Ideas And Reforms For An Improved Access For High Quality 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.

In order to sustain the health care system, the Canadian government needs to strategically plan for the years ahead and invest more in preventative care rather than curative care. Canada should enforce non-medical health policies which are not only going to promise healthy living for

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

The health care system must change to improve our nation’s health and takes strong steps to address the unsustainable growth of health care costs in America. We still have a long way to go before our health system become effective. We still have population that do not have insurance, have difficulties accessing their health care, or their needs are not met within the healthcare system. It is an investment in prevention and wellness and increasing access to primary care physician.

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

This paper will focus on the Central West LHIN because the LHIN provides services according to the regions in Ontario. The Central West LHIN’s mandate is to “plan, integrate, fund and monitor the local health care system for the regions of Brampton, Caledon, Dufferin, Malton, North Etobicoke and Woodbridge with over 840,000 local residence” (Together, making …, 2014, para. 1). The Central West region is a very diverse community with people from different cultural background.

Public Policies strive to protect all citizens across the nation, includes low-income citizens who often go unrecognized in society. To make sure this happens, legislature has put forth the “The Canada Health Act”, which requires the provincial government to meet certain expectations regarding public-health care and insurance plans. Though this act states that health services are free and accessible facilities, issues arise when citizens need urgent medical attention but appointment are unavailable until weeks later. Many of these poor individuals cannot afford to pay the extra amount to receive faster care as oppose to their rich counterparts.

One of the most talked about subjects regarding health care in Canada is the time it takes to be seen by a physician. For acute illnesses, an

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.

Primary care is the backbone of many industrialized nations, but is the US one of them? Unfortunately, the answer is no. The US lags behind such developed nations in its accessibility of primary care by a huge difference. The United States healthcare system fails to ensure the timely preventative and primary care for its residents. The current estimates indicate that there is merely one physician for every 2,500 patients. Not only Medicare beneficiaries, but also privately insured adults struggle in accessing the right primary care physician at the right time. Moreover, maldistribution of physicians only exacerbates the problem, especially for those residing in health professional shortage areas (HPSA).15 Approximately, sixty-five million Americans live in designated primary care shortage areas.13 Such underserved population faces higher disease and death rates and health disparities that then result in higher rates of hospitalizations and emergency department visits—in other words, expensive medical bills.21 More governmental control on the geographic location of primary care physicians can be a first-step to fixing the shortage problem.

Accessibility and quality are being threatened due to cutbacks coupled with a lack of funding. There is a consensus now between medical professionals, the public, and the government that the health care system is deteriorating. It is failing to provide the quality of care promised in the CHA and prided by so many Canadians.

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

All health care in Canada is “free” for insured services, those provided through hospitals and physicians (O 'Neill, 2008). With the enactment of the Canada Health Act, citizens may choose their own family physician and do not have to pay premiums, deductibles, or co-payments. Other services such as prescription drugs or dental care must be paid for either out-of-pocket or through private insurances. Because of this “free” care, O’Neill (2008) argued that the demand for health care becomes unrestrained causing costs to surge. This inexplicably triggered shortages in all provinces and explicit rationing had to be implemented in Canada for certain medical treatments and technology (O’Neill, 2008). The high demand and severe shortages caused a large increase in private facilities providing core services.