Titre : | Health system review : Canada. : Revue du système de santé : Canada. |
Auteurs : | G.R. MARCHILDON ; Ministère du Travail, de l'Emploi, de la Formation professionnelle et du Dialogue social (Paris, FRA) ; Observatoire Européen des Systèmes et des Politiques de Santé (Bruxelles, BEL) |
Type de document : | Ouvrage |
Editeur : | Copenhague [DNK] : OMS Bureau régional de l'Europe, 2013 |
Collection : | Health systems in transition , num. vol. 15, n° 1. |
Description : | 211p. pdf / tabl., fig. |
Langues: | Anglais |
Mots-clés : | Système soins ; Organisation soins ; Dépense santé ; Financement soins ; Décentralisation ; Système santé ; Etat santé ; Economie santé ; Assurance maladie ; Planification sanitaire ; Régulation ; Démographie médicale ; Ressource humaine ; Offre soins ; Evaluation ; Dépense pharmaceutique ; Soins dentaires ; Médicament ; Usager santé ; Donnée statistique ; Synthèse connaissance ; Réforme ; Canada |
Résumé : | [BDSP. Notice produite par IRDES sAR0xAEr. Diffusion soumise à autorisation]. The Health system profiles (HiTs) are country-based reports that provide a detailed description of health systems and of policy initiatives in progress or under development. HiTs examine different approaches to the organization, financing and delivery of health services and the role of the main actors in health systems. They also describe the institutional framework, process, content, and implementation of health and health care policies, highlighting challenges and areas that require more in-depth analysis. Sections include : Geography and sociodemography ; Political and economic context ; Health status ; Organizational structure ; Decentralization and centralization ; Patient empowerment ; Health care financing ; Health expenditure ; Population coverage ; Pooling ; Purchasing ; Payment mechanisms ; Regulation and planning ; Physical and humanresources ; Provision of services ; Public health ; Primary care ; Hospital care ; Emergency care ; Social care ; Palliative care ; Mental health care ; Dental care ; Pharmaceuticals ; Health care reforms ; Assessment of the health system. In Canada there has been a major reinvestment in public health since the cuts of the early to mid-1990s. The last two decades have produced a dense network of intergovernmental agencies, and while collaboration has succeeded in some areas (e.g. ensuring universal accessibility to hospital and physician services), it has been less effective in other areas (e.g. more effective use of IT). The Canadian government has focused on improving the timeliness, quality and safety of health care, and this has resulted in more doctors and nurses as well as an increase in the proportion of both, relative to the general population. In addition, governments have invested heavily in capital infrastructure including medical equipment, and recently, there have been improvements in quality outcomes as well as reductions in waiting times, although primary care performance remains weak in Canada. |
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