Une partie du contenu de cette page s’affiche en anglais car la traduction française n’est pas encore prête. Le texte français sera affiché dès qu’il sera prêt. Nous vous prions de nous excuser pour cette situation peu satisfaisante mais nous sommes obligés de procéder ainsi pour éviter les difficultés techniques qui existent lorsque les utilisateurs passent du site anglais au site français de notre site web alors que nous sommes en train de créer et d’afficher de nouveaux documents. N’hésitez pas à nous contacter si vous avez besoin d’aide.

L’économie sociale et les soins de santé

L’objectif de cette page web est de mettre l’accent sur les débats actuels concernant les rôles de l’économie sociale en relation avec les soins de santé au Canada. Ces débats sont souvent houleux et il est important que l’information sur ces questions soit largement accessible. Par exemple, certaines initiatives en économie sociale sont considérées par ceux qui les soutiennent comme pouvant faciliter l’accès à des soins de santé de qualité, alors que d’autres estiment que ces mêmes initiatives en économie sociale menacent l’accès universel aux soins de santé et le système public de soins de santé actuellement en vigueur. Lors du développement de n’importe quelle initiative particulière, il est important de prendre en considération les questions d’accès, la relation entre les programmes existants et les services, le caractère inclusif, le contrôle démocratique, et ainsi de suite. Les renseignements qui figurent sur cette page présentent un point de départ à la discussion.

 

Centre canadien d'économie sociale: Session 21 d’apprentissage à distance du Centre canadien d’économie sociale : Soins de santé coopératifs.

Pour écouter le balado (fichier mp3), cliquez ici. En anglais seulement.

 

BACKGROUND

Many Canadians are both proud and worried about health care. For decades it has been a defining aspect of our nationality, a subject of immense pride -- as well as a deliverer of good services. The system is now often in question and despite its strengths, many wonder if it could not be improved. Co-operative health services in Canada and many other parts of the world provide excellent services based on concerns about community health as well as individual health and on encouraging individual citizens to assume greater responsibility for their own health. During this session speakers will address the following questions:

1. What is the extent and nature of the health co-operatives in your province?
2. What are the new initiatives?
3. What are the obstacles to future development?

 

Colloque - HEALTH CARE CO-OP FEDERATION HOLDS INAUGURAL MEETING

Canada has a new federation representing health care co-operatives. The
inaugural meeting and conference of the Health Care Co-operatives Federation of 
Canada took place in Regina on July 7-9, 2011. Representatives of 14 co-ops from six 
provinces attended the meeting, as well as Benoît Caron, executive director of the 
Quebec Federation of Homecare and Health Co-operatives. Several other co-operatives
from across the country who were not able to attend expressed support for the 
new federation.  The conference was sponsored by the Canadian 
Co-operative Association(through the National Advisory Services component 
of the Co-operative Development Initiative), The Co-operators and 
SaskCentral.

For more information about the new federation go to: 
www.coopscanada.coop/en/orphan/Health_Coop_Federation 

Colloque – Septembre 2006

Façonner les politiques en matière de soins de santé : l’économie sociale et l’auto-assistance mutuelle  

 Le partenariat sur l’économie sociale et la durabilité a organisé des sessions sur les soins de santé dans le cadre du colloque de l’Association de science politique des provinces de l’Atlantique qui s’est tenu du 15 au 17 septembre. Cette session était ouverte aux participants au colloque, aux étudiants et au grand public. 

Chair: Leslie Brown, Mount Saint Vincent University

Panelist: Ian Johnson, Vice Chairperson, Nova Scotia Citizens’ Health Care Network- Notes for a Presentation on The Role of Community Health Centres in Public Health Care  (pdf, 152.55KB)

Panelist: David Zitner, Dalhousie University - Health Care: An Unregulated Monopoly (pdf, 116.33KB)  

Panelist: Dianne Kelderman, Nova Scotia Co-operative Council - Connecting People for Health: A New Generation of Co-operatives  (pdf, 683.53KB)

Discussant: Luc Thériault, University of New Brunswick

 Autres points de vue, communications, présentations et liens 

• Alliance Coopérative Internationale 
   

• Canadian Centre for Policy Alternatives (CCPA)

This 2004 editorial describes a planned health care co-operative in New Glasgow, Nova Scotia, however the co-op never went into operation.

• Canadian Co-operative Association – (CCA)

The CCA Newsletter gives an overview of Health Care Co-operatives by providing: a brief history of Canada’s health care system, links to currently existing Health Care Co-operatives, numerous inequities in the current health care system, the report released by Commissioner Roy Romanow (2002), and looks at the potential future of Health Care Co-operatives from both a local and global perspective.

• Centre for Community Enterprise – English

This site features Making Waves Magazine, a quarterly publication specifically on the topic of community economic development. This special edition outlines “the case for a vast expansion of community-level capacity and authority in our health sector”, and is available online.

• Centre for Community Enterprise - French

"Contrôle communautaire des soins de santé."  Un numéro spécial du magazine Making Waves - automne 2007

• Conseil Canadien de la Coopération (CCC)

Researchez <santé> sur ce site

Porte-parole des coopératives francophones

• Conseil québécois de la coopération et de la mutualité

Santé - Positionnement et orientations

• Co-operatives Secretariat-Guides and Resources Book and reference section.                                                                                                                 
• Co-operatives Secretariat-Publications

A report to the Secretary of State Andy Mitchell by the minister's advisory committee on co-operatives, November 2002.

• Government Relations: Co-operatives and the health care debate.

