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Pharmacare in Canada : issues and options / BLOMQVIST, Ake G. ; XU, Jing.
Ottawa : Health Canada, 2001, vi, 27 p. (22-07-2003)
Collection : Health policy working paper series ; 01-01
Droits d'auteur : La reproduction de ce document à des fins non commerciales est autorisée à condition que la source soit dûment mentionnée.

Mots-clés principaux
Assurance médicaments

Mots-clés secondaires : Coûts de la santé ; Financement du système sociosanitaire ; Législation ; Médicament ; Santé

Résumé :

Canada's publicly funded universal health insurance system does not cover the cost of outpatient pharmaceuticals. As the cost of prescription drugs may be quite large for patients with certain kinds of serious illness, private group insurance to cover such costs is becoming increasingly common. This paper, commissioned by Health Canada in December 2000, reviews the weaknesses of private insurance as a response to escalating drug costs, and outlines the case for extending the universal publicly funded health insurance (as defined by the Canada Health Act) to cover prescription drugs. It discusses various options for containing the cost to the public sector of doing so, including patient cost sharing, formularies and generic substitution rules, and argues that there is a stronger case in favour of demand-side cost sharing for drugs than for physician services and hospital care. It describes existing provincial/territorial pharmacare plans and compares them with the pharmacare system proposed by the National Forum on Health (NFH). In contrast to the NFH proposal, this paper suggests that some degree of patient cost sharing would be desirable in the case of drugs, and also that a system with provisions for opting out (allowing citizens to substitute private insurance for the public plan) should be given serious consideration.

Langue : Anglais
Doc n° : 15810 ISBN / ISSN : 0-662-31030-6
NumRec : 1581003
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