Week 4: Healthcare Organization Flashcards
What is Federalism
- More responsible to local health needs
- Diffusion of power and more veto points
- More levels of gov
What is the Federal Government’s Job in Healthcare?
- Financial role
- Research and evaluation
- Service delivery
- Public Health and Safety
- Provision of health care infrastructure
What is the Provincial Government’s Job?
- Financing of health care services
- Provision and admin of services
- Coordination of services
- Regulation of health care professionals
In terms of power what are the feds?
Expenditure power
In terms of power what are the Provinces/Territories?
Regulatory Power
How is money for healthcare collected?
- Tax revenues of federal, provincial, and territorial governments
- Health Premiums in three provinces (BC, ON, QC)
- Health Premiums raise less than 20% of the provincal health spending
Budget allocation gets split between 3 places: feds, RHA/Ontario health, and provinces
50/50 split of finances was when?
1958, prov found too restrictive and feds too risky
when was EPF?
1977, established program financing, prov greater flexibility, fed cap on econ growth but no control over medicare
When was CHST?
1994, canada health and social tranferm reduction in cash and provision of annual increases
When was Canada Health Transfer?
2004, re-introduced annual increase at 6% for 10 yrs.
What are the Spending vs Growth Trends?
- Hospitals have most spending & most growth
- Drugs 2nd largest spending and least growth
- Physicians have least spending allocation and 2nd most growth
What is the % breakdown of who is paying for our healthcare?
- 71% public (gov provincial and other)
- 29% Private (out-of-pocket private insurance)
Which province spends the most on healthcare, the least?
Most nunavut, least Ontario
What are some traits of provincial coverage
- Prohibits/discourages supplementary private health insurance
- Recieves compensation from the feds for all medicare services provided to members of the Army and fed prisons
What is consistant across 3 provinces in 3 regards
- Majority of funding for LTC from P &T
- All jurisdictions give coverage for old ppl and poor ppl
- almost no coverage for dental, vision, or CAM
What is the projected spending for 2027-2028
93.8 billion
How much was spent in 2021-2022
75.7 billion
