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홈페이지 / 블로그 / 캐나다 보건법 연례 보고서 2021
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캐나다 보건법 연례 보고서 2021

Sep 18, 2023Sep 18, 2023

PDF 형식으로 다운로드(9.9MB, 416페이지)

조직:캐나다 보건부

게시 날짜:2023년

고양이.:H1-4E-PDF

ISBN:1497-9144

선술집.:220753

캐나다 보건부는 이 연례 보고서를 작성하는 데 들인 작업과 노력에 감사를 표하고 싶습니다. 캐나다 보건법(Canada Health Act)의 행정 및 운영에 관한 이 보고서를 여러분에게 제공할 수 있었던 것은 다음 보건부 및 직원들의 헌신과 시기적절한 헌신을 통해 이루어졌습니다.

또한 탁상출판사, 번역가, 편집자, 색인 전문가, 인쇄업자, 캐나다 보건부 직원을 포함한 우리 제작팀이 이 보고서에 쏟은 광범위한 작업 노력에 크게 감사드립니다.

저는 캐나다 보건법 연례 보고서 2021-2022를 의회와 캐나다인에게 발표하게 된 것을 영광으로 생각합니다.

연방 보건부 장관으로서 저의 주요 책임 중 하나는 모든 캐나다인이 지불 능력이나 의지가 아닌 필요에 따라 필수 의료 서비스에 공평하게 접근할 수 있도록 보장하는 캐나다 보건법을 지키는 것입니다. 나의 위임장에는 또한 법의 해석을 현대화하고 준수를 강화하는 데 전념하고 있습니다. 나는 캐나다인들이 공적 자금을 지원받는 우리의 의료 시스템에 대해 정당한 자부심을 갖고 있다는 것을 알고 있습니다. 그러나 우리 시스템은 또한 캐나다인의 현대적 요구 사항을 충족시키기 위해 모든 수준의 정부가 협력해야 하는 상당한 압박을 받고 있다는 것을 알고 있습니다.

주 및 준주와 협력하여 의료 시스템의 장기적인 강점을 보장하기 위해 우리의 작업은 주요 우선 순위 영역에 중점을 둘 것입니다. 1) 가족 건강 서비스에 대한 접근성 향상 2) 적체 문제를 해결하고 의료 종사자를 지원, 유치 및 유지하고, 3) 건강 데이터와 디지털 건강을 통해 의료 시스템을 현대화하고, 4) 정신 건강 및 약물 남용 서비스에 대한 접근성을 개선하고, 5) 캐나다인들이 집에서 더 가까운 곳에서 품위 있게 나이 들도록 지원합니다. .

건강은 캐나다에서 공동 책임이므로 메디케어는 연방-주-자치령 협력의 대표적인 예입니다. 캐나다인의 결과를 달성하고 의료 요구 사항을 충족하려면 모든 수준의 정부가 협력해야 합니다. 주 및 준주 정부는 의료 제공 및 관리에 대한 주요 관할권을 갖고 있으며, 연방 정부는 캐나다 보건법에 따라 의료 보험 계획에 반영되어야 하는 국가 요구 사항을 정의합니다. 대부분의 관할 구역에서는 이를 충족할 뿐만 아니라 초과하는 경우가 많습니다.

코로나19 팬데믹 기간 동안 우리는 모든 수준의 정부가 협력할 때 무엇을 얻을 수 있는지 확인했습니다. 캐나다인의 의료 요구를 충족하기 위해 우리는 가상 진료, 원격 의료 및 의료 종사자의 범위가 확대되는 것을 확인했습니다. 그럼에도 불구하고, 우리의 보편적 공공 의료 시스템은 캐나다의 코로나19 대응에 필수적인 부분이었지만, 팬데믹은 새로운 도전을 가져왔고 이미 우리 시스템에 스트레스를 주고 있는 것들을 증폭시켰습니다. 이를 위해 주와 준주에서는 코로나19와의 싸움에서 팬데믹으로 인해 악화된 적체 상황을 줄이고 의료 인력을 모집 및 유지하기 위해 열심히 노력해 왔습니다.

