HE302 Chapter Notes - Chapter 5: Rhinoplasty, Independent Sector, Claude Castonguay
Document Summary
No systematic leader in performance of health care. All of these policies are addressed throughout the world. Canada devotes 11% of gdp to healthcare: similar to european counterparts, considered a big spender . Nearly 30% of healthcare spending in canada is non-public: much higher proportion than most industrialized countries, us is an exception, part of discrepancy comes from the exclusion of big ticket items, especially prescription drugs. Canada is also unique in its balance between public and private provisions of healthcare: public payment, private delivery allows considerable autonomy for medical practitioners in maintaining a fee-for-service practice. Also sets up a tighter wall between public and private payment. Physicians cannot double-dip through the extra billing of public-pay patients, which is tolerated in other health care systems. Canada funding of hospitals is also unique: fee-for-service physicians co-existing with rigid global budgets, instead of the mix of payment features that often come into play elsewhere.
