in Alberta and discusses ways in which health professionals can provide high-quality care with deference to various cultural perspectives.