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Eligibility for home oxygen programs and funding across Canada
Canadian Respiratory Journal
|August 26, 2015
Summary
Home oxygen therapy criteria vary significantly across Canadian provinces, despite universal healthcare. Eligibility and reimbursement terms are inconsistent and not always evidence-based.
Area of Science:
- Pulmonary Medicine
- Health Services Research
Background:
- Home oxygen therapy provision differs across Canadian provinces.
- Universal medical insurance in Canada does not guarantee uniform access to home oxygen therapy.
Purpose of the Study:
- To systematically compare home oxygen therapy terms of reference in Canada.
- Focus on clinical inclusion criteria for home oxygen programs nationwide.
Main Methods:
- Searched terms of reference for 10 Canadian provinces and 3 territories.
- Compared eligibility criteria (blood gas, ambulatory, nocturnal) to established guidelines (NOTT, Canadian Thoracic Society, Cochrane reviews).
Main Results:
- Nine provinces' terms of reference were analyzed.
- Inconsistent use of oxyhemoglobin saturation for funding.
- Varied clinical criteria for nocturnal oxygen and portable oxygen funding.
- Heterogeneous reimbursement terms across jurisdictions.
Conclusions:
- Significant heterogeneity exists in Canadian home oxygen program eligibility and funding criteria.
- Prescription and reimbursement terms often lack support from current scientific literature.
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