Newfoundland and Labrador
A Health System Profile
Published on 20. October 2021
Book
Hardback
208 pages
978-1-4875-0840-1 (ISBN)
Description
There is not, and has never been, a single Canadian health system. Part of a series on the health systems of Canada's provinces and territories, Newfoundland and Labrador: A Health System Profile provides a critical analysis of how the single-payer health care system has been implemented in the country's youngest province.
Examining the way the province's health services are organized, funded, and delivered, the authors focus on the challenges involved in providing effective health care in a setting characterized by a large, decentralized territory; a small population, much of which is widely distributed in a large number of rural communities and small towns; and comparatively limited fiscal capacity and health human resources. Drawing on maps, figures, and collected data, this book documents the hesitant and limited ways in which Newfoundland and Labrador has sought to deal with the challenges and difficulties that the system has experienced in responding to recent changes in demography, economics, and medical technology.
Examining the way the province's health services are organized, funded, and delivered, the authors focus on the challenges involved in providing effective health care in a setting characterized by a large, decentralized territory; a small population, much of which is widely distributed in a large number of rural communities and small towns; and comparatively limited fiscal capacity and health human resources. Drawing on maps, figures, and collected data, this book documents the hesitant and limited ways in which Newfoundland and Labrador has sought to deal with the challenges and difficulties that the system has experienced in responding to recent changes in demography, economics, and medical technology.
More details
Series
Language
English
Place of publication
Toronto
Canada
Target group
College/higher education
Professional and scholarly
Product notice
sewn/stitched
Cloth over boards
Illustrations
7 figures, 30 b&w tables
Dimensions
Height: 229 mm
Width: 152 mm
Thickness: 25 mm
Weight
399 gr
ISBN-13
978-1-4875-0840-1 (9781487508401)
Copyright in bibliographic data and cover images is held by Nielsen Book Services Limited or by the publishers or by their respective licensors: all rights reserved.
Schweitzer Classification
Persons
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.
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.
Content
Series Editor's Foreword
List of Acronyms
1. 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
List of Acronyms
1. 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