About: Canada's universal health-care system: achieving its potential

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An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Canada's universal health-care system: achieving its potential
Creator	Martin, Danielle Quesnel-Vallée, Amélie Vissandjée, Bilkis Caron, Nadine Marchildon, Gregory Miller, Ashley
Source	Elsevier; Medline; PMC
abstract	Summary Access to health care based on need rather than ability to pay was the founding principle of the Canadian health-care system. Medicare was born in one province in 1947. It spread across the country through federal cost sharing, and eventually was harmonised through standards in a federal law, the Canada Health Act of 1984. The health-care system is less a true national system than a decentralised collection of provincial and territorial insurance plans covering a narrow basket of services, which are free at the point of care. Administration and service delivery are highly decentralised, although coverage is portable across the country. In the setting of geographical and population diversity, long waits for elective care demand the capacity and commitment to scale up effective and sustainable models of care delivery across the country. Profound health inequities experienced by Indigenous populations and some vulnerable groups also require coordinated action on the social determinants of health if these inequities are to be effectively addressed. Achievement of the high aspirations of Medicare's founders requires a renewal of the tripartite social contract between governments, health-care providers, and the public. Expansion of the publicly funded basket of services and coordinated effort to reduce variation in outcomes will hinge on more engaged roles for the federal government and the physician community than have existed in previous decades. Public engagement in system stewardship will also be crucial to achieve a high-quality system grounded in both evidence and the Canadian values of equity and solidarity.
has issue date	2018-05-04(xsd:dateTime)
bibo:doi	10.1016/s0140-6736(18)30181-8
bibo:pmid	29483027
has license	els-covid
sha1sum (hex)	a3d2ceee41401441a21947eb1bd04f0962972786
schema:url	https://doi.org/10.1016/s0140-6736%2818%2930181-8
resource representing a document's title	Canada's universal health-care system: achieving its potential
has PubMed Central identifier	PMC7138369
has PubMed identifier	29483027
schema:publication	The Lancet
resource representing a document's body	covid:a3d2ceee41401441a21947eb1bd04f0962972786#body_text
is schema:about of	named entity 'waits' named entity 'federal law' named entity 'standards' named entity 'social determinants' named entity 'health care' named entity 'solidarity' named entity 'plans' named entity 'health-care system' named entity 'CANADA' named entity 'HEALTH' named entity 'CARE SYSTEM' named entity 'HIGH' named entity 'ACHIEVEMENT' named entity 'COST SHARING' named entity 'CANADA' named entity 'MODELS' named entity 'CANADIAN' named entity 'TRIPARTITE' named entity 'HIGHLY' named entity 'VARIATION' named entity 'QUALITY' named entity 'THESE' named entity 'COORDINATED' named entity 'SETTING' named entity 'MEDICARE' named entity 'ROLES' named entity 'TRUE' named entity 'INDIGENOUS POPULATIONS' named entity 'TERRITORIAL' named entity 'SERVICES' named entity 'COVERAGE' named entity 'DELIVERY' named entity 'TO REDUCE' named entity 'POTENTIAL' named entity 'CARE SYSTEM' named entity 'SUSTAINABLE' named entity 'ENGAGED' named entity 'FOUNDERS' named entity 'PREVIOUS' named entity 'EXPERIENCED' named entity 'SOCIAL DETERMINANTS OF HEALTH' named entity 'SOCIAL' named entity 'HEALTH' named entity 'UNIVERSAL' named entity 'SERIES' named entity '27S' named entity 'LEADERSHIP' named entity 'CONTRACT' named entity 'FUNDED' named entity 'INSURANCE' named entity 'ASPIRATIONS' named entity 'CARE' named entity 'NEED' named entity 'COLLECTION' named entity 'PROFOUND' named entity 'SPREAD' named entity 'ENGAGEMENT' named entity 'COMMUNITY' named entity 'GROUPS' named entity 'SOLIDARITY' named entity 'RATHER' named entity 'EFFORT' named entity 'GOVERNMENTS' named entity 'POINT OF CARE' named entity 'CARE DELIVERY' named entity 'SCALE' named entity '27S' named entity 'ITS' named entity 'GLOBAL' named entity 'EVIDENCE' named entity 'LONG' named entity 'PRINCIPLE' named entity 'DEMAND' named entity 'HINGE' named entity 'BASKET' named entity 'FEDERAL LAW'

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