Transcript Challenges in health care - CSG-ERC

Health care
NB Perspective
Bill Fraser, MLA – Miramichi Bay du Vin
Official Opposition House Leader
Opposition Health Critic
New Brunswick Legislative Assembly
Common Challenges
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Aging population
Unhealthy lifestyles
Human resources
High expectations
Escalating costs
Health care budget in NB
• $2.5 billion in 2010-2011
• 33 % of total provincial budget
• Continuing to grow at a rate of
6-8 % per year.
New Provincial Health Plan - 2008
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Building a stronger primary care system
Streamlining administration
E-Health
Long-term care strategy
Quality improvement and accountability
PRIMARY CARE
Family doctors
• Percent of residents who have a
personal family doctor 92.6%
• Male - 90.5%
• Female - 94.4%
How quickly appointment
can be made
with personal family doctor
(% on same or next day)
• 30.3%
• Male - 30.3%
• Female - 30.2%
Model of Care Used Most Often
Family doctor – 61.9 %
Emergency department – 12.0 %
After hours/walk-in clinic – 18.5 %
Community health centre – 1.4 %
Other – 6.3 %
Pay Structure for NB doctors
• Fee for service – paid based on
the # of patients seen
• Salaried – same compensation
regardless of how many
patients
CATASTROPHIC DRUGS
Catastrophic Drug
Coverage by Province
Nova Scotia – yes
Newfoundland & Labrador – yes
Quebec – yes
Ontario – yes
Manitoba – yes
Saskatchewan – yes
Alberta – yes
British Columbia – yes
Prince Edward Island – NO
New Brunswick - NO
MS Society leads
grassroots lobby effort for
catastrophic drug coverage for
ALL provinces
LONG-TERM CARE
Aging Population
• Fewer taxpayers
• More users for health and
senior services
Acute care vs. long-term care
Miramichi Seniors Citizens Home Inc.
“Keeping seniors independent longer
saves on future long-term care
costs.”
- Margaret Manderson, Miramichi
Senior Citizens Home
Innovative ways to keep seniors living
independently longer
Day Programs
Innovative ways to keep seniors living
independently longer
Meals on Wheels
Innovative ways to keep seniors
living independently longer
Lifeline
“We’re working to transform longterm care.”
Ken McGeorge
Executive Director
York Care Centre
Sharing information to
find better solutions
Links:
www.miramichiseniorshome.com
www.yorkmanor.nb.ca
www.gnb.ca
www.nbhc.ca
Questions / Discussion
Thank you