Health Systems in Transition: Canada

Health Systems in Transition: Canada

Weight 0.00 lbs
By Gregory Marchildon
University of Toronto Press, Scholarly Publishing Division © 2006
World Rights
176 Pages
ISBN 9780802094001
Published Feb 2006
Online discount: 15%
 $31.95    $27.16

The health care system in Canada is much-touted in the international sphere, but often overlooked when it comes to an examination of its actual administration and regulation. Health Systems in Transition: Canada provides an objective description and analysis of the public, private, and mixed components that make up health care in Canada today. Published in co-operation with the World Health Organization Regional Office for Europe on behalf of the European Observatory on Health Systems and Policies, Gregory P. Marchildon's study offers a statistical and visual description of the many facets of Canadian health care financing, administration, and service delivery.

This study's most distinctive feature is a comparative description and analysis. For international comparison, five other countries have been selected: The United States, Australia, the United Kingdom, France, and Sweden. Because public health care administration and delivery is highly decentralized in Canada, Marchildon also analyzes the important health status and health care features within Canada by province and territory, and describes in some detail the unique constitutional, jurisdictional, and financial features of the Canadian system.

Balancing careful assessment, summary, and illustration, Health Systems in Transition: Canada is a thorough and illuminating look at one of the nation's most complex institutions.

Gregory P. Marchildon is a Canada Research Chair in Public Policy and Economic History at the Johnson-Shoyama Graduate School of Public Policy, University of Regina. He was executive director of the Royal Commission on the Future of Health Care in Canada (the Romanow Commission). His most recent books include Health Systems in Transition: Canada (2013) and Nunavut: A Health System Profile (2013).




Executive summary

  1. Introduction
    • 1.1 Overview of the health system
    • 1.2 Geography and sociodemography
    • 1.3 Economic context
    • 1.4 Political context
    • 1.5 Health status
  2. Organizational structure
    • 2.1 Historical background
    • 2.2 Organizational overview
    • 2.3 Patient rights, empowerment and satisfaction
  3. Financial resources
    • 3.1 Revenue collection.
    • 3.2 Population coverage and basis for entitlement
    • 3.3 Pooling agencies and mechanisms for allocating funds
    • 3.4 Purchaser and purchaser–provider relations
    • 3.5 Payment mechanisms
    • 3.6 Health care expenditures
  4. Regulation and planning
    • 4.1 Regulation
    • 4.2 Planning and health information management
  5. Physical and human resources
    • 5.1 Physical resources
    • 5.2 Human resources: trends, training, planning and registration/licensing
  6. Provision of services
    • 6.1 Public health
    • 6.2 Patient pathways
    • 6.3 Primary/ambulatory care
    • 6.4 Secondary/inpatient and specialized ambulatory care
    • 6.5 Pharmaceutical care
    • 6.6 Rehabilitation/intermediate care
    • 6.7 Long-term care, home care and other community care
    • 6.8 Services for informal caregivers
    • 6.9 Palliative care
    • 6.10 Mental health care
    • 6.11 Dental health care
    • 6.12 Complementary and alternative health products and services
    • 6.13 Maternal and child health care
    • 6.14 Health care and Aboriginal Canadians
  7. Principal health care reforms
    • 7.1 Analysis of recent reforms
    • 7.2 Phase one of health reforms, 1988 to 1996
    • 7.3 Phase two of health reforms, 1997 to present
  8. Assessment of the health system
    • 8.1 Assessing the components: public, mixed and private
    • 8.2 Assessing the public (Medicare) health sector
    • 8.3 Beyond Medicare: assessing the mixed health sector
    • 8.4 Assessing the private health sector
    • 8.5 Overall health status and health indicator performance
  9. Conclusions
  10. References
  11. Useful websites