NEWS photo Terry Peters

Lions Gate Hospital president Robert Smith addresses the Royal Commission on Health Care and Costs during two days of public hearings in North Vancouver this week. Joining the presentation was (centre to right) LGH board of directors chairman Rod Clark and {GH chief of staff Dr. Barrie

Purves.

Recommendations on health-care made to the Royal Commission

THE ROYAL Commission on Health Care and Costs heard a number of requests for funding and new programs from major players in the health-care field during two days of hearings in North Vancouver this week.

Among the recommendations given by Lions Gate Hospital (LGH) and North Shore Health

(NSH):

© LGH would like to get its budget from the provincial gov- ernment before its fiscal vear

Starts, instead of moaths after- wards;

© LGH asked for a more equitable funding formula that takes into account (a) the intensity of care provided which may lead to shorter hospital stays but is more costly, and (b) a growing out- patient component;

© LGH suggested amalgamating the hospital board of directors and North Shore Union Board of Health to eliminate traditional

barriers between hospital care and community health care;

© LGH stressed a need for im- proved communications between the hospital management, staff, community and government with regards to policy and decision- making;

¢NSH recommended the health ministry shift its focus from cur- ing disease to a preventive and health promotions approach; *NSH asked for mechanisms to give the ‘‘consumers’’ of health care increased input into decisions affecting the community’s health; ¢* NSH requested that the health ministry provide the local health department with information and statistics denoting health trends so that local health authorities can plan for emerging issues;

¢ NSH recommended a shift to a political definition of basic health determinants which recognizes that factors such as housing, liter- acy, nutrition and recreation af-

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© NSH suggested the creation of a group such as a B.C. health coun- cil that would provide a mecha- nism to start public debate on heaith resource allocation;

¢ NSH also suggested a ministry of youth, or similar mechanism, be created to ensure appropriate services are available for children and youth.

From page 3 square feet to the LGH site.

The commission was also urged to devise a form of remuneration for physicians to encourage their involvement in the daily opera- tions of the huspital.

Purves said that the 239 doctors who have hospital operating privi- leges at LGH currently have no stake in the hospital's manage- ment. The situation, he said, often results in a lack of accountability to the hospital.

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Meanwhile, David Schreck, the North Vancouver-Lorsdale NDP candidate, warned the commission not to follow the example of Alberta’s royal commission on health care.

Schreck, a health care economist, said the royal commis- sion in Alberta recommended the reintroduction of private health insurance bs placing a cap on each persou’s annual medicare en- litlement.

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