Podcast
Questions and Answers
What is the primary source of funding for Canada's health care system?
What is the primary source of funding for Canada's health care system?
- Federal government taxes
- Provincial and territorial government taxes (correct)
- Employer contributions
- Private insurance premiums
What percentage of Canada's total health care expenditures did the publicly funded system account for in 2010?
What percentage of Canada's total health care expenditures did the publicly funded system account for in 2010?
- 45%
- 100%
- 70% (correct)
- 29%
What is the main reason for variations in health expenditures across Canadian provinces and territories?
What is the main reason for variations in health expenditures across Canadian provinces and territories?
- Variations in the number of hospitals per capita
- Differences in the quality of medical professionals
- Differences in the level of technology available
- Differences in the services covered by each province and territory (correct)
Which of the following factors is NOT a significant contributor to variations in health care costs in Canada?
Which of the following factors is NOT a significant contributor to variations in health care costs in Canada?
What is the role of the Canadian Institute for Health Information (CIHI)?
What is the role of the Canadian Institute for Health Information (CIHI)?
What is the largest share of Canada's health care spending in 2010?
What is the largest share of Canada's health care spending in 2010?
What is the second-largest share of Canada's health care spending in 2010?
What is the second-largest share of Canada's health care spending in 2010?
What type of healthcare service is typically the first point of contact for Canadians within the healthcare system?
What type of healthcare service is typically the first point of contact for Canadians within the healthcare system?
What is the general method of payment for doctors in private practice?
What is the general method of payment for doctors in private practice?
What is the primary method of payment for nurses and other health professionals?
What is the primary method of payment for nurses and other health professionals?
What is the primary role of allied health professionals?
What is the primary role of allied health professionals?
What percentage of health expenditures in Canada are covered by private sources?
What percentage of health expenditures in Canada are covered by private sources?
How is the Canadian publicly funded health care system best described?
How is the Canadian publicly funded health care system best described?
What are the two main functions of primary health care?
What are the two main functions of primary health care?
Which type of healthcare facility is most commonly operated by community boards of trustees or voluntary organizations?
Which type of healthcare facility is most commonly operated by community boards of trustees or voluntary organizations?
What is the main reason for the increasing share of health care expenditures allocated to drugs?
What is the main reason for the increasing share of health care expenditures allocated to drugs?
What is the main principle of Canada's health care system?
What is the main principle of Canada's health care system?
What significant legislation was passed by the federal government in 1957?
What significant legislation was passed by the federal government in 1957?
Which province first introduced a province-wide universal hospital care plan?
Which province first introduced a province-wide universal hospital care plan?
What role did the federal government initially play in health care after 1867?
What role did the federal government initially play in health care after 1867?
In what year did Saskatchewan introduce a universal medical insurance plan?
In what year did Saskatchewan introduce a universal medical insurance plan?
How did Canada's health care system evolve before World War II?
How did Canada's health care system evolve before World War II?
Which document outlined the responsibilities of federal and provincial governments regarding health care?
Which document outlined the responsibilities of federal and provincial governments regarding health care?
What values are fundamental to Canada's health care system?
What values are fundamental to Canada's health care system?
What is one method used by provinces and territories to reduce acute care wait times?
What is one method used by provinces and territories to reduce acute care wait times?
Which issue is highlighted as a significant challenge for health systems globally?
Which issue is highlighted as a significant challenge for health systems globally?
What collaborative effort is made by federal, provincial, and territorial governments?
What collaborative effort is made by federal, provincial, and territorial governments?
What is the focus of the Task Force on Health in Prince Edward Island established in 1992?
What is the focus of the Task Force on Health in Prince Edward Island established in 1992?
Which commission's report focused on the future of health care in Canada?
Which commission's report focused on the future of health care in Canada?
What was a significant finding from the Manitoba Regional Health Authority External Review Committee released in February?
What was a significant finding from the Manitoba Regional Health Authority External Review Committee released in February?
What initiative was established on April 1 to combat cancer in Canada?
What initiative was established on April 1 to combat cancer in Canada?
What is a strategy to increase health care capacity mentioned in the content?
What is a strategy to increase health care capacity mentioned in the content?
Which of the following statements about hospital funding in Canada is TRUE?
