Newfoundland and Labrador

Stephen Bornstein is a professor in the Division of Community Health and Humanities and the Department of Political Science and the director of the Newfoundland and Labrador Centre for Applied Health Research at Memorial University of Newfoundland.John Abbott is the chief executive officer of the Newfoundland-Labrador division of the Canadian Mental Health Association, former deputy minister of NL’s health and community services department, and the last CEO of the Health Council of Canada.Victor Maddalena is an associate professor in the Division of Community Health and Humanities and Faculty of Medicine at Memorial University of Newfoundland.Aimee Letto is a lawyer from St. John’s, Newfoundland and Labrador, whose work focuses on health law and public health policy.Melissa Sullivan is an applied health services research consultant. Pablo Navarro is a research officer and project coordinator at the Newfoundland & Labrador Centre for Applied Health Research at the Memorial University of Newfoundland.

• Series Editor’s ForewordList of Acronyms1. Introduction and overview 1.1 Geography and socio-demography 1.2 Political context 1.3 Economic context 1.4 Health status of the population 1.5 Summary 2. Organization and regulation 2.1 History 2.2 Current organization of the provincial health system 2.3 Health system planning 2.4 Coverage and benefits 2.5 Regulation 2.6 Patients 2.7 Summary 3. Health spending and financing 3.1 Expenditures and trends 3.2 Public revenue 3.3 Private revenue 3.4 Public financial flows 3.5 Summary 4. Physical infrastructure 4.1 Hospitals and rehabilitation facilities 4.2 Long-term care facilities and personal care homes 4.3 Medical and diagnostic facilities 4.4 Public health services 4.5 Information and communications technology infrastructure 4.6 Research and evaluation infrastructure 4.7 Summary 5. Health human resources 5.1 Main workforce challenges 5.2 Physicians 5.3 Nurses 5.4 Other health professionals 5.5 Health workforce planning, education and training 5.6 Summary 6. Services and Programs 6.1 Public and population health services 6.2 Primary Care 6.3 Acute care 6.4 Long-term care 6.5 Public Prescription Drug Program 6.6 Workers’ compensation programs 6.7 Rehabilitation care 6.8 Mental health care 6.9 Dental health care 6.10 Complementary and alternative medicine 6.11 Targeted services 6.12 Palliative care 6.13 Summary 7. Reforms 7.1 Regional health system restructuring 7.2 Some incremental changes 7.3 Future prospects 7.4 Analysis 8. Assessment of the health system 8.1 Stated objectives of the health system 8.2 Financial protection and equity in financing 8.3 Equity of access 8.4 Outcomes 8.5 User experience and satisfaction 8.6 Efficiency 8.7 Transparency and accountability 8.8 Summary 9. Conclusion References