An Assessment of Canada’s Healthcare System Weighing Achievements and Challenges

Valle, Valeria Marina

doi:10.20999/nam.2016.b008

Cited by 9 publications

(1 citation statement)

References 5 publications

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“…En Canadá, Dinamarca y España prevalece un sistema de salud público y gratuito, basado en principios de igualdad y acceso universal ( 19 - 21 ). En México, el sistema de salud está segmentado según la inserción laboral de la población: a) seguridad social, b) subsistema público gratuito y c) sector privado ( 22 ); mientras que en Chile es un sistema de salud mixto, donde el sector público atiende un segmento de la población a través del Fondo Nacional de Salud (FONASA) y el sistema privado tiene gran participación a través de las Instituciones de Salud Previsional (ISAPRES) ( 23 ).…”

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Análisis comparativo de la acreditación de unidades médicas en Canadá, Chile, la Comunidad Autónoma de Andalucía, Dinamarca y México

Verástegui

Valenzuela

García

et al. 2023

Revista Panamericana De Salud Pública

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Objetivo. Contrastar las características del proceso de acreditación de establecimientos de salud en Canadá, Chile, la Comunidad Autónoma de Andalucía, Dinamarca y México, con el fin de identificar elementos comunes y diferencias, y las lecciones aprendidas que puedan ser de utilidad para otros países y regiones. Métodos. Estudio observacional, analítico y retrospectivo en el que se usaron fuentes secundarias de libre acceso sobre acreditación y certificación de establecimientos de salud durante el período 2019-2021 en estos países y regiones. Se describen las características generales del proceso de acreditación y sus respuestas a puntos clave del diseño de estos programas. Además, se generaron categorías de análisis para el avance en su implementación y su nivel de complejidad, y se resumen los resultados favorables y desfavorables informados. Resultados. Los componentes operativos del proceso de acreditación son peculiares de cada país, aunque comparten similitudes. El programa de Canadá es el único que contempla algún tipo de evaluación responsiva. Hay una amplia variación en la cobertura de establecimientos acreditados entre países (desde 1% en México a 34,7% en Dinamarca). Entre las lecciones aprendidas, se destacan la complejidad de aplicación del sistema mixto público-privado (Chile), el riesgo de una excesiva burocratización (Dinamarca) y la necesidad de incentivos claros (México). Conclusiones. Los programas de acreditación operan de forma peculiar en cada país o región, logran alcances diferentes y presentan problemáticas también diversas, de las que podemos aprender. Es necesario considerar los elementos que obstaculizan la implementación y generar adecuaciones para los sistemas de salud en cada país o región.

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Section: Resultsunclassified

Análisis comparativo de la acreditación de unidades médicas en Canadá, Chile, la Comunidad Autónoma de Andalucía, Dinamarca y México

Verástegui

Valenzuela

García

et al. 2023

Revista Panamericana De Salud Pública

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The universal eye health imperative for Canada: an inescapable reality of unmet need

Staden

2020

Can J Public Health

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Universal eye health is a component of universal health care, which member states of the World Health Organization have supported in principle through their endorsement of the Global Action Plan for the Prevention of Avoidable Blindness and Visual Impairment (2014-2019). While much of the world's attention has been on addressing the needs of developing countries which suffer significant shortcomings in terms of effective and accessible eye care services, similar access inequities exist in developed nations such as Canada. The Canadian health system is based on the principle of universal health coverage; yet, for the majority of the population, access to primary eye care services such as an eye examination and spectacles is an out-of-pocket expense. Therefore, despite the global call for universal eye health, Canada has still not made relevant policy shifts in terms of addressing the structural barriers to all its citizens accessing primary eye care services within its health system, despite active advocacy efforts of key stakeholder groups in eye health. There is, therefore, an inescapable reality of unmet eye care needs, which Canada must address if it is to meet the World Health Organization's goals of universal eye health. Résumé La santé oculaire universelle est une composante des soins de santé universels, que les États membres de l'Organisation mondiale de la Santé ont appuyée en principe en approuvant le Plan d'action mondial pour la cécité et les déficiences visuelles évitables (2014−2019). L'attention du monde a surtout porté sur les besoins des pays en développement qui souffrent de lacunes importantes en termes de services de soins ophtalmologiques efficaces et accessibles, mais des inégalités d'accès similaires existent dans des pays développés tels que le Canada. Le système de santé canadien repose sur le principe de la couverture maladie universelle; pourtant, pour la majorité de la population, l'accès aux services de soins oculaires primaires, tels que les examens de la vue et les lunettes, constitue une dépense directe. Par conséquent, malgré l'appel mondial en faveur de la santé oculaire universelle, le Canada n'a toujours pas procédé à des changements de politique pertinents en ce qui concerne la suppression des obstacles structurels à l'accès aux services de soins oculaires dans son système de santé. Ceci en dépit des efforts actifs de plaidoyer des groupes de parties prenantes clés dans la santé oculaire. Il existe donc une réalité inévitable de besoins non satisfaits en matière de soins ophtalmologiques, que le Canada doit prendre en compte pour répondre aux objectifs de l'Organisation mondiale de la Santé, qui est la santé universelle des yeux.

