Provision of health care services in CanadaChallenges and opportunities

  1. Rosa Rodriguez-Monguio 1
  2. Enrique Seoane-Vazquez 2
  3. Fernando Antoñanzas Villar 3
  1. 1 University of Massachusetts Amherst
    info

    University of Massachusetts Amherst

    Amherst Center, Estados Unidos

    ROR https://ror.org/0072zz521

  2. 2 Ohio State University
    info

    Ohio State University

    Columbus, Estados Unidos

    ROR https://ror.org/00rs6vg23

  3. 3 Universidad de La Rioja
    info

    Universidad de La Rioja

    Logroño, España

    ROR https://ror.org/0553yr311

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Revista:
Revista Electrónica de Biomedicina

ISSN: 1697-090X

Año de publicación: 2009

Número: 2

Páginas: 66-75

Tipo: Artículo

DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Revista Electrónica de Biomedicina

Resumen

El sistema sanitario de salud canadiense provee completo acceso a servicios hospitalarios y de atención ambulatorio, incluyendo servicios terapéuticos diagnósticos y preventivos. El nivel de cobertura de los servicios varía en el país. Este estudio examina las características principales de los sistemas canadiense de salud y de cuidados de larga duración; presenta un análisis estructurado del aseguramiento, financiación y provisión de los servicios sanitarios y de cuidados de larga duración; describe los principales desafíos de dichos sistemas; y concluye con una lista de oportunidades para la política sanitaria pública. Los principales desafíos del sistema Canadiense están relacionados con el envejecimiento de la población, la prevalencia de enfermedades prevenibles causadas por hábitos no saludables, la cobertura y financiación de los cuidados de larga duración, la financiación de nuevas tecnologías y medicamentos de alto coste, y la escasez y inadecuada distribución geográfica de los profesionales sanitarios. Las oportunidades para la política sanitaria canadiense incluyen: fortalecer la política de salud pública, continuar con la transferencia de la atención al nivel ambulatorio, mejorar la coordinación entre los servicios de atención primaria y especializada, implantar un sistema nacional de planificación de recursos humanos, e integrar la atención domiciliaria como parte de la atención primaria de salud.