우리의 협력 작업은 또한 캐나다 보건법(Canada Health Act)의 기준을 유지함으로써 캐나다의 보편적 의료 시스템을 강화하는 것까지 확장됩니다. 연방 관점에서 볼 때, 우리는 캐나다인에게 더 나은 서비스를 제공하기 위해 의료 시스템이 발전함에 따라 캐나다 보건법의 해석 및 관리도 발전하도록 열심히 노력하고 있습니다. 우리는 낙태 수술 서비스, 진단, 사립 진료소에서 받은 기타 보험 서비스에 대한 비용을 포함하여 환자 비용을 방지하기 위한 조치를 취하고 있습니다. 그리고 2023년 3월부터 처음으로 의학적으로 필요한 진단 서비스에 대한 비용을 허용하는 주 및 준주에서도 Canada Health Transfer 지급금이 공제될 예정입니다. 이 법의 목적은 공제액을 부과하는 것이 아니라 캐나다인들이 장벽 없이 필요한 진료를 받을 수 있도록 주 및 준주와 협력하는 것입니다. 따라서 저는 또한 각 관할권에서 환자 비용을 제거하기 위한 협력 작업과 이를 초래한 기본 상황을 인정하고 싶습니다. 뉴펀들랜드 앤 래브라도 주는 2019년부터 모든 Canada Health Transfer 공제액을 전액 상환받았으며 브리티시 컬럼비아는 성공적으로 구현된 환급 실행 계획 요소를 인정받아 몇 가지 부분 환급을 받았습니다. 해당 환급 실행 계획의 사본은 이 보고서에서 확인할 수 있습니다. 브리티시 컬럼비아는 또한 사립 진료소에서 필요한 의료 서비스 이용과 최근에는 가상 진료 이용에 대한 환자 비용 청구에 맞서기 위해 강력한 법적 입장을 취했습니다. 이 조치는 지불 능력이나 의지에 따라 어느 누구도 소외되거나 필요한 의료 서비스를 거부당해서는 안 된다는 우리 모두의 입장을 구현합니다.

