Health Care Systems in Transition: Canada: European Observatory on Health Systems and Policies

Gregory P. Marchildon is Canada Research Chair in Public Policy and Economic History and a professor in the Johnson-Shoyama School of Public Policy at the University of Regina. He is also the author of Health Systems in Transition (UTP/WHO).

Foreword Preface Acknowledgements Executive summary Introduction 1.1 Overview of the health system 1.2 Geography and sociodemography 1.3 Economic context 1.4 Political context 1.5 Health status Organizational structure 2.1 Historical background 2.2 Organizational overview 2.3 Patient rights, empowerment and satisfaction Financial resources 3.1 Revenue collection. 3.2 Population coverage and basis for entitlement 3.3 Pooling agencies and mechanisms for allocating funds 3.4 Purchaser and purchaser--provider relations 3.5 Payment mechanisms 3.6 Health care expenditures Regulation and planning 4.1 Regulation 4.2 Planning and health information management Physical and human resources 5.1 Physical resources 5.2 Human resources: trends, training, planning and registration/licensing Provision of services 6.1 Public health 6.2 Patient pathways 6.3 Primary/ambulatory care 6.4 Secondary/inpatient and specialized ambulatory care 6.5 Pharmaceutical care 6.6 Rehabilitation/intermediate care 6.7 Long-term care, home care and other community care 6.8 Services for informal caregivers 6.9 Palliative care 6.10 Mental health care 6.11 Dental health care 6.12 Complementary and alternative health products and services 6.13 Maternal and child health care 6.14 Health care and Aboriginal Canadians Principal health care reforms 7.1 Analysis of recent reforms 7.2 Phase one of health reforms, 1988 to 1996 7.3 Phase two of health reforms, 1997 to present Assessment of the health system 8.1 Assessing the components: public, mixed and private 8.2 Assessing the public (Medicare) health sector 8.3 Beyond Medicare: assessing the mixed health sector 8.4 Assessing the private health sector 8.5 Overall health status and health indicator performance Conclusions References Useful websites