Which of the following statements about hospital funding in Canada is TRUE?
Which of the following is NOT a common way that secondary health care services are provided in Canada?
Which of the following is NOT a common way that secondary health care services are provided in Canada?
Who can refer a patient to home or community care services?
Who can refer a patient to home or community care services?
Which of the following is NOT typically covered by the Canada Health Act?
Which of the following is NOT typically covered by the Canada Health Act?
Which of the following statements about long-term care facilities is TRUE?
Which of the following statements about long-term care facilities is TRUE?
What is the primary focus of palliative care?
What is the primary focus of palliative care?
Which of the following health services is NOT typically covered by supplementary health benefits?
Which of the following health services is NOT typically covered by supplementary health benefits?
Which of the following is NOT a factor contributing to challenges facing the Canadian healthcare system?
Which of the following is NOT a factor contributing to challenges facing the Canadian healthcare system?
Which of the following is NOT a trend in health care delivery in Canada?
Which of the following is NOT a trend in health care delivery in Canada?
What led to the decentralization of healthcare decision-making in Canada?
What led to the decentralization of healthcare decision-making in Canada?
What is a key focus of primary health care reforms in Canada?
What is a key focus of primary health care reforms in Canada?
How do electronic health technologies contribute to primary health care renewal?
How do electronic health technologies contribute to primary health care renewal?
Which of the following is NOT a reason for the growing importance of community primary health care centres?
Which of the following is NOT a reason for the growing importance of community primary health care centres?
Which of the following statements about the Canadian healthcare system is FALSE?
Which of the following statements about the Canadian healthcare system is FALSE?
Which of the following statements about the Canada Health Act is TRUE?
Which of the following statements about the Canada Health Act is TRUE?
Which of the following statements about the funding of home care in Canada is TRUE?
Which of the following statements about the funding of home care in Canada is TRUE?
What was the primary funding mechanism introduced by the Federal-Provincial Fiscal Arrangements and Established Programs Financing Act in 1977?
What was the primary funding mechanism introduced by the Federal-Provincial Fiscal Arrangements and Established Programs Financing Act in 1977?
Which criteria were established by the Canada Health Act of 1984?
Which criteria were established by the Canada Health Act of 1984?
What significant change occurred in federal health financing after the Accord on Health Care Renewal in 2003?
What significant change occurred in federal health financing after the Accord on Health Care Renewal in 2003?
What is the Patient Wait Times Guarantee?
What is the Patient Wait Times Guarantee?
What role does the federal government play in the Canadian health care system?
What role does the federal government play in the Canadian health care system?
Which of the following was NOT a focus of the 10-Year Plan to Strengthen Health Care announced in 2004?
Which of the following was NOT a focus of the 10-Year Plan to Strengthen Health Care announced in 2004?
Which level of government is primarily responsible for delivering health care services in Canada?
Which level of government is primarily responsible for delivering health care services in Canada?
How are publicly funded health care services primarily financed?
How are publicly funded health care services primarily financed?
What was a significant outcome of the agreement reached in 2000 by health leaders in Canada?
What was a significant outcome of the agreement reached in 2000 by health leaders in Canada?
What does the transfer of tax points involve?
What does the transfer of tax points involve?
Which of the following services is the federal government NOT responsible for in health care?
Which of the following services is the federal government NOT responsible for in health care?
What did the Canada Health Transfer established in 2004 mainly focus on?
What did the Canada Health Transfer established in 2004 mainly focus on?
Which aspect of health care is primarily handled at the provincial/territorial and local levels?
Which aspect of health care is primarily handled at the provincial/territorial and local levels?
In what year was the Medical Care Act passed, offering reimbursement for medical services outside hospitals?
In what year was the Medical Care Act passed, offering reimbursement for medical services outside hospitals?
Which type of care did the first ministers agree to enhance under the Accord on Health Care Renewal?
Which type of care did the first ministers agree to enhance under the Accord on Health Care Renewal?
Which of the following groups are NOT covered under the Canada Health Act?
Which of the following groups are NOT covered under the Canada Health Act?
What is the primary role of the federal government in healthcare, according to the text?
What is the primary role of the federal government in healthcare, according to the text?
What does the term "extra-billing" refer to?
