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The Health System (Federal government (Funding/delivery of primary and…
The Health System
Federal government
Setting and administering national principles for the system under the Canada Health Act
Insurance plans
Prohibits extra-billing
Financial support to the provinces and territories
Supports costs of publicly funded services
Funding/delivery of primary and supplementary services to certain groups off eople
First Nations and people living on reserves
Inuit
Primary care and emergency services on remote and isolated reserves, community based health programs, non insured health benefits program
Members of the armed forces
Veterans
Inmates in federal penitentiaries
Refugees
Health protection and regulation
Consumer safety, and disease surveillance and prevention
Support for health promotion and health research
Health related tax measures
Tax credits for medical expenses, disability, caregivers, and infirm dependents
Tax rebates to public institutions for health services
Deductions for private health insurance premiums for the self employed
Provincial/territorial government
Administer all health insurance plans
Plan and fund care in hospitals and other facilities
Services provided by doctors and other health professionals
Planning and implementing of health promotion and public health initiatives
Negotiation of fee schedules with health professionals
Fund supplementary benefits for certain groups
Canadian Health Act principles
Public administration
Non profit
Public authority accountable for provincial or territorial government
Comprehensiveness
Insure all medically necessary services provided by hospitals, medical practitioners, and dentists working in a hospital setting
Universality
Entitle all insured persons to health insurance coverage on uniform terms and conditions
Accessibility
Provide all insured persons reasonable access to medically necessary services without financial or other barriers
Portability
Cover all insured persons when they move to another province/territory in Canada, and when they travel abroad
Changes in the health care system
Primary care
Community health care centres providing on call services
Primary health care teams
Emphasizing promoting health, preventing illness and injury, and managing chronic disease
Increasing coordination and integration of comprehensive health services
Improving the work environments of primary health care providers
eHealth (electronic health records and Telehealth)
Access to services
Patient safety
Quality of care
Productivity
Effective coordination
Integration of services amongst health care professionals
Wait times reduction
Training and hiring more health care professionals
Clearing backlogs of patients requiring treatment
Building capacity for regional centres of excellence
Expanding ambulatory and community care programs
Developing and implementing tools to better manage wait times
Patient safety
Avoidance of medical errors or adverse events
Mitigating the risks involved in the delivery of health care
Developing and implementing measures to improve patient safety and quality of care
Health care service delivery
Primary health care services
Provide direct provision of first contact health care services
Coordinates patients health care services to ensure continuity of care, and ease of movement across the health care system when more specialized services are necessary
Prevention and treatment of common diseases and injuries
Basic emergency services
Referrals and coordination with other levels of care
Palliative care
Health promotion
Healthy child development
Maternity care
Rehabilitation services
Secondary health care services
Referral to specialized care, long term care facility, or community
Board of trustees, voluntary organizations, regional health authorities
Can be provided int he home and in institutions
Referral by doctors, hospitals, community agencies, families, and patients
Assessment by medical professionals and services
Not covered by Canadian Health Act
Paid for by provinces and territories
At home services to First Nations and Inuit
Care to long term care facilities
Palliative care, in
Hospitals
Long term care facilities
Hospices
Community
Home
Palliative care services, such as
Medial support
Emotional support
Pain management
Symptom management
Help with community services and programs
Bereavement counselling
Supplementary services
Prescription drugs outside hospitals, dental care, vision care, medical equipment, and appliances
Other health professional services, such as physiotherapists