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What Medical Crowdfunding Campaigns Can Tell Us About Local Health System Gaps and Deficiencies: Exploratory Analysis of British Columbia, Canada

Snyder¹,

Zenone²,

Crooks³

et al. 2020

J Med Internet Res

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Background There are a range of perceived gaps and shortcomings in the publicly funded Canadian health system. These include wait times for care, lack of public insurance coverage for dental care and pharmaceuticals, and difficulties accessing specialist care. Medical crowdfunding is a response to these gaps where individuals raise funds from their social networks to address health-related needs. Objective This study aimed to investigate the potential of crowdfunding data to better understand what health-related needs individuals are using crowdfunding for, how these needs compare with the existing commentary on health system deficiencies, and the advantages and limitations of using crowdfunding campaigns to enhance or augment our understanding of perceived health system deficiencies. Methods Crowdfunding campaigns were scraped from the GoFundMe website. These campaigns were then limited to those originating in the metropolitan Vancouver region of two health authorities during 2018. These campaigns were then further limited to those raising funds to allow the treatment of a medical problem or related to needs arising from ill health. These campaigns were then reviewed to identify the underlying health issue and motivation for pursuing crowdfunding. Results We identified 423 campaigns for health-related needs. These campaigns requested CAD $8,715,806 (US $6,088,078) in funding and were pledged CAD $3,477,384 (US $2,428,987) from 27,773 donors. The most common underlying medical condition for campaign recipients was cancer, followed by traumatic injuries from collisions and brain injury and stroke. By far, the most common factor of motivation for crowdfunding was seeking financial support for wages lost because of illness (232/684, 33.9%). Some campaigns (65/684, 9.5%) sought help with purchasing medical equipment and supplies; 8.2% (56/684) sought to fund complementary, alternative, or unproven treatments including experimental interventions; 7.2% (49/684) sought financial support to cover travel-related costs, including in-province and out-of-province (49/684, 7.2%) travel; and 6.3% (43/684) campaigns sought help to pay for medication. Conclusions This analysis demonstrates the potential of crowdfunding data to present timely and context-specific user-created insights into the perceived health-related financial needs of some Canadians. Although the literature on perceived limitations of the Canadian health system focuses on wait times for care and limited access to specialist services, among other issues, these campaigners were much more motivated by gaps in the wider social system such as costs related to unpaid time off work and travel to access care. Our findings demonstrate spatial differences in the underlying medical problems, motivations for crowdfunding, and success using crowdfunding that warrants additional attention. These differences may support established concerns that medical crowdfunding is most commonly used by individuals from relatively privileged socioeconomic backgrounds. We encourage the development of new resources to harness the power of crowdfunding data as a supplementary source of information for Canadian health system stakeholders.

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An Assessment of Canada’s Healthcare System Weighing Achievements and Challenges

Cited by 9 publications

References 5 publications

Análisis comparativo de la acreditación de unidades médicas en Canadá, Chile, la Comunidad Autónoma de Andalucía, Dinamarca y México

Análisis comparativo de la acreditación de unidades médicas en Canadá, Chile, la Comunidad Autónoma de Andalucía, Dinamarca y México

The universal eye health imperative for Canada: an inescapable reality of unmet need

What Medical Crowdfunding Campaigns Can Tell Us About Local Health System Gaps and Deficiencies: Exploratory Analysis of British Columbia, Canada

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