IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v125y2021i12p1536-1542.html
   My bibliography  Save this article

Comparison of outpatient coverage in Canada: Assistive and medical devices

Author

Listed:
  • Peckham, Allie
  • Miller, Fiona A.
  • Marchildon, Gregory P.

Abstract

Outpatient technologies are important for maintaining health and overall quality of life, yet the degree of access and coverage of these technologies remains variable within and across jurisdictions. In Canada, assistive technologies are not included in universal health coverage, and are not subject to the Canada Health Act's criteria and conditions that provinces and territories must fulfill to receive the full federal cash contribution under the Canada Health Transfer. As such, the thirteen Canadian provincial and territorial governments make separate decisions on programs and coverage. Drawing on the WHO Universal Coverage Cube we compare who gets access, the types of technologies that can be accessed, and the level of coverage (total costs covered) in Canada. Overall, each Canadian jurisdiction had at least one publicly supported program. All relied on a ‘health assessment’ of an individual's need to determine eligibility. Income and eligibility for social assistance was used as eligibility criteria in 6 of the 13 jurisdictions. Mobility aids as well as audio, visual, and communication aids were included in all jurisdictions. While some programs offered full financial support for some technologies, forms of cost sharing were common. The results are discussed in the context of international experiences, demographic changes, and health system trends to highlight areas for policy learning.

