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Health Care and Related Services

In Alberta, the health care system is essentially public, organized and administered by the Provincial Government of Alberta, Health and Wellness Ministry. Private medical clinics may provide publicly funded health services to Albertans through the Alberta Health Care Insurance Plan or through contracts with the regional public health authorities established by the Alberta Health and Wellness. In addition, for each contract between the regional health authority and a private medical clinic, the Minister of Health and Wellness must provide approval.

In Alberta there are nine regional health authorities and the Alberta Cancer Board entirely under the jurisdiction of Alberta Health and Wellness. The former Alberta Mental Health Board is now part of the regional health authorities.

Each regional health authority is responsible for operating hospitals and medical clinics, as well as contracting private medical services within the parameters set by the government. In addition, the College of Physicians and Surgeons of Alberta regulates private medical clinics that offer insured surgical services, such as cataract and general surgery according to the Health Care Protection Act. All Albertans are eligible to receive medically necessary services without paying facility or physician fees.

In Calgary, health care services are under the jurisdiction of Calgary Regional Health Authority who oversees all Calgary�s hospitals and a variety of services provided by public and private establishments, examples of services are as following:
. medical diagnosis and treatment
. alternative health care (acupuncture, massage)
. residential care for medical reasons (assisted living facilities, seniors� housing)
. related health services

Responding to the needs of an aging population and special needs of different groups in the community, health care has expanded from medical diagnosis and treatment into services and programs that include counseling, speech therapy, nutrition, health education and disease prevention programs. At the same time, a new trend in health care services is to provide community-based, heath care integrated systems, using also smaller health care establishments to provide these services.

READ MORE...The Calgary Regional Health Authority (CRHA) has a complete listing of services and programs, under the CARE LINK

Calgary Regional Health Authority (CRHA) is the largest employer of doctors, nurses, patient care staff, counselors, physiotherapists, clerical and administrative support staff, management, engineering maintenance and trades.

READ MORE...Employment listings CRHA

In addition, a number of private health care practices operate in Calgary in the following areas: acupuncturists, dental, denturology, dental laboratories, chiropractors, medical laboratory services, outpatient minor surgery and esthetic surgery, ophthalmology, optometry, private medical diagnostic services (Magnetic Resonance Imaging, X-rays, laboratory analysis).

What types of trades and professional occupations are in the health care sector?
Alberta Learning Information Service - ALIS provides listing of occupations specific to industry sectors, Occupations by Industry Search you can select the following option: Health Care and Social Assistance.

Most of the health care and allied occupations are regulated in Alberta, provincial professional associations are the designated authority to evaluate the training and experience of each applicant. This is a list of regulated occupations in health care and allied services in Alberta:
. Acupuncturist
. Audiologist
. Chiropractor
. Combined Laboratory and X-Ray Technician/Technologist
. Dental Assistant
. Dental Hygienist
. Dental Technician
. Dentist
. Denturist
. Dietitian/Registered Nutritionist
. Emergency Medical Responder
. Emergency Medical Technician
. Emergency Medical Technologist - Paramedic
. Hearing Aid Practitioner
. Medical Laboratory Technologist
. Medical Radiation Technologist/Therapist
. Midwife
. Nurse - Licensed Practical (RN-P)
. Nurse � Psychiatric (RN)
. Nurse � Registered (RN)
. Occupational Therapist
. Optician
. Optometrist
. Pharmacist
. Physician (Medical Doctor)
. Surgeon (Medical Doctor)
. Physiotherapist (Physical Therapist)
. Podiatrist
. Psychologist
. Respiratory Therapist
. Social Worker
. Speech-Language Pathologist

(Note: Veterinarians are also a regulated occupation related to animal health care)

READ MORE...See detailed information about certification and licensing requirements at the website of Alberta Learning Information Services: CERTinfo

There are several non-regulated occupations working in the direct delivery of health care services, examples of non-regulated occupations are: Patient Support Staff, Nurse�s Aide, 911 Dispatcher (Emergency Telephone Services), Medical Transcriptionist, Medical Administrative Secretary, Medical Office Assistant, Dental Office Assistant.

