Canada’s Universal Health-Care System: Achieving Its Potential

Martin, Danielle; Miller, Ashley P.; Quesnel‐Vallée, Amélie; Caron, Nadine R.; Vissandjée, Bilkis; Marchildon, Gregory P.

doi:10.1097/01.ogx.0000546164.34415.b6

Cited by 7 publications

(12 citation statements)

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“…This difference is much larger than the existing literature on the lifetime prevalence of EDs among different sexes measured with a standardized tool (2.2% vs. 8.4%) [1]. This discrepancy may be associated with the difference between females and males in diagnosis, self-identifying, and self-reporting lifetime EDs due to the immense stigmatization toward males with EDs, stereotypes linked to EDs, and a misdiagnosis by a specialist treatment center [60][61][62]. These current findings may indicate the importance of gendered issues in diagnosing and treating patients with EDs and the necessity of tailored services to the patient's need, such as the same-sex therapeutic groups [61].…”

Section: Discussionmentioning

confidence: 81%

Self-Reported Lifetime History of Eating Disorders and Mortality in the General Population: A Canadian Population Survey with Record Linkage

et al. 2021

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Eating disorders (EDs) are often reported to have the highest mortality of any mental health disorder. However, this assertion is based on clinical samples, which may provide an inaccurate view of the actual risks in the population. Hence, in the current retrospective cohort study, mortality of self-reported lifetime history of EDs in the general population was explored. The data source was the Canadian Community Health Survey: Mental Health and Well-Being (CCHS 1.2), linked to a national mortality database. The survey sample was representative of the Canadian household population (mean age = 43.95 years, 50.9% female). The survey inquired about the history of professionally diagnosed chronic conditions, including EDs. Subsequently, the survey dataset was linked to the national mortality dataset (for the date of death) up to 2017. Cox proportional hazards models were used to explore the effect of EDs on mortality. The unadjusted-hazard ratio (HR) for the lifetime history of an ED was 1.35 (95% CI 0.70–2.58). However, the age/sex-adjusted HR increased to 4.5 (95% CI 2.33–8.84), which was over two times higher than age/sex-adjusted HRs for other mental disorders (schizophrenia/psychosis, mood-disorders, and post-traumatic stress disorder). In conclusion, all-cause mortality of self-reported lifetime history of EDs in the household population was markedly elevated and considerably higher than that of other self-reported disorders. This finding replicates prior findings in a population-representative sample and provides a definitive quantification of increased risk of mortality in EDs, which was previously lacking. Furthermore, it highlights the seriousness of EDs and an urgent need for strategies that may help to improve long-term outcomes.

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Section: Discussionmentioning

confidence: 81%

Self-Reported Lifetime History of Eating Disorders and Mortality in the General Population: A Canadian Population Survey with Record Linkage

et al. 2021

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“…Our study may partially remediate the current knowledge gap of racial equality within the Canadian context, where all subjects can receive public, universal, comprehensive, and accessible care as stipulated by the Canada Health Act. 16 Since the ability to pay for procedures and medications by patients/insurance providers was no longer relevant, we could evaluate the impact of race on in-hospital ACS management and endpoints with a reduction of the confounding effect of socioeconomic deprivation.…”

Section: Discussionmentioning

confidence: 99%

“…13,14 Within a universal healthcare system such as the one in Canada, the impact of race/ethnicity on the quality of in-hospital management and outcomes may be less confounded by socioeconomic inequality. 15,16 Therefore, we leveraged data from the AMI-OPTIMA study to examine whether there are any racial disparities in invasive cardiac evaluation and treatment strategy, discharge prescription of EBMT, and major adverse outcomes for patients hospitalized for ACS in Quebec, Canada.…”

Section: Introductionmentioning

confidence: 99%

Racial Disparities in Acute Coronary Syndrome Management Within a Universal Healthcare Context: Insights From the AMI-OPTIMA Trial

d’Entremont¹,

Wee²,

Nguyen³

et al. 2021

CJC Open

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…6 This prompted a 23-day strike by Saskatchewan's doctors that concluded with the Saskatoon Agreement, which promised the retention of a private, fee-for-service delivery model and an opt out guarantee for physicians. 1 The strike was a watershed moment in Canadian medical history that paved the way for the widespread adoption of privately-delivered, publicly-funded care nationwide and underpins the relationship between physicians and the broader health care system to this day. 6 Despite initial resistance from citizens and physicians across the country, the 1964 Royal Commission on Health Services recommended universal coverage of physician and hospital services, and this was codified into law in 1966 under the Medical Care Act.…”

Section: A Brief History Of Medicarementioning

confidence: 99%

Towards equitable dental care in Canada: Lessons from the inception of Medicare

Cheung

Singhal

2023

Health Planning & Management

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Dental care in Canada is primarily financed through private insurance plans and out‐of‐pocket payments. While Canada is internationally recognized for Medicare, a publicly‐funded health insurance system that covers hospital and physician‐provided services at the point of care, it remains one of the least equitable Organization for Economic Co‐operation and Development countries in terms of affordable access to dental care. Approximately one third of Canadians do not have access to dental insurance, including half of low‐income individuals, and individuals with the greatest dental care needs are often unable to reliably access dental services. Select populations—such as children, Indigenous peoples, seniors, and persons living with disabilities—receive some level of publicly‐funded dental services, amounting to approximately 6% of total dental spending nationwide. Despite the evolution of Medicare, dental care has been largely excluded from federal health legislation following World War II. However, in March 2022, the Liberal Party of Canada partnered with the federal New Democratic Party to advance common legislative goals, including a long‐term nationwide dental program for low‐ and middle‐income families. As an interim measure, Bill C‐31 was signed into law on 17 November 2022, and created the Canada Dental Benefit, which provides a fixed transfer payment to individuals with an annual household income under $90,000. This commentary reviews the origins of Canadian Medicare, discusses the factors that led to the continued exclusion of dental care from federal health legislation, examines the newly‐minted Canada Dental Benefit, and explores the potential for expanded public funding in Canadian dental care.

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Canada’s Universal Health-Care System: Achieving Its Potential

Cited by 7 publications

References 0 publications

Self-Reported Lifetime History of Eating Disorders and Mortality in the General Population: A Canadian Population Survey with Record Linkage

Self-Reported Lifetime History of Eating Disorders and Mortality in the General Population: A Canadian Population Survey with Record Linkage

Racial Disparities in Acute Coronary Syndrome Management Within a Universal Healthcare Context: Insights From the AMI-OPTIMA Trial

Towards equitable dental care in Canada: Lessons from the inception of Medicare

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