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CANADIAN HEALTHCARE SYSTEM

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on 29 April 2014

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Transcript of CANADIAN HEALTHCARE SYSTEM

HEALTHCARE SYSTEMS -SHS 102-
DR. GOLALEH TAVAKOLI
GROUP PRESENTATION BY: HALIMA BABA SHEHU-122200244, RABIATU BABA SHEHU-122200249,
IQRA GHANI-F1314000043, AL SAYED KHALED ADELE-F1314000079,

TABLE OF CONTENTS
INTRODUCTION
HEALTHCARE HISTORY
DEMOGRAPHICS
HEALTHCARE SECTORS
HEALTHCARE INDICATORS
HEALTHCARE EXPENDITURES
HEALTHCARE ISSUES
HOW HEALTHCARE SERVICES ARE DELIVERED
GLOBAL CANADA
HIGHLIGHTS
CREDITS
REFERENCES

INTRODUCTION
HEALTHCARE HISTORY
EVALUTION OF CANADIAN HEALTHCARE
HEALTHCARE SECTORS
HEALTH EXPENDITURES
HOW HEALTHCARE SERVICES ARE DELIVERED
HIGHLIGHTS
REFERENCES
North America
2nd largest country
Bilingual

LOCATION
POPULATION
Canada Population 2013
35,163,430
Population Rank:
37 % of World Pop: 0.49%

CLIMATE
CREDITS
Casts
Presenter [main]: Rabiatu Baba Shehu
Presenter 1: Halima Baba Shehu
Presenter 2: Iqra Ghani
Presenter 3: Khaled Al Sayed

Public Interviewer
Khaled Al Sayed

News Reports
Weather report: Rabiatu Baba Shehu
Sport report: Rabiatu Baba Shehu

Guests Speakers
Rabiatu Baba Shehu as forum interviewer
Halima Baba Shehu as university professor "Prof. Halima"
Iqra Ghani as Head Manager "Mrs. Iqra"
Khaled Al Sayed as Head Psychiatrist " Dr. Khaled"
PRIMARY CARE
First point of contact with the healthcare system.
Prevention and treatment of common diseases and injuries
Referrals to and coordinates with other levels of care, such as hospital and specialist care
Healthy child development
Primary maternity care
Rehabilitation services


SECONDRY CARE
ADVANCED CARE
Palliative care is delivered in a variety of settings, such as hospitals,
It focuses on those nearing death and their families and includes medical and emotional support
It helps with community services and programs, and bereavement counseling.
The provinces and territories provide health service coverage to certain people who aren’t generally covered under the publicly funded health care system.
Benefits like dental care


CHANGES IN HEALTHCARE SYSTEM
TOTAL HEALTH EXPENDITURE
GDP
HDI RANKING
PUBLIC SECTOR
Publicly funded health care is financed with general revenue by federal sector
They set and administer national principles for the system under the Canada Health Act;
They fund and delivery of primary and supplementary services to certain groups of people.
The federal government has introduced health-related tax measures, including tax credits for medical expenses
PROVINCIAL SECTOR
They have most of the responsibility for delivering health and other social services.
General taxation
May also charge a health premium on their residents to help pay for publicly funded health care services,
CANADIAN HEALTHCARE SYSTEM
HEALTHCARE SYSTEM ISSUES
GLOBAL CANADA
DEMOGRAPHICS
STATISTICS
CAUSES OF DEATH
Cancer ( breast, childhood)
Diabetes (type 1 and type 2)
Cardiovascular disease
Hepatitis
HIV & AIDS
H1N1 flu virus
Sexually transmitted infections (STI's)
CURES
PROBLEMS
Many Canadians have good access to healthcare services and experience manageable wait times. The system faces some challenges like:
Emergency room wait times
wait times for priority procedures
Location of services
Finding appropriate health service providers
SOLUTIONS
Many governments are adressing wait times with solutions like:
Better management & coordination of wait lists
Better use of resources + more teamwork.
Others are using wait times as a ruse to privatize for profit doctors & their private clinics.
They have created a two parallel system that will result in doctors, nurses & other healthcare professionals to be in the public and private sectors.
CURRENT SITUATION
MILLENNIUM DEVELOPMENT GOALS
HEALTHCARE SYSTEM RANKING
QUALITY OF SERVICE
5 Priority Theme:

