Alberta

A Health System Profile

AvJohn Church,Neale Smith

Häftad, Engelska, 2022

Del i serien Provincial and Territorial Health System Profiles

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Beskrivning

Alberta: A Health System Profile provides the first detailed description of Alberta’s health care system and the underpinning political and social forces that have shaped it. Drawing on significant wealth from government revenues generated through the energy sector, Alberta has been able to develop an extensive public health and health care infrastructure.Alberta has used its financial resources to attract health professionals by offering the highest levels of financial compensation in Canada. However, although it spends more per capita than other Canadian jurisdictions, Alberta’s health care system costs and health outcomes are mediocre compared to those of many other Canadian jurisdictions. This unexpected outcome is the consequence of the unique interplay of economic and political forces within Alberta’s political economy.Through an examination of Alberta’s political and economic history, and using research on the structures and services provided, Alberta: A Health System Profile provides a detailed description of the programs and services that constitute Alberta’s health care system.

Produktinformation

Utgivningsdatum:2022-03-02
Mått:152 x 229 x 20 mm
Vikt:420 g
Format:Häftad
Språk:Engelska
Serie:Provincial and Territorial Health System Profiles
Antal sidor:286
Förlag:University of Toronto Press
ISBN:9781487525163

Utforska kategorier

Medicin: allmänt inom Medicin
Hälsoinformatik inom Medicin
Den medicinska professionen inom Medicin

Mer om författaren

John Church is a professor in the Department of Political Science at the University of Alberta.Neale Smith is a research coordinator at the Centre for Clinical Epidemiology & Evaluation at the University of British Columbia.

Innehållsförteckning

List of Figures, Tables, and BoxesSeries Editor’s ForewordPreface and AcknowledgementsList of AcronymsChapter 1: Introduction and Overview1.1 Geography and Demography1.2 Political Context1.3 Alberta’s Economy1.4 Health Status1.5 ConclusionChapter 2: Organization and Regulation2.1 Overview of the health system2.1.1 Early History2.1.2 Health System Restructuring 1993-20072.2 Organization of the Provincial Health System2.2.1 Alberta Health2.2.2 Alberta Health Services2.2.3 Contractors2.3 Health System Planning2.4 Coverage and Benefits2.4.1 Eligibility for Benefits2.5 Regulation2.5.1 Providers2.5.2 Hospitals2.5.3 Continuing Care2.5.4 Public Health2.5.5 Diagnostic Imaging2.5.6 Prescription Drugs2.5.7 Patient Health Information2.6 Patients2.7 Health Research2.8 SummaryChapter 3: Health Expenditures and Financing3.1 Health System Financing Flows3.2 Health Expenditures and Trends3.2.1 Payment Methods3.2.2 Private and Out-of-Pocket Spending3.3 Public Revenues3.3.1 Provincial Own-Source Revenues3.3.2 Federal Transfers3.4 SummaryChapter 4: Physical Infrastructure4.1 Hospitals and other treatment Facilities4.1.1 Size and Geography4.1.2 Ownership4.1.3 Specialization4.1.4 Structural condition4.2 Long Term (Continuing Care) facilities4.2.1 Size and Geography4.2.2 Ownership4.2.3 Specialization4.2.4 Age and Design4.3 Diagnostic Imaging and Laboratory (DIAL) services4.3.1 Laboratory Services4.3.2 Diagnostic Imaging4.4 Public Health Facilities and Community Health Centres4.5 Information and Communications Technology Infrastructure4.5.1 Electronic Health Records (EHRs) and Electronic Medical Records (EMRs)4.5.2 Telehealth4.6 Health Research Infrastructure4.7 SummaryChapter 5: Health Workforce5.1 Main Workforce Challenges 5.2 Physicians5.3 Regulated Nurses5.4 Other Health Care Providers5.4.1 Complimentary Health Care Providers5.4.2 Pharmaceutical Workforce5.4.3 Emergency Medical Workforce5.4.4 Diagnostic Workforce5.4.5 Rehabilitation Workforce5.4.6 Dental Workforce5.4.7 Eye Care Workforce5.4.8 Public Health Workforce 5.5 Health Human Resource Planning and Collective Bargaining 5.5.1 HHR Planning5.5.2 Collective Bargaining5.6 ConclusionChapter 6: Services and Programs Provided in Alberta’s Health System6.1 Public Health Services6.1.1 Public Health Nursing and Communicable Disease Control6.1.2 Environment Health Services6.1.3 Health Promotion6.2 Primary Care6.3 Acute (secondary, tertiary) care including emergency services6.3.1 Emergency Services6.4 Diagnostic Imaging and Laboratory Services 6.5 Long-term and Continuing Care services6.5.1 Long-term care (LTC)6.5.2 Home and Community Care6.6 Prescription drugs6.7 Occupation Health Services and Rehabilitation Care6.7.1 Occupational Health and Safety6.7.2 Rehabilitation Care6.8 Mental Health Care and Addictions Services6.9 Dental Health Care Services6.10 Complementary and Alternative Medicines and Care 6.11 Targeted Services for Indigenous and/or Minority Groups6.12 Palliative (end-of-life) care6.12.1 Palliative Care6.12.2 Medical Assistance in Dying6.13 SummaryChapter 7: Recent Health Reforms7.1 Alberta Health Services7.2 Strategic Clinical Networks7.3 Primary Care7.4 Wait Times7.5 Patient Safety7.6 Patient Advocacy7.7 Health Research7.8 ConclusionChapter 8: Assessing Alberta’s Health Care System8.1 Stated Objectives of the Health System8.2 Financial Protection and Equity8.3 Health System and Service Outcomes8.3.1 Access to Care8.3.2 Wait Times8.3.3 Patient Safety8.4 User Experience and Satisfaction8.4.1 Access8.4.2 Satisfaction8.4.3 Continuity of Care8.5 Efficiency (technical and allocative)8.5.1 Financial Costs8.5.2 Utilization8.5.3 Public Health8.5.4 Integration8.5.5 Resource Allocation8.5.6 Mortality8.6 Accountability8.7 Information, Performance Measurement and Quality Assurance8.8 ConclusionChapter 9: Conclusion9.1 The Economy and People9.2 Health Care Costs9.3 Health System Governance9.4 Health Workforce9.5 Professionalism9.6 Infrastructure and Services9.7 Performance Measurement9.8 Performance Outcomes9.9 Final ThoughtsAfterwardsReferences Index