A critical discourse analysis of British Columbia's palliative care benefits eligibility
department or school: Applied Science, Faculty of
department or school: Music, School of
data provider: DSpace
degree campus: UBCV
creator: Elliott, Carly
issued: 2025-04-30T07:00:00Z
issued: 2023
related degree: Master of Science in Nursing - MSN
degree grantor: University of British Columbia
description: British Columbia’s Palliative Care Benefits (BCPCB) is a provincial program implemented by the Ministry of Health that offers coverage of medications for symptom management through the PharmaCare BC Palliative Care Drug Plan (Plan P), as well as medical supplies and equipment through local health authorities for eligible patients. BCPCB is available to B.C. residents who have reached the end stage of a life-threatening illness and wish to receive palliative care services at home. Utilizing Fairclough’s Dialectical–Relational Critical Discourse Analysis, this thesis analyzed how BCPCB registration and a companion policy, the Home and Community Care Policy Manual: Home Health Services, governs practices that determine service users’ eligibility for BCPCB, as well as determining resource allocation based on perceived level of the service user’s need, function, illness burden and urgency. This analysis aimed to show how the BCPCB and Policy Manual are constructed within socio-historic discourses of biomedicalism, medical paternalism, empiricism, ableism, postcolonialism, and neoliberal orientations of the provincial government. The BCPCB and Policy Manual define eligible service-users as patients with “life-limiting illness” who are determined by a physician to be in the last 6 months of life. To be considered eligible, service users must also agree to receive palliative care services in the home and consent to comfort care as the focus of treatment. Vague and discriminatory prognostication practices outlined by the BCPCB are implemented by physicians to determine service user eligibility to BCPCB, while unclear and ableist-oriented approaches to determine resource allocation is outlined in the Policy Manual and implemented by nurses once service users are deemed eligible for BCPCB. The discourses of the BCPCB and Policy Manual can be seen as produced within neoliberal governing practices that prioritize efficiency in the production and consumption of health services ov…
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/86123
note: A CRITICAL DISCOURSE ANALYSIS OF BRITISH COLUMBIA’S PALLIATIVE CARE BENEFITS ELIGIBILITY by CARLY ELLIOTT B.S.N, Langara College, 2014 A THESIS SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF SCIENCE IN NURSING in THE FACULTY OF GRADUATE AND POSTDOCTORAL STUDIES THE UNIVERSITY OF BRITISH COLUMBIA (Vancouver) OCTOBER 2023 © Carly Elliott, 2023 ii The following individuals certify that they have read, and recommend to the Faculty of Graduate and Postdoctoral Studies for acceptance, the thesis entitled: A Critical Discourse Analysis of British Columbia’s Palliative Care Benefits Eligibility submitted by Carly Elliott in partial fulfillment of the requirements for the degree of Master of Science in Nursing in Nursing Examining Committee: Helen Brown, Associate Professor, School of Nursing, UBC Supervisor Lydia Wytenbroek, Assistant Professor, School of Nursing, UBC Supervisory Committee Member Farinaz Havaei, Assistant Professor, School of Nursing, UBC Supervisory Committee Member iii Abstract British Columbia’s Palliative Care Benefits (BCPCB) is a provincial program implemented by the Ministry of Health that offers coverage of medications for symptom management through the PharmaCare BC Palliative Care Drug Plan (Plan P), as well as medical supplies and equipment through local health authorities for eligible patients. BCPCB is available to B.C. residents who have reached the end stage of a life-threatening illness and wish to receive palliative care services at home. Utilizing Fairclough’s Dialectical–Relational Critical Discourse Analysis, this thesis analyzed how BCPCB registration and a companion policy, the Home and Community Care Policy Manual: Home Health Services, governs practices that determine service users’ eligibility for BCPCB, as well as determining resource allocation based on perceived level of the service user’s need, function, illness burden and urgency. This analysis aimed to show how the BCPCB and Policy Manual are …
has type: Thesis/Dissertation
date issued: 2023-11
is shown at: 10.14288/1.0437107
language: eng
degree discipline: Nursing
provider: Vancouver : University of British Columbia Library
publisher: University of British Columbia
rights: Attribution-NonCommercial-NoDerivatives 4.0 International
rights URI: http://creativecommons.org/licenses/by-nc-nd/4.0/
scholar level: Graduate
contributor: Brown, Helen
type: Text
identifier URI: http://hdl.handle.net/2429/86123