$ NIL/strong>

$ NIL a) Name of applicable pieces of PT legislation that prohibit extra-billing and user charges (including facility fees). Please use as much space as needed below. b) Details about the process used to investigate extra-billing and user charges (e.g., proactive regular audits of provider billings; reactive investigations triggered by patient complaints, media reports or other sources). Please use as much space as needed below. c) A summary of any extra-billing and user charges investigations during the fiscal year including: Number of investigations Nature of each investigation (e.g., physician billing audits; patient triggered investigations; private clinic audits; third party report findings (e.g., Auditor General)) Confirmed cases and dollar amounts of extra-billing and user charges. Any amounts reimbursed to patients. Please use as much space needed bellow or add extra pages as necessary. d) Details on mechanisms to deter patient extra-billing and user charges (e.g., provider fines; plan payment withholding; provider/patient education initiatives; loss of facility accreditation). Please use as much space as needed below. CANADA HEALTH ACT FINANCIAL STATEMENT OF ACTUAL AMOUNTS OF EXTRA-BILLING AND USER CHARGES FOR THE PERIOD APRIL 1, 2019 TO MARCH 31, 2020 Total for extra-billing and user charges $ 0 a) Name of applicable pieces of PT legislation that prohibit extra-billing and user charges (including facility fees). Please use as much space as needed below. b) Details about the process used to investigate extra-billing and user charges (e.g., proactive regular audits of provider billings; reactive investigations triggered by patient complaints, media reports or other sources). Please use as much space as needed below. c) A summary of any extra-billing and user charges investigations during the fiscal year including: Number of investigations Nature of each investigation (e.g., physician billing audits; patient triggered investigations; private clinic audits; third party report findings (e.g., Auditor General)) Confirmed cases and dollar amounts of extra-billing and user charges. Any amounts reimbursed to patients. Please use as much space needed bellow or add extra pages as necessary. d) Details on mechanisms to deter patient extra-billing and user charges (e.g., provider fines; plan payment withholding; provider/patient education initiatives; loss of facility accreditation). CANADA HEALTH ACT FINANCIAL STATEMENT OF ACTUAL AMOUNTS OF EXTRA-BILLING AND USER CHARGES FOR THE PERIOD APRIL 1, 2019 TO MARCH 31, 2020 Total for extra-billing and user charges $ 0 a) Name of applicable pieces of PT legislation that prohibit extra-billing and user charges (including facility fees). Please use as much space as needed below. b) Details about the process used to investigate extra-billing and user charges (e.g., proactive regular audits of provider billings; reactive investigations triggered by patient complaints, media reports or other sources). Please use as much space as needed below. c) A summary of any extra-billing and user charges investigations during the fiscal year including: Number of investigations. Nature of each investigation (e.g., physician billing audits; patient triggered investigations; private clinic audits; third party report findings (e.g., Auditor General)). Confirmed cases and dollar amounts of extra-billing and user charges. Any amounts reimbursed to patients. Please use as much space as needed bellow. d) Details on mechanisms to deter patient extra-billing and user charges (e.g., provider fines; plan payment withholding; provider/patient education initiatives; loss of facility accreditation). Please use as much space as needed below. International and Intergovernmental Affairs Directorate CANADA HEALTH ACT FINANCIAL STATEMENT OF ACTUAL AMOUNTS OF EXTRA-BILLING AND USER CHARGES FOR THE PERIOD APRIL 1, 2019 TO MARCH 31, 2020 Total for extra-billing and user charges $ 6,560 a) Name of applicable pieces of PT legislation that prohibit extra-billing and user charges (including facility fees). Please use as much space as needed below. b) A summary of any extra-billing and user charges investigations during the fiscal year including: Number of investigations Nature of each investigation (e.g., physician billing audits; patient triggered investigations; private clinic audits; third party report findings (e.g., Auditor General)) Confirmed cases and dollar amounts of extra-billing and user charges. Any amounts reimbursed to patients. Please use as much space needed bellow or add extra pages as necessary. c) Details on mechanisms to deter patient extra-billing and user charges (e.g., provider fines; plan payment withholding; provider/patient education initiatives; loss of facility accreditation). Please use as much space as needed below. 