Health System Analysis: Canada's Healthcare Economics

This presentation provides an economic analysis of Canada's health system, examining the interaction between public and private healthcare providers, healthcare resource allocation, and funding mechanisms. It delves into revenue collection, pooling of funds, purchasing arrangements, and the provision of health services, including the roles of contracting and payment methods for healthcare professionals and institutions. The presentation also explores the public and private sectors' roles, benefit packages, existing health policies, recent reform initiatives, and the challenges facing the health system, such as an aging population and high public debt. The analysis includes discussions on policy options to address these challenges, the two-tier system, and the impact of private and public insurance. The content is supported by references to academic literature on the Canadian health system and relevant policy issues.

 Canada’s health system is attributed with
the interaction between private and public
hospitals
 Allocation of healthcare–based resources
 Health care funding by the government and
users contribution.
 Minimal health-care costs based on the
public-private mix health care
 The private-public mix in health insurance
Introduction

 Canadas system of health-care is an
collaboration of private and public providers
 Health policy politics affects the
government health reform
 There is great competition between the
public and private providers of health care
 Social solidarity principle is only access
based but not based on people’s ability to
pay
Canada’s health system Health for all

 Population health used in the allocation of
health-care resources
 Casemix funding
 Hospital reimbursement
 Remuneration of GPs
 Provider reimbursement
 Purchaser-provider split
Resource allocation

 The public health system associated with
private health insurance
 High competition in the insurance market
 The two-tier system a matter as per the
efficiency and equity perspective
 Advantages of public system from private
insurance include;
 Enhanced health funding and support to
the public system
Health insurance in the
nation

 Public taxation
 Out of pocket payments
 Social security payments
 Private health insurance
Revenue collection
mechanisms

 The publicly collected funds are pooled
countrywide for the provision of healthcare.
 Bodies involved;
 Social health insurance funds
 Public and private insurance funds
 Arms of the health ministries
 Local governments
 National health ministries
 Equity in distribution of health resources
 General administration of health system
Pooling of funds

 Disability care
 Ambulance services
 Public health expenditure
 Voluntary sector hospitals
 Child care
 Community health services
Healthcare expenditure

 In Canada, people enjoy cash benefits
related to health care comprising of
 Blind pension
 Careers benefit
 Invalidity pension
 Illness benefit/disability benefit
Healthcare cash benefits

 The pooled funds are transferred to
providers
 The Canadian government purchases the
services for the public
 There is competition among the healthcare
providers.
 Providers are paid for the improvement of
the quality of health care services
Purchasing arrangements

 The health service is governed by the
department of children and health,
government and ministry of health and
children
 The sections responsible for delivery of
health services are; Community, continuing
and primary care
 National hospitals office
 Population health
 Health services are offered to;
 Prevent illness, Promote health, treatment
of and diagnose of illnesses
Provision (delivery) of health
services

 Social health insurance (SHI)
 External service contractors
 Enhancement of health system performance
Role of contracting