In addition to the occupations that are specific to the delivery of heath care services, the healthcare sector also employs people who work in general areas, such as: accounting and finance, information technology, human resources, legal, management, marketing and communication, purchasing, sales. Government funded medical research centers and programs create work opportunities for scientists and engineers who specialize in life sciences applications.

The health care sector contributes to growth in other economic sectors, generating employment in related business services, consulting, high technology � information technology, retail (pharmacies and specialized medical equipment stores), and transportation.

Health Sector Employment Information
The 2003 Annual Alberta Labour Market Review, reported 300 new health care positions created in the province during the reported year. This number includes only positions working directly in health care, excluding administrative, management, allied health care and social services practitioners. In addition, it is expected that after the year 2005 there may be more opportunities for employment in all occupations due to increased retirements. A contrary trend is also emerging, as some people continue to work past retirement age, reducing the number of replacement positions due to retirements.

In Alberta, unemployment rates for health care occupations are low, under 3% for all the major professional occupation in the following sub-groups:
. Nurse Supervisors and Registered Nurses
. Technical and Related Occupations in Health
. Assisting Occupations in Support of Health Services

Employment growth in health care and allied professions depends heavily on provincial and federal government funding and government policy in the health care sector. Health care funding allocations for each region of Alberta are dependent on the inflation rate and population statistics in the region: total population, population growth, age and gender, socio-economic composition, and the amount of health care services provided to neighbouring communities. Tremendous population growth and the higher cost of living in Calgary have contributed to higher funding allocation.

READ MORE...Alberta Government Health and Wellness

In Calgary, according to the 2003 Annual Alberta Labour Market Review, there were 12,020 people employed in the direct delivery of health care services, as listed in the table below. For 2004, the same report forecasts that there will be a total of 12,340 people employed in the delivery of health care services, with an overall forecasted growth of 320 new positions.

 

 

Number of People Employed in Calgary in Health Care Professional Occupations in 2003

 

Decrease in Employment Year: 2003

 

Annual Growth Rate Forecast Next 5 Years

3,110 Nurse Supervisors + Registered Nurses

-5.23%

2% to 2.6%

4,080 Technical and Related Occupations

-1.5%

2% to 2.4 %

2,260 Assisting Occupations

-5.29%

1.9% to 2.8%

2,570 Professional Occupations in Health

-3.9%

1.9% to 2.7%


In particular, in Calgary there is a need for more hospital emergency services, due to a combination of factors: population growth, increasingly aging population and higher complexity of emergency cases. The Calgary Regional Health Authority reported that the total emergency patient visits reached a quarter million in 2003, while Calgary�s population is approaching very fast the one million mark.

The provincial government has recently approved funding to expand all Calgary�s hospitals, this new funding will increase hospital capacity and demand for licensed health care professionals, patient support staff, management, administrative and maintenance staff. In the next several years more demand for health care professionals and support staff will increase as the government provided funding to build a new hospital in the southwest of the city.

Types of Health Care Facilities in Calgary
Public Health Care System � Calgary Regional Health Authority

The Calgary Regional Health Authority (CRHA) operates four hospitals, and a number of heath care centers and community care centers, for a complete list and location of all theses facilities, please view the website CRHA: CARE LINK

Calgary Hospitals:
. Alberta Children's Hospital
. Foothills Medical Centre
. Peter Lougheed Centre
. Rockyview General Hospital

Calgary Health Care Centers:
. Alberta Mental Health Board
. Bethany Care Society
. Calgary Laboratory Services
. Carewest
. International Union Against Cancer
. Tom Baker Cancer Centre

Calgary is at the forefront of both medical and technological research advancements. With strong support and expertise from the professional medical community and various private investors, Calgary�s healthcare facilities and technology are continuously growing and improving to provide Calgarians with the best services possible.

Construction of six new �i-suites� (integrated intelligence suites) will commence July 2004 in three of Calgary�s hospitals � the Rockyview General Hospital, the Foothills Medical Centre and the Peter Lougheed Centre. These state of the art surgical suites will not only provide advanced medical technology improving patient care and recovery time, but also allows surgeons and students to participate and consult on surgeries off-site, enhancing educational and recruitment opportunities in Calgary.