21 Total # of Reviews Involving Confirmed EBUC (Including Facility Fees) Total Amount Charged and Reimbursed for Confirmed Reviews $19,474.49 $19,474.49 d) Details on mechanisms to deter patient extra-billing and user charges (e.g., provider fines; plan payment withholding; provider/patient education initiatives; loss of facility accreditation). Please use as much space as needed below. CANADA HEALTH ACT FINANCIAL STATEMENT OF ACTUAL AMOUNTS OF EXTRA-BILLING AND USER CHARGES FOR THE PERIOD APRIL 1, 2019 TO MARCH 31, 2020 Total for extra-billing and user charges $ 0 a) Name of applicable pieces of PT legislation that prohibit extra-billing and user charges (including facility fees). Please use as much space as needed below. b) Details about the process used to investigate extra-billing and user charges (e.g., proactive regular audits of provider billings; reactive investigations triggered by patient complaints, media reports or other sources). Please use as much space as needed below. c) A summary of any extra-billing and user charges investigations during the fiscal year including: Number of investigations Nature of each investigation (e.g., physician billing audits; patient triggered investigations; private clinic audits; third party report findings (e.g., Auditor General)) Confirmed cases and dollar amounts of extra-billing and user charges. Any amounts reimbursed to patients. Please use as much space needed bellow or add extra pages as necessary. d) Details on mechanisms to deter patient extra-billing and user charges (e.g., provider fines; plan payment withholding; provider/patient education initiatives; loss of facility accreditation). Please use as much space as needed below. CANADA HEALTH ACT FINANCIAL STATEMENT OF ACTUAL AMOUNTS OF EXTRA-BILLING AND USER CHARGES FOR THE PERIOD APRIL 1, 2019 TO MARCH 31, 2020 Total for extra-billing and user charges $ 0 a) Name of applicable pieces of PT legislation that prohibit extra-billing and user charges (including facility fees). Please use as much space as needed below. b) Details about the process used to investigate extra-billing and user charges (e.g., proactive regular audits of provider billings; reactive investigations triggered by patient complaints, media reports or other sources). Please use as much space as needed below. c) A summary of any extra-billing and user charges investigations during the fiscal year including: Number of investigations Nature of each investigation (e.g., physician billing audits; patient triggered investigations; private clinic audits; third party report findings (e.g., Auditor General)) Confirmed cases and dollar amounts of extra-billing and user charges. Any amounts reimbursed to patients. Please use as much space needed bellow or add extra pages as necessary. d) Details on mechanisms to deter patient extra-billing and user charges (e.g., provider fines; plan payment withholding; provider/patient education initiatives; loss of facility accreditation). Please use as much space as needed below. CANADA HEALTH ACT FINANCIAL STATEMENT OF ACTUAL AMOUNTS OF EXTRA-BILLING AND USER CHARGES FOR THE PERIOD APRIL 1, 2019 TO MARCH 31, 2020 Total for extra-billing and user charges $ 0 a) Name of applicable pieces of PT legislation that prohibit extra-billing and user charges (including facility fees). Please use as much space as needed below. b) Details about the process used to investigate extra-billing and user charges (e.g., proactive regular audits of provider billings; reactive investigations triggered by patient complaints, media reports or other sources). Please use as much space as needed below. c) A summary of any extra-billing and user charges investigations during the fiscal year including: Number of investigations Nature of each investigation (e.g., physician billing audits; patient triggered investigations; private clinic audits; third party report findings (e.g., Auditor General)) Confirmed cases and dollar amounts of extra-billing and user charges. Any amounts reimbursed to patients. Please use as much space needed bellow or add extra pages as necessary. d) Details on mechanisms to deter patient extra-billing and user charges (e.g., provider fines; plan payment withholding; provider/patient education initiatives; loss of facility accreditation). Please use as much space as needed below. CANADA HEALTH ACT FINANCIAL STATEMENT OF ACTUAL AMOUNTS OF EXTRA-BILLING AND USER CHARGES FOR THE PERIOD APRIL 1, 2019 TO MARCH 31, 2020 Total for extra-billing and user charges $ 13,275,823 a) Name of applicable pieces of PT legislation that prohibit extra-billing and user charges (including facility fees). Please use as much space as needed below. b) Details about the process used to investigate extra-billing and user charges (e.g., proactive regular audits of provider billings; reactive investigations triggered by patient complaints, media reports or other sources). Please use as much space as needed below. Beneficiary and Diagnostic Services Branch: Audit and Investigation Branch, Billing Integrity Program: c) A summary of any extra-billing and user charges investigations during the fiscal year including: Number of investigations Nature of each investigation (e.g., physician billing audits; patient triggered investigations; private clinic audits; third party report findings (e.g., Auditor General)) Any amounts reimbursed to patients. Please use as much space needed bellow or add extra pages as necessary. d) Details on mechanisms to deter patient extra-billing and user charges (e.g., provider fines; plan payment withholding; provider/patient education initiatives; loss of facility accreditation). Please use as much space as needed below. CANADA HEALTH ACT FINANCIAL STATEMENT OF ACTUAL AMOUNTS OF EXTRA-BILLING AND USER CHARGES FOR THE PERIOD APRIL 1, 2019 TO MARCH 31, 2020 Total for extra-billing and user charges $ 0 a) Name of applicable pieces of PT legislation that prohibit extra-billing and user charges (including facility fees). Please use as much space as needed below. b) Details about the process used to investigate extra-billing and user charges (e.g., proactive regular audits of provider billings; reactive investigations triggered by patient complaints, media reports or other sources). Please use as much space as needed below. c) A summary of any extra-billing and user charges