Alberta: A Health System Profile
© 2021
Alberta: A Health System Profile provides the first detailed description of Alberta’s health care system and the underpinning political and social forces that have shaped it. Due to the significant wealth resulting from government revenues generated through the energy sector, Alberta has been able to develop an extensive public health and health care infrastructure.
Alberta has used its financial resources to attract health professionals by offering the highest levels of financial compensation in Canada. However, although it spends more per capita than other Canadian jurisdictions, Alberta’s health care system costs and health outcomes performance are mediocre compared to many other Canadian jurisdictions. This unexpected outcome is the result of the unique interplay of economic and political forces within Alberta’s political economy.
Through an examination of Alberta’s political and economic history, and using research on the structures and services provided, Alberta: A Health Systems Profile provides a detailed description of the programs and services comprising Alberta’s health care system.
Product Details
- Series: Provincial and Territorial Health System Profiles
- World Rights
- Page Count: 304 pages
- Illustrations: 57
- Dimensions: 6.0in x 1.0in x 9.0in
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Author Information
John Church is an associate professor in the Department of Political Science at the University of Alberta.
Neale Smith is a research coordinator at the Centre for Clinical Epidemiology & Evaluation at the University of British Columbia. -
Table of contents
List of Figures, Tables, and Boxes
Series Editor’s Foreword
Preface and Acknowledgements
List of AcronymsChapter 1: Introduction and Overview
1.1 Geography and Demography
1.2 Political Context
1.3 Alberta’s Economy
1.4 Health Status
1.5 ConclusionChapter 2: Organization and Regulation
2.1 Overview of the health system
2.1.1 Early History
2.1.2 Health System Restructuring 1993-2007
2.2 Organization of the Provincial Health System
2.2.1 Alberta Health
2.2.2 Alberta Health Services
2.2.3 Contractors
2.3 Health System Planning
2.4 Coverage and Benefits
2.4.1 Eligibility for Benefits
2.5 Regulation
2.5.1 Providers
2.5.2 Hospitals
2.5.3 Continuing Care
2.5.4 Public Health
2.5.5 Diagnostic Imaging
2.5.6 Prescription Drugs
2.5.7 Patient Health Information
2.6 Patients
2.7 Health Research
2.8 SummaryChapter 3: Health Expenditures and Financing
3.1 Health System Financing Flows
3.2 Health Expenditures and Trends
3.2.1 Payment Methods
3.2.2 Private and Out-of-Pocket Spending
3.3 Public Revenues
3.3.1 Provincial Own-Source Revenues
3.3.2 Federal Transfers
3.4 SummaryChapter 4: Physical Infrastructure
4.1 Hospitals and other treatment Facilities
4.1.1 Size and Geography
4.1.2 Ownership
4.1.3 Specialization
4.1.4 Structural condition
4.2 Long Term (Continuing Care) facilities
4.2.1 Size and Geography
4.2.2 Ownership
4.2.3 Specialization
4.2.4 Age and Design
4.3 Diagnostic Imaging and Laboratory (DIAL) services
4.3.1 Laboratory Services
4.3.2 Diagnostic Imaging
4.4 Public Health Facilities and Community Health Centres
4.5 Information and Communications Technology Infrastructure
4.5.1 Electronic Health Records (EHRs) and Electronic Medical Records (EMRs)
4.5.2 Telehealth
4.6 Health Research Infrastructure
4.7 SummaryChapter 5: Health Workforce
5.1 Main Workforce Challenges
5.2 Physicians
5.3 Regulated Nurses
5.4 Other Health Care Providers
5.4.1 Complimentary Health Care Providers
5.4.2 Pharmaceutical Workforce
5.4.3 Emergency Medical Workforce
5.4.4 Diagnostic Workforce
5.4.5 Rehabilitation Workforce
5.4.6 Dental Workforce
5.4.7 Eye Care Workforce
5.4.8 Public Health Workforce
5.5 Health Human Resource Planning and Collective Bargaining
5.5.1 HHR Planning
5.5.2 Collective Bargaining
5.6 ConclusionChapter 6: Services and Programs Provided in Alberta’s Health System
6.1 Public Health Services
6.1.1 Public Health Nursing and Communicable Disease Control
6.1.2 Environment Health Services
6.1.3 Health Promotion
6.2 Primary Care
6.3 Acute (secondary, tertiary) care including emergency services
6.3.1 Emergency Services
6.4 Diagnostic Imaging and Laboratory Services
6.5 Long-term and Continuing Care services
6.5.1 Long-term care (LTC)
6.5.2 Home and Community Care
6.6 Prescription drugs
6.7 Occupation Health Services and Rehabilitation Care
6.7.1 Occupational Health and Safety
6.7.2 Rehabilitation Care
6.8 Mental Health Care and Addictions Services
6.9 Dental Health Care Services
6.10 Complementary and Alternative Medicines and Care
6.11 Targeted Services for Indigenous and/or Minority Groups
6.12 Palliative (end-of-life) care
6.12.1 Palliative Care
6.12.2 Medical Assistance in Dying
6.13 SummaryChapter 7: Recent Health Reforms
7.1 Alberta Health Services
7.2 Strategic Clinical Networks
7.3 Primary Care
7.4 Wait Times
7.5 Patient Safety
7.6 Patient Advocacy
7.7 Health Research
7.8 ConclusionChapter 8: Assessing Alberta’s Health Care System
8.1 Stated Objectives of the Health System
8.2 Financial Protection and Equity
8.3 Health System and Service Outcomes
8.3.1 Access to Care
8.3.2 Wait Times
8.3.3 Patient Safety
8.4 User Experience and Satisfaction
8.4.1 Access
8.4.2 Satisfaction
8.4.3 Continuity of Care
8.5 Efficiency (technical and allocative)
8.5.1 Financial Costs
8.5.2 Utilization
8.5.3 Public Health
8.5.4 Integration
8.5.5 Resource Allocation
8.5.6 Mortality
8.6 Accountability
8.7 Information, Performance Measurement and Quality Assurance
8.8 ConclusionChapter 9: Conclusion
9.1 The Economy and People
9.2 Health Care Costs
9.3 Health System Governance
9.4 Health Workforce
9.5 Professionalism
9.6 Infrastructure and Services
9.7 Performance Measurement
9.8 Performance Outcomes
9.9 Final ThoughtsAfterwards
References
Index
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Subjects and Courses