Canada - World Health Organization Regional Office for Europe

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58 Health systems in transition Canada Table 2.5 Survey of sicker adults in terms of access, coordination and patient-centred experience, 2011 (% of patients) Same day or next day appointment Waited 6 days or more Access to doctor or nurse when sick or in need of care Difficulty getting after-hours care without going to ED Used emergency department in past 2 years Waited less than 1 month to see a specialist Experienced coordination gaps in past 2 years Experienced gaps in hospital or surgery discharge in past 2 years Any medical, medication or laboratory errors in past 2 years Shared decisionmaking with specialist Australia 63 10 56 48 59 36 55 19 64 Canada 51 23 63 58 52 40 50 21 61 France 75 8 55 33 67 53 73 13 37 Sweden 50 22 52 50 63 39 67 20 48 United Kingdom United States 79 2 21 40 80 20 26 8 79 59 16 55 49 88 42 29 22 67 Source: Derived from Schoen et al. (2011). Note: ED: Emergency department. Since 2008, some provincial ministries of health have launched patientcentred care initiatives. In Saskatchewan, for example, an externally appointed ministerial advisory committee, known as the Patient First Review, consulted patients and caregivers and reviewed existing care processes before making a series of recommendations for change (Dagnone, 2009). In Ontario, the provincial government passed a law entitled “Excellent Care for All” that requires hospitals to engage with their patients and caregivers in order to gauge the level of satisfaction with services, and requires health care organizations to develop a declaration of values based in public input. 2.9.6 Patients and cross-border health Under the portability provision of the Canada Health Act, provincial and territorial governments are required to provide coverage for insured hospital and physician services for their residents when they are visiting other jurisdictions, both inside and outside Canada. Within Canada, section 11 of the Act requires that residents visiting other jurisdictions be reimbursed at the rate approved by the P/T plan in which the services are provided unless there is an agreement between the jurisdictions to do otherwise. Outside Canada, P/T plans are to reimburse the amount that would have been paid in the home province or territory.
Health systems in transition Canada 59 Provinces and territories are allowed to require patients to get consent from their home jurisdiction before seeking elective (non-emergency) medicare services in another province or country. Within Canada, the portability provisions of the Canada Health Act are implemented through a series of bilateral billing agreements between the provinces and territories for hospital and physician services. All provinces and territories participate in hospital reciprocal billing and all, with the exception of Quebec, participate in reciprocal medical agreements. To date, the federal government has chosen not to enforce this breach of the portability condition (Flood & Choudhry, 2004).
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Health Systems in Transition Gregor
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Contents Preface . . . . . . . . .
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Preface The Health Systems in Trans
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Acknowledgements The HiT on Canada
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List of abbreviations Abbreviations
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Abstract Canada is a high-income co
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The European Observatory on Health
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Canada - World Health Organization Regional Office for Europe

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