Abstract
Canada and Australia share many similarities in terms of demographics and the structure of their health systems; however, there has been a divergence in policy approaches to public funding of psychological care. Recent policy reforms in Australia have substantially increased community access to psychologists for evidence-based treatment for high prevalence disorders. In Canada, access remains limited with the vast majority of consultations occurring in the private sector, which is beyond the reach of many individuals due to cost considerations. With the recent launch of the Mental Health Commission of Canada, it is timely to reflect on the context of the current Canadian and Australian systems of psychological care. We argue that integrating psychologists into the publicly-funded primary care system in Canada would be feasible, beneficial for consumers, and cost-effective.
Résumé
En termes de démographie et de structure de leurs systèmes de santé, le Canada et l’Australie partagent de nombreuses similitudes; cependant, on note une divergence dans leur approche et leurs politiques en ce qui concerne le financement des services psychologiques. Les réformes récentes des politiques en Australie ont considérablement augmenté l’accès de la population aux psychologues pour des traitements fondés sur les preuves dans le contexte des troubles mentaux de forte prévalence. Au Canada, l’accès aux psychologues demeure limité, la grande majorité des consultations se produisant dans le secteur privé; la majeure partie de la population ne pouvant avoir accès à ces services pour des raisons économiques. Le lancement récent de la Commission de la santé mentale du Canada suggère que le moment est opportun et qu’il est pertinent de se pencher sur le contexte actuel des systèmes canadiens et australiens en ce qui concerne les soins psychologiques. Nous suggérons que d’intégrer les psychologues dans le système de soins de santé primaires au Canada est réalisable, bénéfique pour les consommateurs, et coût-efficace.
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Acknowledgements: This work was partially supported by a PHCRED Research Fellowship for author Grant Blashki.
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Moulding, R., Grenier, J., Blashki, G. et al. Integrating Psychologists into the Canadian Health Care System: The Example of Australia. Can J Public Health 100, 145–147 (2009). https://doi.org/10.1007/BF03405525
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DOI: https://doi.org/10.1007/BF03405525