Suggested Citation

  • Peckham, Allie & Miller, Fiona A. & Marchildon, Gregory P., 2021. "Comparison of outpatient coverage in Canada: Assistive and medical devices," Health Policy, Elsevier, vol. 125(12), pages 1536-1542.
    • Handle: RePEc:eee:hepoli:v:125:y:2021:i:12:p:1536-1542
    DOI: 10.1016/j.healthpol.2021.09.014
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168851021002487
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.healthpol.2021.09.014?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Karen S Palmer & Thomas Agoritsas & Danielle Martin & Taryn Scott & Sohail M Mulla & Ashley P Miller & Arnav Agarwal & Andrew Bresnahan & Afeez Abiola Hazzan & Rebecca A Jeffery & Arnaud Merglen & Ahm, 2014. "Activity-Based Funding of Hospitals and Its Impact on Mortality, Readmission, Discharge Destination, Severity of Illness, and Volume of Care: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(10), pages 1-1, October.
    2. Peckham, Allie & Morton-Chang, Frances & Williams, A. Paul & Miller, Fiona A., 2018. "Rebalancing health systems toward community-based care: The role of subsectoral politics," Health Policy, Elsevier, vol. 122(11), pages 1260-1265.
    3. Schreyögg, Jonas & Bäumler, Michael & Busse, Reinhard, 2009. "Balancing adoption and affordability of medical devices in Europe," Health Policy, Elsevier, vol. 92(2-3), pages 218-224, October.
    4. Čavkoska, Biljana, 2018. "Sustainable development and the social inclusion of disabled people," SEER Journal for Labour and Social Affairs in Eastern Europe, Nomos Verlagsgesellschaft mbH & Co. KG, vol. 21(2), pages 253-260.
    5. J.C. Herbert Emery & Ronald Kneebone, 2013. "The Challenge of Defining Medicare Coverage in Canada," SPP Research Papers, The School of Public Policy, University of Calgary, vol. 6(32), October.
    6. Grady, P.A. & Gough, L.L., 2014. "Self-management: A comprehensive approach to management of chronic conditions," American Journal of Public Health, American Public Health Association, vol. 104(8), pages 25-31.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Zhang, Yao & Li, Xiaoming, 2017. "Uses of information and communication technologies in HIV self-management: A systematic review of global literature," International Journal of Information Management, Elsevier, vol. 37(2), pages 75-83.
    2. Elke Loots & Josée Leys & Shara Proost & Manuel Morrens & Inge Glazemakers & Tinne Dilles & Bart Van Rompaey, 2022. "Medication Self-Management in Hospitalised Patients with Schizophrenia or Bipolar Disorder: The Perceptions of Patients and Healthcare Providers," IJERPH, MDPI, vol. 19(8), pages 1-11, April.
    3. Juliet Aweko & Jeroen De Man & Pilvikki Absetz & Claes-Göran Östenson & Stefan Swartling Peterson & Helle Mölsted Alvesson & Meena Daivadanam, 2018. "Patient and Provider Dilemmas of Type 2 Diabetes Self-Management: A Qualitative Study in Socioeconomically Disadvantaged Communities in Stockholm," IJERPH, MDPI, vol. 15(9), pages 1-18, August.
    4. Rachet-Jacquet, Laurie & Toulemon, Léa & Rochaix, Lise, 2021. "Hospital payment schemes and high-priced drugs: Evidence from the French Add-on List," Health Policy, Elsevier, vol. 125(7), pages 923-929.
    5. Sorenson, Corinna & Kanavos, Panos, 2011. "Medical technology procurement in Europe: A cross-country comparison of current practice and policy," Health Policy, Elsevier, vol. 100(1), pages 43-50, April.
    6. Connor Drake & Melissa H. Abadi & Heather R. Batchelder & Bonnie O. Richard & Laura E. Balis & David Rychener, 2022. "National Implementation of a Group-Based Program Promoting Patient Engagement and Peer Support in the Veterans Health Administration: A Multi-Methods Evaluation," IJERPH, MDPI, vol. 19(14), pages 1-20, July.
    7. Henschke, Cornelia, 2012. "Provision and financing of assistive technology devices in Germany: A bureaucratic odyssey? The case of amyotrophic lateral sclerosis and Duchenne muscular dystrophy," Health Policy, Elsevier, vol. 105(2), pages 176-184.
    8. Zippel, Claus & Bohnet-Joschko, Sabine, 2017. "Post market surveillance in the german medical device sector – current state and future perspectives," Health Policy, Elsevier, vol. 121(8), pages 880-886.
    9. Meng, Zhaolin & Hui, Wen & Cai, Yuanyi & Liu, Jiazhou & Wu, Huazhang, 2020. "The effects of DRGs-based payment compared with cost-based payment on inpatient healthcare utilization: A systematic review and meta-analysis," Health Policy, Elsevier, vol. 124(4), pages 359-367.
    10. Ngai, Steven Sek-yum & Jiang, Shan & Cheung, Chau-kiu & Wang, Lin & Tang, Hon-yin, 2021. "Trust in mutual aid group members, self-management of chronic illness, and well-being among young patients with chronic illness in Hong Kong," Children and Youth Services Review, Elsevier, vol. 130(C).
    11. Majed M. Alruwaili & Mostafa Shaban & Osama Mohamed Elsayed Ramadan, 2023. "Digital Health Interventions for Promoting Healthy Aging: A Systematic Review of Adoption Patterns, Efficacy, and User Experience," Sustainability, MDPI, vol. 15(23), pages 1-17, December.
    12. Martelli, Nicolas & van den Brink, Hélène, 2014. "Special funding schemes for innovative medical devices in French hospitals: The pros and cons of two different approaches," Health Policy, Elsevier, vol. 117(1), pages 1-5.
    13. Caitlin Torrence & Sarah F. Griffin & Laura Rolke & Kelli Kenison & AltaMae Marvin, 2018. "Faithful Families Cooking and Eating Smart and Moving for Health: Evaluation of a Community Driven Intervention," IJERPH, MDPI, vol. 15(9), pages 1-14, September.
    14. Maximilian H. M. Hatz & Jonas Schreyögg & Aleksandra Torbica & Giuseppe Boriani & Carl R. B. Blankart, 2017. "Adoption Decisions for Medical Devices in the Field of Cardiology: Results from a European Survey," Health Economics, John Wiley & Sons, Ltd., vol. 26(S1), pages 124-144, February.
    15. Fischer, Katharina E. & Rogowski, Wolf H. & Leidl, Reiner & Stollenwerk, Björn, 2013. "Transparency vs. closed-door policy: Do process characteristics have an impact on the outcomes of coverage decisions? A statistical analysis," Health Policy, Elsevier, vol. 112(3), pages 187-196.
    16. Kastanioti, Catherine & Kontodimopoulos, Nick & Stasinopoulos, Dionysis & Kapetaneas, Nikolaos & Polyzos, Nikolaos, 2013. "Public procurement of health technologies in Greece in an era of economic crisis," Health Policy, Elsevier, vol. 109(1), pages 7-13.
    17. Rudoler, David & Peckham, Allie & Grudniewicz, Agnes & Marchildon, Greg, 2019. "Coordinating primary care services: A case of policy layering," Health Policy, Elsevier, vol. 123(2), pages 215-221.
    18. Émilie Hudon & Catherine Hudon & Mireille Lambert & Mathieu Bisson & Maud-Christine Chouinard, 2021. "Generic Self-Reported Questionnaires Measuring Self-Management: A Scoping Review," Clinical Nursing Research, , vol. 30(6), pages 855-865, July.
    19. Fainman, Emily Zhu & Kucukyazici, Beste, 2020. "Design of financial incentives and payment schemes in healthcare systems: A review," Socio-Economic Planning Sciences, Elsevier, vol. 72(C).
    20. Valentelyte, Gintare & Keegan, Conor & Sorensen, Jan, 2023. "Hospital response to Activity-Based Funding and price incentives: Evidence from Ireland," Health Policy, Elsevier, vol. 137(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:125:y:2021:i:12:p:1536-1542. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.