Referencias bibliográficas

  • U.S. Census Bureau. International Database, 2007. http://www.census.gov/ipc/www/idb/
  • Canada's National Statistical Agency. Statistics Canada, 2006 Census. Canada, 2008. http://www12.statcan.ca/english/census06/data/popdwell/Table.cfm?T=101.
  • OECD . Heath Data. Organization for Economic Cooperation and Development (OECD), 2006.
  • Minister of Industry. Statistics Canada. Aboriginal Peoples in Canada in 2006: Inuit, Métis and First Nations, 2006 Census. Census year 2006. Canada, 2008. http://www12.statcan.ca/english/census06/analysis/aboriginal/pdf/97-558- XIE2006001.pdf
  • Minister of Health (2006a), Healthy Canadians. A Federal Report on Comparable Health Indicators. Minister of Health. Canada, 2006.
  • Health Canada, Canada's Health Care System, 2005. Available online at: http://www.hc-sc.gc.ca
  • Evans R, Roos NP. What is Right about the Canadian Health Care System?. The Milbank Quarterly. 1999; 77:393- 399.
  • Marchildon GP. Health Systems in Transition: Canada. European Observatory on Health Systems and Policies. Copenhagen, Denmark, 2005.
  • Canadian Life and Health Insurance Association. The Role of Supplementary Health Insurance in Canada's Health System. Submission to the Commission on the Future of Health Care in Canada. Toronto, Canada, 2001.
  • Sheils JF, Young GJ, Rubin RJ. O Canada: Do we Expect too much from its Health System?. Health Affairs. 1992; 11, 7-20.
  • European Observatory on Health Care Systems. Health Care Systems in Eight Countries: Trends and Challenges. Edited by Dixon A. and Mossialos E. Commissioned by the Health Trends Review, HM Treasury. London, UK. 2002.
  • Canadian Institute for Health Information. Hospital Trends in Canada. National Health Expenditure Database. March 25, 2005. Ottawa, Ontario, 2008. http://secure.cihi.ca/cihiweb/dispPage.jsp?cw_page=AR_1215_toc_e.
  • Canadian Institute for Health Information. Canadian MIS Database. 2008.
  • Evans RG, McGrail KM, Morgan SG, Barer ML, Herzman C. Population Aging and the Future of Health Care Systems. Can J Aging. 2001;20:160-191.
  • Canada Institute for Health Information. Inpatient Hospitalizations and Average Length of Stay Trends in Canada, 2003-2004 and 2004-2005. Hospital Morbidity Database and the Discharge Abstract Database. Canada, 2005. http://secure.cihi.ca/cihiweb/dispPage.jsp?cw_page=bl_hmdb_3jan2007_e. Accessed June, 2008
  • Canadian Institute for Health Information. Supply, Distribution and Migration of Canadian Physicians, 2006. Health Human Resources Database. Ottawa, Ontario, 2007. http://secure.cihi.ca/cihiweb/splash.html
  • Commission on the Future of Health Care in Canada. Building on Values the Future of Health Care in Canada. Roy J. Romanow Commissioner. Canada, 2002. http://www.cbc.ca/healthcare/final_report.pdf
  • Canadian Nurses Association. Workforce Profile of Registered Nurses in Canada. Canada, 2005. http://www.cnaaiic.ca/CNA/resources/bytype/statistics/default_e.aspx.
  • Canadian Institute for Health Information. Distribution and Internal Migration of Canada's Registered Nurse Workforce. Health Human Resources Database. Ottawa, Ontario, 2007. http://secure.cihi.ca/cihiweb/splash.html.
  • Canadian Institute for Health Information. Statistics Canada and Health Canada. Findings from the 2005 National Survey of the Work and Health of Nurses. Statistics Canada, Ministry of Industry. Ottawa, Ontario, 2006.
  • Canadian Institute for Health Information. Workforce Trends of Registered Nurses in Canada. Health Human Resources Database. Ottawa, Ontario, 2006. http://secure.cihi.ca/cihiweb/splash.html
  • Keefe JM, Manning M. The Cost Effectiveness of Respite: A Literature Review. Health Canada Home and Continuing Care Policy Unit Health Care Policy Directorate. Halifax, Nova Scotia, 2005. http://www.hc-sc.gc.ca/hcssss/alt_formats/hpb-dgps/pdf/pubs/2005-keefe/2005-keefe-eng.pdf
  • Statistics Canada. Unpaid Work. Census Technical Report. Catalogue No. 97F0013XCB2001003 Topic-based Tabulations, Canada's Workforce: Unpaid Work. Statistics Canada 92-397-XIE, Ottawa, Ontario 2005. http://www.statcan.ca
  • Ontario Coalition of Senior Citizens' Organizations. Presentation to the Commission on the Future of Health Care in Canada, Sudbury Public Hearing. Sudbury, Ontario, 2006.
  • Family Caregivers Association of Nova Scotia. Presentation to the Commission on the Future of Health Care in Canada, Halifax Public Hearing. Halifax, Nova Scotia, 2002.
  • Dunbrack J. Respite for Family Caregivers an Environmental Scan of Publicly-funded Programs in Canada. Health Canada, 2003. http://www.hc-sc.gc.ca/hcs-sss/alt_formats/hpb-dgps/pdf/pubs/2003-respite-releve/2003-respite-releveeng.pdf
  • Frohlich KL, Ross N, Chantelle R. Health Disparities in Canada Today: Some Evidence and a Theoretical Framework. Health Policy. 2006; 79: 132-143
  • Statistics Canada. Projections of the Aboriginal Populations, Canada, Provinces and Territories. Statistics Canada, Catalogue no. 91-547-XIE. Canada, 2005
  • Wilson K, Rosenberg MW. Accessibility and the Canadian health care system: squaring perceptions and realities. Health Policy. 2004;67: 137-148
  • Eike-Henner WK. The Canadian Health Care System: An Analytical Perspective. Health Care Analysis. 1999; 7: 377- 391.
  • Sameer R, Kisalaya B. Interprovincial Migration of Physicians in Canada: Where are they Moving and Why? Health Policy. 2006;79: 265-273
  • Canadian Institute for Health Information. Canada's Health Care Providers, 2007. Ottawa, Ontario, 2007. http://www.cihi.ca.
  • Raphael D, Bryant T. The State's Role in Promoting Population Health: Public Health Concerns in Canada, USA, UK, and Sweden. Health Policy. 2006;78: 39-55
  • Dennis R. Barriers to Addressing the Societal Determinants of Health: Public Health Units and Poverty in Ontario, Canada. Health Prom Int. 2003;18: 397-405.
  • Chronic Disease Prevention Alliance of Canada. Primary Prevention of Chronic Diseases in Canada: A Framework for Action. Canada, 2008. http://www.cdpac.ca/media.php?mid=451
  • Low J, Thériault L. Health Promotion Policy in Canada: Lessons Forgotten, Lessons Still to Learn. Health Prom Int. 2008;23: 200-206
  • Bloor K, Maynard A. Planning Human Resources in Health Care: Towards an Economic Approach: An International Comparative Review. Canadian Health Services Research Foundation. Ottawa, Ontario, 2003. http://www.chsrf.ca
  • Advisory Committee on Health Delivery and Human Resources. The Nursing Strategy for Canada. Ottawa, Ontario, 2003. http//www.hc-sc.gc.ca/english/nursing
  • Scanlon WJ. Nursing Workforce: Recruitment and Retention of Nurses and Nurse Aides Is a Growing Concern. Testimony before the Committee on Health, Education, Labor and Pensions, U.S. Senate, GAO-01-750T, U.S. General Accounting Office, Washington DC, 2001. http://www.gao.gov/new.items/d01750t.pdf
  • Buchan J, Maynard A. The Health Care Workforce in Europe: Learning from Experience. In Bernd R, Carl-Ardy D, Martin M, editors. World Health Organization; European Observatory on Health Systems and Policies. Copenhagen, Denmark, 2006.
  • Docteur E, Oxley H. Health-Care Systems: Lessons from the Reform Experience Organization for Economic Cooperation and Development. OECD. Paris, France, 2003.
  • Minister of Health. Pan-Canadian Health Human Resource Strategy 2005-2006 Annual Report. Canada, 2006.
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