Health care by gjjur4356

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									Health care
    Criteria for evaluation of health care
                   systems
• Health care spending as a % of GDP
• Life expectancy
• Seniors as a percentage of the population
• Number of physicians (and other health care
  providers)
• Other forms of income support
          Health care financing
• Public provision of health care is the
  responsibility of provinces
• History
  – Until 1940 – privately funded
  – 1940—60s – forms of hospital insurance
  – Since 70s – comprehensive insurance; fed
    government grants
Trends in health care expenditures
• Growth of health care expenditures as a
  percentage of GDP
• Changes in the pattern of health spending
  – Reduced hospital spending
  – Increased spending on medications
• The Canada Health Act – main principles”
  –   Universality
  –   Accessibility
  –   Comprehensiveness
  –   Portability
  –   Public admin
  Challenges and future direction
• Increased health care expenditure
• Cost pressures due to
  – Aging population
  – Medical technology and innovation
  – Waiting times
• Need for better management and accountability
  –   Fee for service vs. payment per patient
  –   user charges
  –   Pharmacare
  –   Define medically necessary services
  –   Partial privatization
  Government role in health care
• Decision-making regarding health care
  services
• Adverse selection
• Moral hazard
• Paternalism
• Income redistribution
• Externalities

								
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