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Friday, October 07, 2005

[EQ] How Canada's Health System Is Financed

Exploring the 70/30 Split:

How Canada’s Health System Is Financed

Canadian Institute for Health Information (CIHI), September 28, 2005

 

Website: http://secure.cihi.ca/cihiweb/dispPage.jsp?cw_page=PG_469_E&cw_topic=469&cw_rel=AR_1282_E

 

—Countries with a large percentage of public-sector health care funding often differ in the types of coverage they offer, according to a new report

“……Fewer services are channelled through physicians and hospitals, and both sectors account for decreasing percentages of total health expenditures. Total spending on health care has risen and private spending by individuals or insurers has been growing more quickly than public spending. Today, about 70% of total Canadian health expenditures comes from the public purse. The remainder (about 30%) comes from private sources. In this report, we look at trends in financing and at variations in this 70/30 split across provinces and territories……

·         Download full report (PDF)


Contents

 

About the Canadian Institute for Health Information

Acknowledgments

 

 

PART A: Setting the Stage

Chapter 1: Health Financing in Canada and the World

How Did It All Start?

The Public/Private Mix

Private Financing—Out of Whose Pocket?

Out-of-Pocket Payments

Private Health Insurance

 

 

Chapter 2: The Canadian Reality

Looking Forward From the Canada Health Act

Who Pays and What the Money Covers

Making the Decisions: What to Include in the “Basket” of Health Services?

 

 

PART B: A Primer on Canada’s Health Care System—What It costs

Chapter 3: A Primer on Canada’s Health Care System—What It costs

Health Spending Trends in Canada

Health Spending Compared

The Public/Private Financing Split

 

PART C: Snapshots of Spending on Health Services

Chapter 4: Hospital Services

Who Uses Canada’s Hospitals?

Where Does a Hospital’s Money Go?

The Cost of Treating Patients

Who Pays for Hospital Care?

 

 

Chapter 5: Physician Services

A Visit to the Doctor

Health Spending on Physicians

How Doctors Are Paid

Fee-for-Service Payments

Alternative Payments

How Much Doctors Get Paid

Overhead Costs and Physicians’ Incomes

Private Spending on Physician Services

 

 

Chapter 6: Retail Drug Sales

Medicating More

Who Is Covered?

Why Is Drug Spending Rising?

Who Pays?

 

 

Chapter 7: Oral Health Care Services

Dental Consultations

What Predicts Use?

Canadian Spending Compared

The Public Sector and Dental Care

The Primary Payers

 

 

Chapter 8: Eye Care

Seeking Eye Care

Public Insurance Coverage

More Than Pocket Change

 

 

Chapter 9: Continuing Care

Residential Care Facilities

Use of Residential Care

Spending on Residential Care

Home Care Services

Use of Home Care Services

Coverage of Home Care Services

Spending on Home Care Services

Beyond the Health Care System: Informal Support From Family and Friends

 

 

 

Chapter 10: Mental Health Services

Who Is and Isn’t Using Mental Health Services

Who’s Paying for Mental Health Care?

The Cost of Mental Health Care

 

 

Chapter 11: Complementary and Alternative Medicine

Seeking Care Outside the Doctor’s Office

Coverage for CAM

Spending

 

 

Appendix

 

 

*      *      *     * 

This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues.  [DD/ IKM Area] 

“Materials provided in this electronic list are provided "as is".Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.

---------------------------------------------------------------------------------------------------

PAHO/WHO Website: http://www.paho.org/

EQUITY List - Archives - Join/remove: http://listserv.paho.org/Archives/equidad.html

 

 

 

1 Comments:

At 7:23 PM, Blue Cross of California said...

Interesting to see how Canada's health system is financed. I hope the U.S. can work to build a better health care system.

 

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