PUBH2000: Analysis of Healthcare Systems, Government & Funding

This report provides a comprehensive analysis of the Canadian healthcare system (CHS), focusing on the roles of government, funding mechanisms, health system performance indicators, and the healthcare workforce. It highlights the federal government's role in implementing national principles under the Canada Health Act, providing financial support to provinces and territories, and delivering healthcare services to specific communities. The report also examines key performance indicators such as effectiveness, efficiency, equity, and safety, as well as the dimensions of health status, non-medical determinants of health, health system performance, and community health. Furthermore, it discusses healthcare funding sources, including federal contributions and citizen responsibilities, and analyzes the composition of the Canadian healthcare workforce, comparing it to other countries. The analysis includes references to the Canada Health Act, Canadian Institute for Health Information, and OECD data, providing a detailed overview of the Canadian healthcare landscape. Desklib provides access to this and other solved assignments for students.

6 key factors or performance indicators:
effectiveness,
efficacy,
equity,
responsiveness,
appropriateness and
safety
Introduction Role Of Government Funding
Health Workforce
References
Canadian Healthcare System (CHS)
aims to develop a strong system
which is strategically aligned,
justified theoretically, actionable,
integrated and comprehensive.
Involves both private and public
insurance policies
The system provides coverage to all
citizens, and is funded publicly and
administered at territorial or
provincial levels, following the
governmental guidelines.
The Canadian Health system performance
framework is conceptualized across four
dimensions: 1. Health Status, 2. Non
medical determinants of health, 3. Health
syste performance, 4. Community health
and system characteristics. Within this
framework, the performance can be
reported across 8 domains or dimensions
such as: 1. Acceptability, 2. Accessibility,
3. Appropriateness, 4. Competence, 5.
Continuity, 6. Effectiveness, 7. Efficiency
and 8. Safety
• .
Federal Government:
-
-Implementation and administration of
national principles under Canada Health
Act
-
-Provide financial support to the
territories and provinces as well as
funding and delivery of primary and
supplementary healthcare services for
specific communities such as Inuits, First
Nations people, members of Canadian
Forces, veterans, federal prison inmates
and also refugees.
-
- Through the Canada Health Transfer the
federal government provides the cash and
tax transfers to support the territories and
provinces to support the healthcare
expenses
-
-The Canada Health Act principles
ensures the providence of
Comprehensive, Universal, Accessible
and Portable Care, and ensures control to
the public administration via provincial
and territorial governments
The covered services are funded from the
federal contributions, and it covers
aspects such as physician’s charges,
diagnostic tests and hospital costs which
includes inpatient medication costs
The government provides 22% coverage
for long term care, 21% towards
prescription drugs, 16% for dental care,
10% for over the counter medications and
9% for eye care
The Canadian government spends
approximately 2,209 USD on healthcare
expenses, per capita, while the citizens
are responsible for 1,886 USD, adding up
to a total of 4,095 USD expense per
capita. The gross investment by the
government of Canada comes up to about
68.5 billion USD
The government spends approximately
7.3% of its GDP (as of 2016) on
healthcare expenses, which shows a
significant growth in the last 5 years
The total healthcare spending increased
by 116.4%, between 2001 and 2015, and
a corresponding growth in Canadian
economy by 77.4% also occurred within
the same timeframe
The funding to healthcare system is
channeled through the Canada Health
Transfer (for the main federal funding) as
well as Fiscal Transfer (for additional
funding) from the Federal Government.
The Canada Health Act also excempts
individuals from the payments of their
insurance premiums, which is funded
through the Canadian Health and Social
Transfer (CHST)
canada.ca (2018), Healthcare Systems, retrieved on 31 May,
2018. From:
https://www.canada.ca/en/health-canada/services/health-care-
system/reports-publications/health-care-system/canada.html
canadian-healthcare.org (2018), Canadian Healthcare,
retrieved on 31 May, 2018. From: http://www.canadian-
healthcare.org/
cihi.ca (2018), Health Workforce Database 2016, RRetrieved
According to the Canadian Institute of Health
Information the Healthcare Workforce of Canada
includes 30 healthcare provider groups
The workforce is involved in setups such as
hospitals, community care, professional practice
setups, long term care facilities, educational
institutes, public and private organizations,
pharmacies and clinics
According to OECD, Canada has an average of
2.6 doctors per 1000 inhabitants, which places it
along with USA, and ahead of Japan (2.4), Poland
and Korea (2.3), Mexico (2.2), Colombia and
Turkey (1.8), China (1.7), South Africa (0.8),
India (0.7) and Indonesia (0.3)
Health System and Public/Private Insurance Role ;international.commonwealthfund.org,
2018 (left). Data on Health Workforce; source: Oecd.org, 2018 (right)
Health System Indicators
Healthcare System Of Canada