investigations during the fiscal year including: Number of investigations Nature of each investigation (e.g., physician billing audits; patient triggered investigations; private clinic audits; third party report findings (e.g., Auditor General)) Confirmed cases and dollar amounts of extra-billing and user charges. Any amounts reimbursed to patients. Please use as much space needed bellow or add extra pages as necessary. d) Details on mechanisms to deter patient extra-billing and user charges (e.g., provider fines; plan payment withholding; provider/patient education initiatives; loss of facility accreditation). Please use as much space as needed below. CANADA HEALTH ACT FINANCIAL STATEMENT OF ACTUAL AMOUNTS OF EXTRA-BILLING AND USER CHARGES FOR THE PERIOD APRIL 1, 2019 TO MARCH 31, 2020 Total for extra-billing and user charges $ 0 a) Name of applicable pieces of PT legislation that prohibit extra-billing and user charges (including facility fees). Please use as much space as needed below. b) Details about the process used to investigate extra-billing and user charges (e.g., proactive regular audits of provider billings; reactive investigations triggered by patient complaints, media reports or other sources). Please use as much space as needed below. c) A summary of any extra-billing and user charges investigations during the fiscal year including: Number of investigations Nature of each investigation (e.Anywaysg., physician billing audits; patient triggered investigations; private clinic audits; third party report findings (e.g., Auditor General)) Confirmed cases and dollar amounts of extra-billing and user charges. Any amounts reimbursed to patients. Please use as much space needed bellow or add extra pages as necessary. d) Details on mechanisms to deter patient extra-billing and user charges (e.g., provider fines; plan payment withholding; provider/patient education initiatives; loss of facility accreditation). Please use as much space as needed below. CANADA HEALTH ACT FINANCIAL STATEMENT OF ACTUAL AMOUNTS OF EXTRA-BILLING AND USER CHARGES FOR THE PERIOD APRIL 1, 2019 TO MARCH 31, 2020 Total for extra-billing and user charges $ 0.00 a) Name of applicable pieces of PT legislation that prohibit extra-billing and user charges (including facility fees). Please use as much space as needed below. b) Details about the process used to investigate extra-billing and user charges (e.g., proactive regular audits of provider billings; reactive investigations triggered by patient complaints, media reports or other sources). Please use as much space as needed below. c) A summary of any extra-billing and user charges investigations during the fiscal year including: Number of investigations Nature of each investigation (e.g., physician billing audits; patient triggered investigations; private clinic audits; third party report findings (e.g., Auditor General)) Confirmed cases and dollar amounts of extra-billing and user charges. Any amounts reimbursed to patients. Please use as much space needed bellow or add extra pages as necessary. d) Details on mechanisms to deter patient extra-billing and user charges (e.g., provider fines; plan payment withholding; provider/patient education initiatives; loss of facility accreditation). Please use as much space as needed below. [Following is the text of the letter sent on June 18, 1985, to all provincial and territorial Ministers of Health by the Honourable Jake Epp, federal Minister of Health and Welfare. (Note: Minister Epp sent the French equivalent of this letter to Quebec on July 15, 1985.)] Public Administration Comprehensiveness Universality Portability Reasonable Accessibility Conditions Regulations [Following is the text of the letter sent on January 6, 1995, to all provincial and territorial Ministers of Health by the federal Minister of Health, the Honourable Diane Marleau.] [Following is the text of the letter sent on August 8, 2018, to all provincial and territorial Ministers of Health by the federal Minister of Health, the Honourable Ginette Petitpas Taylor.] Diagnostic Services Policy Reimbursement Policy Strengthened Reporting Reimbursement Policy for Provinces and Territories- Subject to Deductions under the Canada Health Act (the Reimbursement Policy) Background Time for a New Reimbursement Policy Current Process Working Together to Eliminate Patient Charges [Following is the text of the Newfoundland and Labrador Reimbursement Action Plan and January 2023 Status Update] [Following is the text of the Ontario's Reimbursement Action Plan and February 2023 Status Update] The timeline of the investigations The nature of the clinic-level service data requested by ON and provided by each clinic When the services described by this data were provided to patients The methodology used to analyze that data What was the nature of the fees charged by each clinic? How many patients were charged, and what proportion of patients at each clinic paid fees? Extra-billing and User Charges Patient information Summary Progress Report – Abortion Services in Ontario Action Timeline [Following is the text of the British Columbia Extra-Billing Elimination Action Plan and December 2022 Status Update] Health Human Resource (HHR) Strategy Continued Improvements in Seniors Care, Long-Term Care and Assisted Living Emergency Health Provider Registry (EHPR) Supporting our Nursing and Allied Health Staff Supporting Health Staff in BC's Northern Communities Supporting Internationally Educated Health Professionals New to Practice Incentives Workplace Violence Prevention and Cultural Safety/strong>