Health Care in Saskatchewan : An Analytical Profile

Table of Contents

• Contents 7
• Acknowledgements 6
• Preface 9
• Glossary of Abbreviations 11
• A 11
• B 11
• C 11
• D 11
• F 11
• G 11
• H 11
• I 12
• L 12
• M 12
• N 12
• O 12
• P 12
• R 12
• S 12
• T 12
• W 12
• 1. Introduction 13
• 1.1 Overview of the Saskatchewan Health System 13
• 1.2 Sociodemography 15
• 1.3 Economic Context 17
• 2. Population Health and Health Status 19
• 2.1 General Measures of Health Status 19
• 2.1.1 Comparable Provincial Indicators 22
• 2.2 Aboriginal Health Status 24
• 2.3 Health Promotional Illness/Injury Prevention Initiatives 27
• 3. Organizational Structure 29
• 3.1 Historical Background 30
• 3.2 Organizational Overview 33
• 3.2.1 Provincial Government and Saskatchewan Health 34
• 3.2.2 Other Provincial and Quasi-Public Agencies 38
• 3.2.3 Non-governmental Agencies and Associations 39
• 3.3 Provincial Coverage and Benefits 41
• 4. Financing and Expenditure 45
• 4.1 Revenue Mobilization 45
• 4.1.1. Government Taxation 46
• 4.1.2 Private Payment: Out-of-Pocket and Private Health Insurance 48
• 4.1.3 Worker's Compensation Plans 49
• 4.1.4 Other Sources of Finance 49
• 4.2 Public Payment to Providers 50
• 4.3 Health Care Expenditures 50
• 4.3.1 Provincial Government Health Expenditures 55
• 4.3.2 Federal Health Expenditures 59
• 4.3.3 Municipal Health Expenditures 60
• 4.3.4. Private Health Care Expenditures 60
• 4.3.5. Conclusion: Public and Private Health Expenditures 64
• 5. Regionalization 65
• 5.1 Regionalization and Health Reform 65
• 5.2 Organizational Mandate 66
• 5.3 Comparing Regional Health Authorities by Peer Groupings 68
• 5.4 Provincial Funding and Internal Resource Allocation 70
• 6. Planning, Technology and Research 75
• 6.1 System-wide Planning 76
• 6.2 Regulation 77
• 6.3 Performance Measurement and Waiting Times 78
• 6.4 Health Technology Assessment 78
• 6.5 Information Systems 80
• 6.5.1 Health Information and Privacy Concerns 80
• 6.6 Health Research 81
• 7. Physical and Human Resources 83
• 7.1 Physical Resources 83
• 7.1.1 Infrastructure and Capital Investment 83
• 7.1.2 Info-structure 86
• 7.1.3 Advanced Diagnostic Equipment 87
• 7.2 Health Human Resources 89
• 7.2.1. Trends in Health Care Personnel 89
• 7.2.2. Health Human Resource Planning 97
• 7.2.3. Medical Education and Training 100
• 8. Provision of Services 105
• 8.1 Public Health 105
• 8.2 Primary Care 107
• 8.3 Acute/Inpatient Care 109
• 8.4 Pharmaceutical Care 115
• 8.5 Long-Term Care 116
• 8.6 Home Health Care 119
• Supportive Home Care 121
• Acute Care Home Services 121
• Palliative Home Care 121
• 8.7 Services for Informal Caregivers 122
• 8.8 Mental Health Care 123
• 8.9 Community Care 125
• 8.10 Dental Health Care 126
• 8.11 Conclusion: Changing Health Services 128
• 9. Principal Health Care Reforms 129
• 9.1 Analysis of Recent Reforms 130
• 9.1.1 The Saskatchewan Prescription Drug Plan 130
• 9.1.2 Aims and Background to System-wide Health Reforms 131
• 9.1.3 Policy Process and Reform Implementation 133
• 9.2 Regionalization 136
• 9.3 Future Developments 137
• 9.3.1 Primary Health Care 137
• 9.3.2 Physician Remuneration 137
• 9.3.3 Aboriginal Health Blueprint 137
• 10. Assessment of the Health System 139
• 10.1 The Objectives of the Public Health System 139
• 10.2 Resource Allocation in Health Care 142
• 10.3 Technical Efficiency in the Production of Health Care 143
• 10.4 Accountability of Payers and Providers 144
• 10.5 Population Health Status Outcomes 145
• 10.6 Conclusion: Assessment of the Saskatchewan Health System 146
• Appendix 1: Provincial Legislation Related to Health and Health Care in Saskatchewan 147
• Appendix 2: Regional Health Authorities in Saskatchewan 150
• References 152
• Index 160
• A 160
• B 160
• C 160
• D 160
• E 161
• F 161
• G 161
• H 161
• I 162
• K 162
• L 162
• M 162
• N 162
• O 162
• P 162
• Q 163
• R 163
• S 164
• T 165
• U 165
• V 165
• W 165