Health Policy- Primary Health Care

Health care expenditure accounted for an estimated 11% (214.9 billion) of Canada’s GDP in 2014 (CIHI, 2014). Canada boasts a universal, cost-effective and fair health care system to its citizens (Picard, 2010). However, despite great claims and large expenses incurred Canada’s health care system has been reported inefficient in it’s delivery to the population (Davis, Schoen, & Stremikis, 2010; Picard, 2010). As inconsistencies exist in health care delivery across the country, choosing priorities for the health of the Canadian people becomes of vital importance. In Ontario, progress toward a better health care system has been stated to be moving forward by putting the needs of the “patient’s first” (Ministry of Health and Long-Term Care [MOHLTC], 2015). This policy brief will give a background of health care issues in Canada related to Ontario. Three evidence-based priorities will be suggested for Ontario’s health policy agenda for the next three to five years. Furthermore, through a critical analysis of these issues a recommendation of the top priority issue for the agenda will be presented.

The Kirby and Romanow Reports were commissioned by different subsections of the Canadian government to give an overall view of the nation’s health care status and future recommendations for bettering the health care system. Senator Michael Kirby released the Final report on the state of health care in Canada on October 23, 2002 on behalf of the State Senate Committee on Social Affairs, Science and Technology (Kirby, 2002). The Commission on the Future of Health Care in Canada chose former Saskatchewan premier Mr. Roy Romanow to ask citizens across the country their issues, thoughts and concerns regarding current and future status of the nation’s health care system. This inquiry resulted

This paper will discuss the Canadian healthcare system compared to the United States healthcare system. Although they’re close in proximity, these two nations have very different health care systems. Each healthcare system has its own difficulties, and is currently trying to find ways to improve. Canada currently uses the Universal Health Care system; which provides healthcare coverage to all Canadian citizens (Canadian Health Care, 2007). The services are executed on both a territorial and provincial basis, by staying within the guidelines that have been enforced by the federal government (Canadian Health Care, 2007).

When asked to describe what makes Canada unique compared to other countries, many outsiders might yell out “Hockey!” “Cold Weather!” or “Free Health Care!.” Health care is definitely one of Canada’s most noticeable trademarks when compared to the United States, but the reality is that our health care services are not what they are made out to be. Canadians tend to take pride in the fact that they have a Government funded health care system, but the system is failing at a rapid pace. One can gage the quality of health care in our country while at the emergency ward in any hospital, where most Canadians realize its downsides. The Government spends most of its budget towards health care but Canadians are not feeling an improvement. Waiting

Simultaneously, health and healthcare policy plays a tremendous role in the quality of life of every American. Likewise, by the government constantly interceding, health and healthcare is significantly influenced by the political climate and undertakings of administration; therefore creating a conflictual split between republicans and democrats. Health care is regarded as a product rather than a human right shaped by policymaking. Policies establish healthcare service stipulations, which are rooted in local, state, and federal statutes combined with landmark court decisions. Not only does policy focus on healthcare services; but, it also places a substantial emphasis on cost-efficiency and equality.

The Canadian health care system has many flaws and issues because of the many systems within it. Canada has fifteen different health care systems, these fifteen include thirteen provincial/territorial systems, a system for Aboriginals, and a system for veterans. Coincidentally because there is so many systems doctors work hours, location, and fees are different across the country. Many doctors charge extra fees for services such as pill refills and Pick the hours they work. Not only are things different with doctors from province to province but so are the services covered. The coverage of services such as eye, dental, and abortion services are not the same everywhere (O'Grady, Kathleen and Noralou, Roos). Issues with coverage and doctors are

The primary care practice is essential to improve the care of our population, our current system is fragmented, but it does show potential for improvement. The Agency for Healthcare Research and Quality has listed some areas that will help improve our system. One is “the need for external infrastructure to help primary care practices develop quality improvement” this is done with support to the quality capacity (Agency For Healthcare Research and Quality, 2015). Quality care will include the coordination of care within the system, as well as understanding what needs the patient will have

”The concept of primary health care was defined by the world health organisation in 1978 as both a level of health service delivery and an approach to health care practice”( Gilchrist 2002)