What does the term "extra-billing" refer to?
What is the purpose of Equalization payments from the federal government?
What is the purpose of Equalization payments from the federal government?
Which of the following is NOT a principle established by the Canada Health Act?
Which of the following is NOT a principle established by the Canada Health Act?
What does the term "medically necessary" refer to in the context of the Canada Health Act?
What does the term "medically necessary" refer to in the context of the Canada Health Act?
Which of the following services are usually NOT covered under the Canada Health Act, but may be provided as supplementary benefits by provinces and territories?
Which of the following services are usually NOT covered under the Canada Health Act, but may be provided as supplementary benefits by provinces and territories?
What is the role of physician colleges or groups in the determination of medically necessary services?
What is the role of physician colleges or groups in the determination of medically necessary services?
What is the main mechanism for provinces and territories to receive funding for healthcare services?
What is the main mechanism for provinces and territories to receive funding for healthcare services?
How do provincial and territorial health insurance plans ensure that access to medically necessary services is available to all insured persons without financial barriers?
How do provincial and territorial health insurance plans ensure that access to medically necessary services is available to all insured persons without financial barriers?
What is the main principle behind the "portability" aspect of the Canada Health Act?
What is the main principle behind the "portability" aspect of the Canada Health Act?
Which of the following is NOT a responsibility of the federal government in relation to healthcare?
Which of the following is NOT a responsibility of the federal government in relation to healthcare?
What is the primary reason private insurers are restricted from offering coverage that duplicates that of the publicly funded health insurance plans?
What is the primary reason private insurers are restricted from offering coverage that duplicates that of the publicly funded health insurance plans?
Which of the following best describes the funding model for supplementary health services in Canada?
Which of the following best describes the funding model for supplementary health services in Canada?
What is the primary responsibility of the provincial and territorial governments in relation to healthcare?
What is the primary responsibility of the provincial and territorial governments in relation to healthcare?
What is the main difference between "extra-billing" and "user fees" in the context of healthcare?
What is the main difference between "extra-billing" and "user fees" in the context of healthcare?
Flashcards
Universal Healthcare
Universal Healthcare
A health care system where all medically necessary services are covered, regardless of a person's ability to pay.
Fairness and Equity
Fairness and Equity
The fundamental values that guide Canada's healthcare system, emphasizing fairness and equal access to care for all.
Shared Responsibility
Shared Responsibility
The sharing of resources and responsibility between the federal and provincial governments to support and maintain the healthcare system.
Dynamic Healthcare
Dynamic Healthcare
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Hospital Insurance and Diagnostic Services Act (1957)
Hospital Insurance and Diagnostic Services Act (1957)
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Saskatchewan's Hospital Care Plan (1947)
Saskatchewan's Hospital Care Plan (1947)
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Pre-World War II Healthcare
Pre-World War II Healthcare
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Saskatchewan's Universal Medical Insurance Plan (1962)
Saskatchewan's Universal Medical Insurance Plan (1962)
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Cost-Sharing (Healthcare)
Cost-Sharing (Healthcare)
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Block Fund
Block Fund
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Tax Point Transfer
Tax Point Transfer
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Portability (Healthcare)
Portability (Healthcare)
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Universality (Healthcare)
Universality (Healthcare)
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Comprehensiveness (Healthcare)
Comprehensiveness (Healthcare)
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Public Administration (Healthcare)
Public Administration (Healthcare)
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Prohibition of Extra Billing
Prohibition of Extra Billing
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Patient Wait Times Guarantee
Patient Wait Times Guarantee
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Healthcare Renewal Plan
Healthcare Renewal Plan
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National Health Principles
National Health Principles
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General Revenue (Healthcare)
General Revenue (Healthcare)
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Health Premium
Health Premium
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Public Health Responsibility
Public Health Responsibility
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Collaborative Patient Safety
Collaborative Patient Safety
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Provincial and Territorial Strategies for Reducing Wait Times
Provincial and Territorial Strategies for Reducing Wait Times
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Canadian Healthcare System
Canadian Healthcare System
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Provincial/Territorial Reciprocal Billing Agreement
Provincial/Territorial Reciprocal Billing Agreement
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Canadian Partnership Against Cancer Corporation
Canadian Partnership Against Cancer Corporation
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Romanow Commission Report (2002)
Romanow Commission Report (2002)
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Nova Scotia Health Services Operational Review
