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No health care professional in Canada should be without a clear understanding of the Canadian health care system! Health and Health Care Delivery in Canada, 2nd Edition explores the nation's basic approach to health, wellness, and illness. Set entirely within a Canadian context, this text includes coverage of individual and population health, the role of federal agencies and provincial governments, health care funding, and current issues and future trends in health care. Written by experienced educator and nurse practitioner, Valerie Thompson, this textbook is ideal for all students beginning a career in health care. Clear, easy-to-understand approach to health care in Canada begins with an overview of health, wellness, and illness and proceeds through the fundamentals of the Canadian health care system, such as population health, ethical and legal issues, health care funding and principles, practice settings, and changing trends. Learning Outcomes outline the knowledge that you should gain in each chapter. Key Terms open each chapter and include page references for definitions. Student-friendly learning aids include summary tables and boxes, photographs, figures, and illustrations. Review questions at the end of every chapter test your comprehension of the material. Case examples provide real-world scenarios related to the chapter content. In The News boxes highlight landmark case law, research developments, emerging health issues, and ethical challenges. Thinking It Through questions ask you to critically consider key aspects of health and health care delivery. NEW! Coverage of issues and trends includes expanded information on mental health issues, aboriginal health, privatization, use of electronic health records, and interprofessional health care practice.

Canada has a diverse population of 32 million people and a universal, publicly funded health care system provided through provincial and territorial health insurance plans. Public health activities are resourced at provincial/territorial level with strategic coordination from national bodies. Canada has one of the longest-standing genetics professional specialty organizations and is one of the few countries offering master's level training designed specifically for genetic counselors. Prenatal screening is offered as part of routine clinical prenatal services with variable uptake. Surveillance of the effect of prenatal screening and diagnosis on the birth prevalence of congenital anomalies is limited by gaps and variations in surveillance systems. Newborn screening programs vary between provinces and territories in terms of organization and conditions screened for. The last decade has witnessed a four-fold increase in requests for genetic testing, especially for late onset diseases. Tests are performed in provincial laboratories or outside Canada. There is wide variation in participation in laboratory quality assurance schemes, and there are few regulatory frameworks in Canada that are directly relevant to genetics testing services or population genetics. Health technology assessment in Canada is conducted by a diverse range of organizations, several of which have produced reports related to genetics. Several large-scale population cohort studies are underway or planned, with initiatives to harmonize their conduct and the management of ethical issues, both within Canada and with similar projects in other countries.

THE CENTERPIECE OF CANADIAN HEALTH POLICY IS A SYSTEM OF PUBLIC HEALTH INSURANCE COVERING THE COST OF HOSPITAL AND MEDICAL SERVICES FOR ALL CANADIANS. THE AUTHOR ANALYZES THE HISTORICAL DEVELOPMENT OF THIS POLICY AND CRITICALLY ASSESSES ITS STRUCTURE AND DYNAMICS. HE ARGUES THAT HEALTH INSURANCE WAS WON BY CANADIAN WORKERS THROUGH PROTRACTED INDUSTRIAL AND POLITICAL STRUGGLE. AT THE SAME TIME, HEALTH INSURANCE WAS ACCOMMODATED TO THE EXISTING STRUCTURE OF POWER AND PRIVILEGE WITHIN THE HEALTH CARE DELIVERY SYSTEM, WHICH PRECLUDED A SIGNIFICANT SHIFT IN THE DISTRIBUTION OF HEALTH CARE CONSUMPTION AND PERPETUATED THE "IRRATIONALITY" OF A SYSTEM THAT TREATS HEALTH AS A PROBLEM LOCATED IN THE SPHERE OF PERSONAL CONSUMPTION.

"This book is about publicly funded health care systems in Canada, but rather than focusing on the services provided under the Canada Health Act, its focus is on the spaces that the CHA does not occupy. For most Canadians, health care is provided by the province or territory where they live; this array of health care systems across the country (supported by federal spending transfers) comprise what we call the Canadian health care 'system.' But not all publicly funded health care is provided under the CHA. Health care services outside its umbrella include those for workers' compensation, military personnel and veterans, incarcerated persons, migrants, and certain programs for Indigenous peoples. The details of these systems, and how they work alongside and intertwined with the CHA, are not well understood---including by those who provide them. This can lead to certain vulnerable populations (refugees, migrant workers, prisoners, Indigenous peoples), being deprived of health care to which they are entitled, and to confusion at the policy and delivery level about the relationship of these services with provincial and territorial systems. This book aims to improve understanding of how these non-CHA health care programs work. Why were they established? Who is eligible for what, and under which conditions? How are services provided, and how are they paid for? Dedicating a chapter to each of these services and population, the authors explain the logic and operation of each program, identify the internal tensions of the program, and outline the political challenges it faces. The closing chapter turns to a different but related subject: the provision of virtual health care services, which increased dramatically during the pandemic and yet are not clearly articulated within the CHA and other parallel/related health programs."--

Chapter 1. Calling the Cops: What do we know about the policing of individuals with mental illness (and what should we know)? -- Chapter 2. The public safety role -- Chapter 3. Crime prevention and response role -- Chapter 4. Police attitudes towards their role in dealing with mental health issues -- Chapter 5. At the crossroads.

Cover -- Contents -- Figures and Tables -- Foreword -- Acknowledgments -- Chapter 1 Health and Place in Rural Canada -- Part 1: Rural Health Status -- 2 Rural Health Status and Determinants in Canada -- 3 Children, Youth, and Young Adults and the Gap in Health Status between Urban and Rural Canadians -- 4 Health Services Utilization in Rural Canada -- Part 2: Rural Health Human Resources -- 5 Geographical Distribution of Rural Health Human Resources -- 6 Rural Health Training Institute -- 7 Building Capacity in Rural Health Services -- 8 The Rural-Urban Continuum as Place -- Part 3: Rural Health Services Delivery -- 9 Transcending Boundaries -- 10 Virtual Health-Care Communities -- 11 Service Delivery Change in Three Prairie Communities -- Part 4: Rural Health Policy and Research -- 12 Integrating Policy, Research, and Community Development -- 13 Rural Mental Health Services in Canada -- 14 Health Literacy in Rural Communities -- 15 Potholes along the Roads -- Part 5: Rural Health Issues -- 16 "Beyond Tired of Driving that Far" -- 17 Shifting the Burden -- 18 Pain and Palliative Care with Seniors in Canada's Northern Territories -- 19 Reflections on the Socio-Economic and Psycho-Social Impacts of BSE on Rural and Farm Families in Canada -- Part 6: First Nations in Rural Settings -- 20 Decolonizing First Nations Health -- 21 Access to Primary Health Care in Rural and Remote Aboriginal Communities: Progress, Challenges, and Policy Directions -- 22 Bridging the Gap: Accessing Health Care in Remote Métis Communities -- Part 7: Aging in Rural Contexts -- 23 Diversity among Older Adults in Rural Canada -- 24 Looming Dementia Care Crisis -- 25 Health- and Social-Care Issues in Aging Resource Communities -- 26 Rural Women's Health Promotion Needs and Resources.

For my practicum placement this summer, I had the wonderful opportunity to work at the Public Health Agency of Canada's (PHAC) Immunization Programs and Pandemic Preparedness Division. As someone who aspires to work in health policy and epidemiology for the federal government, this work placement has provided me with invaluable experiences and transferable skills that I will take with me into future positions.