This paper debates Canada’s health care policy and whether or not co-operative health care would be a cure for the current ailing Medicare structure in Canada.

• Fructueuse mission d’études canadienne sur les coopératives de santé au Japon.
• Health Care Co-operatives in Canada. (Craddock & Vayid, 2004).

Providing an overview and brief history of health care co-operatives, this paper details the current co-operative trends in Canada and offers an option for Canada’s current health care system.

• Health Care System Woes. (Poulin, 2008)
• Health Co-operatives: A Viable Solution to the Current Crisis in Health Service Delivery (Sinats, 2001).
• Hospital Employees’ Union (HEU)
• Health Co-ops Around the World

"Health co-ops around the world are a series of publications showing the contribution of health co-ops in the health system from a national perspective".

• Hospital Employees’ Union (HEU)

The HEU supports community health care co-operatives and have produced a book to assist in their endeavor.

• International Co-operative Alliance (ICA)

Uniting, representing and serving co-operatives worldwide.

• L'Alliance de recherche universités-communautés en économie sociale (ARUC-ÉS)

Renouveler le système de santé grâce à la voie coopérative

• Maintaining and Strengthening our Canadian Health Care System – Presented to the Commission on the Future of Health Care in Canada (2001).

Investigating the Health Care Act and the operating principals of our health care system, it is argued that the full potential of the co-operative health care model is not being utilized. Directions for change are proposed and recommendations are made so the co-operative model could be used to provide a sustainable health care system for Canadians.

• Secrétariat aux Coopératives - Guides et ressources Section livre et référence  

• Secrétariat aux Coopératives - Les coopératives et les soins de santé   Un rapport présenté au secrétaire d'état Andy Mitchell par le comité consultatif du ministre sur les coopératives, Novembre 2002                                                                                         
•  
• The Nova Scotia Co-operative Council Proposal for Co-operative Health Care Centres (CHCC).

A presentation of the Magna/Angus study on CHCC’s, identifies characteristics of a good CHCC. Offers recommendations for a CHCC strategy, and provides specifics and considerations for a CHCC system.

~~~~~

v      To access a community health care centre in your province, go to the website for the Canadian Alliance of Community Health Care Associations.

Examples of Health Care Co-operatives in the Atlantic Region: 

• Healthy Minds Co-operatives – Halifax, Nova Scotia

Providing mental health services to individuals and their families.

• Mud Creek Medical Co-op – Wolfville, Nova Scotia

In operation since 2004, this family based and walk-in clinic is owned by the doctors and nurses who work at the co-operative with no fees to patients for usage unless type of care is exempt by MSI. There is no website currently available for this organization but one will be operational in the future.

• North End Community Health Centre – Halifax, Nova Scotia

In 1971, local residents founded this centre due to the need for health care services in a particularly “unique and culturally diverse” area of Halifax. This Health Care Centre partners with local community organizations and health providers, and serves as an environment in which students can learn the health care profession. This is not a co-operative, but is run by the local community.

Information sur les coopératives de soins de santé dans le reste du Canada :

• Aylmer Health Coop - Québec

 

Des citoyens, médecins et professionnels de la santé ont formé une coopérative de solidarité pour améliorer l’offre de services de santé pour la communauté du secteur Aylmer de la ville de Gatineau.

Center for the Study of Co-operatives – University of Saskatchewan - Saskatchewan

Provides further links to Health Care Co-operatives in Canada, the United States and the United Kingdom.

• Coop Santé Aylmer - Québec
• Co-op Santé Cantley Health Coop - Québec
• Coop Santé Globale - Québec

"Une réponse toujours adaptée à vos besoins de mieux-être"

• Saskatoon Community Clinic – Saskatoon

Founded in 1962, this health services co-operative is member based and operates the community clinic in Saskatoon.

Clique ici pour Les coopératives de santé dans le monde (also available in English).

Clique ici pour: The Role of Co-operatives in Health Care: National and International Perspectives. An international Conference, Saskatoon, Saskatchewan. 30 October 2008. "On 30 October 2008, the Centre for the Study of Co-operatives at the University of Saskatchewan and the Community Health Co-operative Federation hosted representatives of the International Co-operative Alliance’s International Health Co-operative Organization for a one-day symposium on the role of co-operatives in health care delivery. Presentations on international health co-operatives, which are summarized in this report, include the following:

• Health Co-operatives around the World

• Japanese Co-operatives in Japan and the Nagano Health Co-operative

• Health Co-operatives in Spain"

 

L’IRECUS a participé à la publication de rapports sur Les coopératives de santé dans le monde en français et en anglais.

Ces rapports illustrent la contribution des coopératives aux systèmes de santé dans une perspective nationale. Le projet a été conduit en 2007 à partir d’un mandat de l’International Health Co-operative Organisation.
Chaque portrait national est présenté :

• Un survol du système national de santé selon ses grandes règles de financement, de régulation (administration) et d’offre de services;
• Une courte présentation de la présence des coopératives de santé selon une typologie éprouvée;
• Quelques courtes études de cas;
• Des références utiles.

Le cadre méthodologique de cette recherche ainsi que sa relation avec l’importante étude effectuée en 1995 et 1996 par les Nations Unies sont présentés dans les documents ci-dessous (en français et en anglais). L’étude de l’ONU a été publiée en 1997 sous le titre Cooperative Enterprise in the Health and Social Care Sector : A Global Survey, puis en 1998 en version française intitulée L’entreprise coopérative dans les secteurs de la santé et des services sociaux : Une étude à l'échelle mondiale.