Health
Canadians are living longer and are generally in better health than previous generations. However, a number of challenges in the health sector remain, including thereform of our health care system.
Recent surveys indicate that most Canadians believe that they are in very good to excellent health. Life expectancy, as well as health-adjusted life expectancy, has increased, the infant death rate has dropped, many infectious diseases have been practically eliminated, and medical techniques have continued to evolve.
However, although Canadians are healthier today than in the past, a number of problems persist. Heart disease, cancer, mental health problems, HIV/AIDS, asthma, obesity and diabetes are some of the health conditions that continue to affect many Canadians. Moreover, new infectious disease strains, such as severe acute respiratory syndrome (SARS), the
Disparities in health
There are marked disparities in health status among
People who lead a healthy lifestyle—that is, those who are active, eat well, drink alcohol in moderation and do not smoke—are less likely to have health problems. Better socio-economic conditions, such as higher income and higher education, also contribute to a better state of overall health.
Many Canadians have health limitations that interfere with their daily activities. In 2001, 3.6 million people living in a household—particularly the elderly—confirmed that health problems limited their activities in some way. The types of disabilities most frequently reported by people aged 15 and over are mobility or dexterity problems, pain-related disability and hearing or vision impairments. Among the elderly, mobility and memory problems are the most frequently reported disabilities.
Access to specialized health care services―such as visits to specialists, non-emergency surgeries and diagnostic tests, as well as access to first contact services―can be a challenge for a number of Canadians, according to the 2003 Health Services Access Survey. In 2003, more than 2.9 million Canadians visited a medical specialist to be assessed for a new illness or condition, and about 21% (just over 600,000 people) reported experiencing a difficulty with access. And 13% of those who accessed non-emergency surgery (about 200,000 people) reported that they had experienced difficulties. The majority of those experiencing difficulties reported that the main barrier was too long a wait for care.
A changing health care system
In
Hospitals experienced big changes in the 1990s. While hospitals had 25% fewer beds in 1997/1998 than in 1984/1985, trips to emergency rooms and clinics rose 9%. In addition, use of outpatient services was three times higher in 1997/1998 than in 1984/1985. More patients were also being treated in day surgery.
While there was a decrease in institutional care, community-based care increased. From 1996 to 2002, the proportion of elderly people who received community care for a long-term health condition went from 26% to 32% among women and from 17% to 21% among men.
Health care professionals in
Nursing is the top health care occupation. In 2000, most of
Physicians are the second largest group of regulated health care professionals. In 2000, more than 57,800 physicians worked in clinical and non-clinical practices in
Despite the increased number of physicians, more than 3.6 million Canadians, or 14% of the population did not have a family physician in 2003. Of these, more than 1.2 million people were unable to find one and the other 2.4 million had not looked for one.
More money for health
In 2003,
Public funds are the primary source of funding for health care. In 2001, 71% of total health care expenses in
Expenses incurred by hospitals are the top category of health expenditure, which totalled 30% in 2003. Retail drug sales is the second most costly category, followed by physician services.
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