Nova Scotia Health Services Operational Review
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Roddick Committee
Roddick Committee
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Canada Health Act
Canada Health Act
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Provincial/Territorial Health Insurance Plan
Provincial/Territorial Health Insurance Plan
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Canada Health Transfer
Canada Health Transfer
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Medically Necessary Services
Medically Necessary Services
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Extra-billing
Extra-billing
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User Charge
User Charge
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Universality
Universality
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Comprehensiveness
Comprehensiveness
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Accessibility
Accessibility
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Portability
Portability
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Direct Federal Delivery of Health Services
Direct Federal Delivery of Health Services
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Public Administration
Public Administration
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Supplementary Health Benefits
Supplementary Health Benefits
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Private Health Insurance
Private Health Insurance
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Federal Role in Healthcare
Federal Role in Healthcare
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Medicare
Medicare
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Primary Healthcare
Primary Healthcare
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Fee-for-service
Fee-for-service
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Alternative Payment Schemes
Alternative Payment Schemes
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Specialized Healthcare Providers
Specialized Healthcare Providers
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Allied Health Professionals
Allied Health Professionals
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Workers' Compensation
Workers' Compensation
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Healthcare Expenditures as a % of GDP
Healthcare Expenditures as a % of GDP
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Healthcare Expenditure Trends
Healthcare Expenditure Trends
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Hospital Healthcare Expenditures
Hospital Healthcare Expenditures
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Drug Expenditure
Drug Expenditure
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Physician Expenditure
Physician Expenditure
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Provincial/Territorial Governments (Healthcare)
Provincial/Territorial Governments (Healthcare)
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Interlocking Health Systems
Interlocking Health Systems
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Long-Term Care Facilities
Long-Term Care Facilities
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Global Hospital Funding
Global Hospital Funding
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Secondary Health Care Services
Secondary Health Care Services
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Continuity of Care
Continuity of Care
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Publicly Funded Health Care
Publicly Funded Health Care
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Palliative Care
Palliative Care
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Healthcare System Evolution
Healthcare System Evolution
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Alternative Care Delivery
Alternative Care Delivery
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Decentralization of Healthcare Delivery
Decentralization of Healthcare Delivery
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Reformed Primary Healthcare
Reformed Primary Healthcare
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eHealth
eHealth
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Electronic Health Records (EHRs)
Electronic Health Records (EHRs)
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Telehealth
Telehealth
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Study Notes
Canada's Publicly Funded Healthcare System
- Canada's healthcare system is publicly funded and universally covers medically necessary services, based on need, not ability to pay.
- This system demonstrates fairness and equity through resource sharing and responsibility.
- The system adapts to population changes and evolving healthcare needs.
Historical Development
- Initially, provinces were responsible for hospitals, while the federal government oversaw marine hospitals and quarantine.
- Federal health responsibilities were under the Agriculture department until 1919, when the Health department was formed.
- Pre-World War II, healthcare was largely private.
- The 1947 Saskatchewan universal hospital care plan spearheaded the movement towards a publicly funded system, followed by British Columbia and Alberta.
- The 1957 Hospital Insurance and Diagnostic Services Act enabled federal cost-sharing for provincial/territorial hospital and diagnostic services.
- All provinces/territories embraced inpatient hospital funding by 1961
- In 1962, Saskatchewan introduced universal medical insurance.
- The 1966 Medical Care Act extended federal cost sharing to doctors' services outside hospitals.
- All provinces/territories adopted universal physician services by 1972.
- From 1957 to 1977, federal funding amounted to 50% of provincial/territorial costs.
- The 1977 Federal-Provincial Fiscal Arrangements Act introduced a block funding system, replacing cost-sharing. Block funds represent money transferred for a specific purpose.
- The 1984 Canada Health Act merged hospital and medical insurance acts, setting portability, accessibility, comprehensiveness, universality, and public administration criteria. This legislation also banned extra-billing and user fees.
- Key 2000 reforms focused on primary care, pharmaceuticals, IT, and infrastructure.