The Canadian healthcare system was first established in the late 1940’s and is made up of socialized health insurance plans that provide coverage to every Canadian citizen. Publicly funded and managed, rules are set forth by the federal government. In the 1960’s, Canada in essence, has had universal healthcare coverage for all services provided by physicians and hospitals. Change your source ( http://en.wikipedia.org/wiki/Health_care_in_Canada 2014) Whereas, the healthcare system in America originated in the 1800’s, but truly wasn’t established until the late 1920’s. Healthcare in America was initially for teachers for a low cost in Dallas Texas by Justin Kimball. Change you source (http://en.wikipedia.org/wiki/) Healthcare in the United States is mostly privately funded with only a few publicly funded entities such as Medicare and Medicaid. The Canadian and U.S. healthcare system s have been under a lot of scrutiny over the years, being the topic of every political conversation. In this essay, I will write about the main differences between the U.S and Canadian Health-care system, and help shed some light on how each system works. The main points I will be discussing are the wait times to see a primary care physician, the funding of each countries health care system, accessibility to medical care and the quality of care.

Under Canada’s healthcare system, citizens are provided with primary care and medical treatments, as well as easy access to hospitals, clinics, and any other additional medical services. Regardless of annual income, this system allows all Canadian citizens access to medical services without immediate pay. Canada is fortunate to have a free healthcare plan since this necessity comes at a substantial expense for people living in the United States of America. For instance, the Commonwealth Fund's Health Insurance Survey mentions that “80 million people, around 43% of America's working-age adults, did not go to the doctor or access other medical services because of the cost” (Luhby). Evidently, Canada’s healthcare system is notorious in supporting the demands of the population, and creating a healthy and happy society at a manageable cost.

Health is dynamic and determined by the determinants of health that have factors that can both benefit and hinder our overall health (Liamputtong, Fanany, & Verrinder, 2012, p. 9). The primary health care (PHC) principles accessibility, inter-sectorial collaboration, appropriate technology, emphasis on health promotion and public participation helps all individuals at different social standings based on income levels and geographical location determined by the social determinants of health to access PHC and make an equitable health care system (McMurray & Clendon, 2011, pp. 36-44; Liamputtong, Fanany, & Verrinder, 2012, pp. 13-14).

     In the past, Canada’s government-funded, universally accessible, health care system has been praised and admired both at home and abroad as one of the finest in the world. A great source of pride and comfort for many Canadians is that it is based on five fundamental principles. Principles that are a reflection of the values held by Canadian citizens since the formation of Medicare in 1966. These principles were reinforced in the Canada Health Act, (CHA), of 1984 and state that the Canadian system is universal, accessible, portable, comprehensive and non-profit.

Canada’s health care system “can be described as a publicly-funded, privately-provided, universal, comprehensive, affordable, single-payer, provincially administered national health care system” (Bernard, 1992, p.103). Health care in Canada is provincial responsibility, with the Canada Health act being a federal legislation (Bernard, 1992, p. 102). Federal budget cuts, has caused various problems within Medicare such as increased waiting times and lack of new technology. Another problem with Medicare is that The Canada Heath Act does not cover expenditures for prescriptions drugs. All these issue has caused individuals to suggest making Medicare privatized. Although, Canada’s health care system consists of shortcomings, our universal

At some point in time, we all must have had a chance of sitting in a waiting room of a hospital. I had a chance to visit the doctor last week and it was horrible, I had to wait to meet the doctor for around 4 hours While I was dying of pain. That made me to curse the whole hospital system in Canada and that 's the main reason that lead me to prepare this essay . British Columbia health care system with emphasis on " Providing " patient-centred care". which is defined as "Shifting the culture of health care from being disease-centred and provider-focused to being patient centered". This represents a great polished political language which they use to make people feel content and confident by confusing without them knowing that they are being confused.

It is often challenging to have health care services that meet the needs of Canada’s diverse population and the needs of both men and women. Gender influences access to care and women in particular are at risk for face difficulties to care (Ontario Women`s Health Equity Report, 2010 p.1). Women are more likely to be poor and have greater caregiver responsibilities in contrast to men. These both factors are barriers to accessing health services. The way the health care system is organized creates barriers to accessing effective care for women because it has failed to take into account that men and women use the health care system very differently. Canada’s health care system reinforces gender inequity rather than eliminating