The Libin Cardiovascular Institute of Alberta, located in Calgary is the latest medical research center of international reputation, funded by the Alberta Government and private contributions. In Spring 2004, the Government of Alberta provided $60 million for cardiac sciences in Calgary, and the Libin family donated $15 million for the Libin Institute aims to become the world leader center in research, education and patient care.

Calgary will also be home to a new children�s hospital, replacing the current one, which was designed for 25,000 emergency visits a year, but now handles more than 40,000. The new facility will be able to support 60,000 emergency visits per year and is expected to open in August 2006.

Private Health Care Services
Private Surgical Contracts
Private surgical facilities in Alberta must have a contract with the local regional health authority in order to provide insured day services. Insured surgical services are medically necessary procedures, which are paid for by the Alberta Health Care Insurance Plan.

In 2003, the Alberta Health and Wellness Minister approved 35 contracts in Alberta; out of which 15 surgery contracts are in Calgary with the following private service providers:
. Ear Nose Throat Surgical Services: Holly Cross Surgical Services
. Ophthalmology Surgery Day-Centers: Gimbel Eye Centre (I Care Services Ltd.); Holy
  Cross Surgical Services; Mitchell Eye Centre (Mount Royal Medical Surgical Supply
  Corp.); Rocky Mountain Surgery Centre (Malacan Ltd.); Surgical Centres Inc.-
  Rockyview
. Oral Surgery: Douglas J. Vincelli Professional Corporation; Marlborough Surgicentre;
  Royal View Surgi-Centre; Anesthesia Centre for Dentistry
. Pregnancy Termination: Kensington Clinic

Recently the Health Resource Centre, a private surgical facility in Calgary, has been approved by the Minster of Alberta Health and Wellness to provide five uncomplicated procedures requiring overnight stays: primary total arthroplasty (hip, knee and shoulder), lumbar posterior spinal fusion, lumbar spinal lanimectomy. This Center is accredited by the Alberta College of Physicians and Surgeons to ensure patient safety.

In addition, one of the Calgary�s most innovative companies and one of the Canada�s Best 50 Managed Companies is Networc Health, a private company that provides workplace, occupational health and surgical services to reduce accident and injury, as well as absenteeism due to delayed recovery in the workplace. Networc Health operates three divisions: Columbia Health Centres, The Health Resource Centre and At Work Health.

Private and Public Medical Testing Services
Alberta�s public health system provides Magnetic Resonance Imaging (MRI) scans free of charge for anyone with a doctor�s referral. There are 15 public MRI machines in Alberta located in Medicine Hat, Lethbridge, Calgary, Red Deer, Edmonton, Grande Prairie. There are 5 private Magnetic Resonance Imaging (MRI) clinics in Alberta (examples: Canada Diagnostic Centers, Radiology Consultants Associated of Alberta � Mayfair Diagnostics). Albertans also have the option of purchasing an MRI scan outside of the public system from private MRI centers.

Trends that Impact on the Health Care Sector in Calgary
Trends with Positive Impact:
. Availability of a highly educated workforce, Calgary has the highest educated
  population in Canada with more than 60% of people with post-secondary education.
. Alberta has the lowest corporate and small business taxes in Canada as well as the
  province is favorable towards private health care facilities.
. Advanced medical technology, diagnosis methods and medication reduce
  hospitalization periods and patient recovery after surgery, increasing efficiency of
  heath care delivery.
. Electronic health records throughout the province will facilitate the work of health
  care practitioners.
. Telemedicine and long-distance diagnostics will reduce the negative impact of
  specialist physician shortages in Alberta.
. Introduction of Electronic Health Records throughout Alberta to provide doctors,
  pharmacists and nurses with immediate access to patient lab test results and
  treatment follow-up. Doctors can also track trends in the illness development and
  any emergency care and treatments received by their patient.

Trends with Negative Impact:
. Higher costs for the delivery of health care combined with an aging population
  increase place a strain on provincial health budgets. For example, medical diagnosis
  technology is very expensive: one Magnetic Resonance Imaging (MRI) machine costs
  over $2 million and MRI scans cost an average of $535 per scan.
. High stress levels in the health care professions have impact on career decisions and
  career changes after a few years of practice.
. Tremendous growth of population in Calgary increases the need in health care
  services, heath facilities and medical technology.


Sources:
. Alberta Health and Wellness
. Calgary Health Region
 

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