- The 2003 Accord on Health Care Renewal emphasized access, quality, and long-term sustainability, aiming for targeted reforms in various areas. Increased cash transfers by the federal government
- The 2004 10-Year Plan to Strengthen Health Care targeted wait times, health human resources, Aboriginal health, and more.
- Annual increases to the Canada Health Transfer occurred from 2006-07 to 2013-14.
Funding and Financing
- Health care financing relies on federal, provincial/territorial taxes (personal, corporate, sales, payroll).
- Provinces can levy health premiums, but cannot limit access to medically necessary care.
- Public health, encompassing sanitation, diseases, and education, is a shared responsibility.
- Federal roles include setting national principles, financial support, and service provision to specific groups (e.g., Indigenous peoples, military).
- The Canada Health Act sets criteria for provinces/territories to receive full federal funding.
- Federal Equalization payments assist less prosperous provinces/territories.
Health Care Delivery
- Provinces/territories oversee most health service delivery.
- Federal delivery occurs for specific groups (Indigenous, military).
- Services include primary care, emergency care, and other community-based programs, both on-reserve/inuit communities.
- Medically necessary services are defined by provincial/territorial plans in consultation with their medical professions.
- The Act encourages access to medically necessary services without financial barriers.
- Provincial/territorial plans provide supplemental health benefits (drugs, dental), not covering by Canada Health Act.
- Private insurance options are available, though often limited to supplementary coverage.
- Worker's compensation schemes from the province/territory fund workplace injuries.
- Health costs vary across provinces, due to services covered and demographics.
Healthcare Spending Trends
- Healthcare expenditures comprised 7% of GDP in 1975 and rose to an estimated 11.7% in 2010.
- Publicly funded healthcare represented 70% of total health expenditures in 2010.
- Spending on hospitals, physicians has decreased over time, meanwhile spending on drugs has increased. Hospitals still represent the largest slice, while drugs and physicians constitute second & third largest parts
Organization of Primary healthcare
- Primary care acts as the first point of contact for Canadians who need healthcare.
- It has two core functions: delivering first-contact care & coordinating patient care across the system
- Primary Care is expanding services to include prevention/treatment/referral networks and more comprehensive health promotion/management.
- Doctors in private practice are generally paid on a fee-for-service basis; others (clinics, community health centers) may use salary or blended models.
- Nurses and/or other healthcare professionals are mostly on salary, negotiated by unions and employers.
- Specialized care can be sought at various locations: hospitals, long-term care, or in the community.
Hospital Funding & Regulation
- Hospitals are primarily governed by community boards, voluntary organizations or regional health authorities.
- Hospital funding mostly employs "global budgets" (rather than fee-for-service), which are negotiated.
Home and Continuing Care
- The Canada Health Act does not generally cover these services, but provinces/territories provide them.
- Home care & continuing care providers include families, formal organizations, and volunteers.
- The federal government does provide some home care for certain people, e.g., veterans, Indigenous, Inuit.
Modern Challenges & Adaptations
- Changes in healthcare delivery, fiscal constraints, the aging population and new technology pose challenges.
- Decentralized models of regional health authorities have been tried but are facing increasing centralization in some provinces.
- Primary health care models are adapting by building more community-based centers, forming teams, expanding preventative/promotive/chronic disease management services.
- Electronic health technologies (eHealth, including EHRs & telehealth) are driving innovation, access & efficiency.
- Provinces are working on wait times guarantees and have started pilot projects to test alternative, or faster paths to care
- Patient safety has become more crucial, necessitating risk assessment and error reduction strategies.
Role of Government
- Provincial and territorial governments are mainly responsible for healthcare service delivery.
- The federal government plays a crucial role in healthcare funding and setting national principles (Canada Health Act).
- The federal government also provides support for health promotion, specific populations (i.e., First Nations, Inuit).
- Federal government regulates matters like pharmaceuticals, food, medical devices, and consumer safety.
Reports and Commissions
- Several task forces, committees, and commissions have explored healthcare improvements across Canada, with specific reports.
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Description
Explore the intricacies of Canada's publicly funded healthcare system, which ensures that medically necessary services are available to all citizens regardless of their financial situation. Learn about the historical development of this system, including its provincial roots, federal involvement, and landmark legislations that shaped its evolution.