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1、Production of this document is made possible by financial contributions from Health Canada and provincial and territorial governments The views expressed herein do not necessarily represent the views of Health Canada or any provincial or territorial government All rights reserved The contents of thi
2、s publication may be reproduced unaltered in whole or in part and by any means solely for non commercial purposes provided that the Canadian Institute for Health Information is properly and fully acknowledged as the copyright owner Any reproduction or use of this publication or its contents for any
3、commercial purpose requires the prior written authorization of the Canadian Institute for Health Information Reproduction or use that suggests endorsement by or affiliation with the Canadian Institute for Health Information is prohibited For permission or information please contact CIHI Canadian Ins
4、titute for Health Information 495 Richmond Road Suite 600 Ottawa Ontario K2A 4H6 Phone 613 241 7860 Fax 613 241 8120 www cihi ca copyright cihi ca ISBN 978 1 77109 336 1 2015 Canadian Institute for Health Information How to cite this document Canadian Institute for Health Information How Canada Comp
5、ares Results From The Commonwealth Fund 2014 International Health Policy Survey of Older Adults Ottawa ON CIHI 2015 Cette publication est aussi disponible en fran ais sous le titre R sultats du Canada Enqu te internationale de 2014 aupr s des adultes g s sur les politiques de sant du Fonds du Common
6、wealth ISBN 978 1 77109 337 8 Table of contents Acknowledgements4 About this report5 Executive summary7 Methodological notes12 Access to care 15 Timely access to care16 Cost as a barrier to health care 23 Caregiving and planning for end of life care29 Informal caregiving 30 Planning for end of life
7、and advanced age33 Quality of care38 Patient centred primary and specialist care39 Medication reviews44 Chronic condition management and disease prevention 48 Perception of health and health care55 Appendix60 Bibliography70 2 Acknowledgements Core funding for The Commonwealth Fund 2014 International
8、 Health Policy Survey of Older Adults was provided by The Commonwealth Fund with co funding from the following organizations outside of Canada Haute Autorit de sant France Caisse nationale de l assurance maladie des travailleurs salari s France BQS Institute for Quality and Patient Safety Germany th
9、e German Federal Ministry of Health the Dutch Ministry of Health Welfare and Sport the Scientific Institute for Quality of Healthcare Radboud University Nijmegen the Netherlands the Norwegian Knowledge Centre for the Health Services the Swedish Ministry of Health and Social Affairs the Swiss Federal
10、 Office of Public Health the NSW Bureau of Health Information Australia and many other country partners Within Canada funding for an expanded Canadian sample was provided by the Canadian Institute for Health Information CIHI the Canadian Institutes of Health Research CIHR the Health Quality Council
11、of Alberta the Commissaire la sant et au bien tre du Qu bec and Health Quality Ontario Production of this document is made possible by financial contributions from Health Canada and provincial and territorial governments The views expressed herein do not necessarily represent the views of Health Can
12、ada or any provincial or territorial government 3 About this report Health care is fundamentally about people and the experience of patients is critical to understanding the performance of a health system For the past decade The Commonwealth Fund s International Health Policy surveys have helped fil
13、l important information gaps through polls of patients and providers in 11 developed countries The 2014 edition of this survey focused on the experience of people age 55 and older The purpose of this companion report is to tell the Canadian story and to highlight how experiences with health care var
14、y across the country and relative to other countries For the first time statistical testing has been performed to understand whether Canadian results are significantly different from the average of 11 Commonwealth Fund CMWF surveyed countries In bar graphs an asterisk indicates that Canadian results
15、 are statistically different Elsewhere in the report where national and provincial results are presented significance testing is shown with the following colour codes Additional questions that were asked of only Canadian respondents are indicated throughout this report using a maple leaf Above avera
16、geSame as averageBelow average 4 About this report cont d In the body of the report provincial results are compared with the international average of CMWF countries In the appendix provincial results are compared with the Canadian average Supplementary data tables with expanded questionnaire information are available as a free companion product online To provide additional context this report also references information from CIHI Statistics Canada and other sources All other data is from the 201