Increasing Food security
Securing the future of children& youth
Stimulatin Sustainable economical growth
Advancing democratic governance
Ensuring security & stability

3 crosscutting Theme:

Environment sustainability
Equality between women & men
Strengthened governace institution & Practices
5 CANADIAN HEALTH ACT PRINCIPLES
Public Administration: The plans must be administered and operated on a non profit basis by a public authority accountable to the provincial or territorial government.
Comprehensiveness: The plans must insure all medically necessary services provided by hospitals, medical practitioners and dentists working within a hospital setting.
Universality: The plans must entitle all insured persons to health insurance coverage on uniform terms and conditions.
Accessibility: The plans must provide all insured persons reasonable access to medically necessary hospital and physician services without financial or other barriers.
Portability: The plans must cover all insured persons when they move to another province or territory within Canada and when they travel abroad. The provinces and territories have some limits on coverage for services provided outside Canada, and may require prior approval for non-emergency services delivered outside their jurisdiction.

Access
More than 80% of patients have access to a regular doctor. However lack of access is a problem in the territories in the 10 largest communities. Pateients in Canada wait longer for primary care appointments than those in many other developed countries. The factor that maybe leading to longer times in emergency departments is the overuse of the emergency department for primary care
Capacity
Canada is the top 20% of OECD countries in per-person spending on healthcare. Capacity includes the use of health information technology, which can enable dramatic transformations in the delivery of healthcare

HEALTHCARE INDICATORS
Health indicators are standardized measures that help us compare health status and health system performance and characteristics among different jurisdictions in Canada.

Some Issues:
How the health care system works
What aspects of the system need improvement
Enhance our understanding of the factors that influence health
Identify gaps in health status and outcomes for specific populations

EXAMPLES OF INDICATORS
INDICATORS

BREAST CANCER: The Canadian Breast Cancer Initiative (CBCI) launched by federal government in 1993 & Public Health agency of Canada
CHILDHOOD CANCER: intensive multimodal therapy: chemotherapy, radiotherapy, and surgery
& 80% enrolled in clinical trial
DIABETES: Insulin replacement therapy for Type 1. Type 2 [Life stye changes plans ie: sport camps and diet maintenance
EFFICIENCY
PATIENT SAFETY
PRIVATE SECTOR
About 27% of Canadian's health care is paid for through the private sector. It mostly goes towards srervices thats partially covered by Medicare. ie: prescription drugs, dentistry and optometry. 75% of Canadians have some form of supplimentry private health insurance; many of them receive it through their employers. There are also large private entities that can buy priority access to medical services in Canada like WCB [Workers Compensation Board] in BC [British Columbia]
In December 2003, Health Canada officially created & announced funding for the canadian safety institute. CPSI was created to provide national leadership & coordinate the work necessary to build & advance a safer health system for Canadians. The system is collaborated with government + stakeholders, supporting the development of patient safety initiatives that will help Canadian healthcare system become the safest & best in the world.

CPSI currently focuses on 4 main areas.
Education
Research
Interventions & programs
Tools & resources
Total healh expenditures differs between teritories & provinces, in publicly funded healthcare systems, this differences partly due to difference in services that each province & teritories covers + also due to demographic factors like populatin age impacting health care costs.
HEALTHCARE STATUS
WEATHER REPORT
SPORT NEWS
Secondary health care services may also be provided in the home or community and in institutions (mostly long-term and chronic care).

Patient needs are assessed by medical professionals, and services are coordinated to provide continuity of care
Medical advances have led to more procedures being done on an out-patient basis, and to a rise in the number of day surgeries.

Over the past several decades, the number of nights Canadians spent in acute-care hospitals on a per capita basis has declined, while post-acute and alternative services provided in the home and community have grown
Measuring Performance
Access to Health Care
Self-reported wait times for surgery

Quality of Health Care
Patient satisfaction with health services
Hospitalization rate for ambulatory care sensitive conditions

Sustainability of the Health Care System
Number of registered nurses
Number of specialist physicians

Health Status and Wellness
Diabetes
Body mass index (BMI)
Self-reported physical activity
Perceived health
Life expectancy
Infant mortality
Low birth weight
Full transcript