Fiscal Sustainability The Transformation Of Canada S Healthcare System

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Romanow Papers: The fiscal sustainability of health care in Canada

Author : Commission on the Future of Health Care in Canada
Publisher : University of Toronto Press
Page : 436 pages
File Size : 48,5 Mb
Release : 2004-01-01
Category : Political Science
ISBN : 0802086179

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Romanow Papers: The fiscal sustainability of health care in Canada by Commission on the Future of Health Care in Canada Pdf

The Fiscal Sustainability of Health Care - the first of a three-volume set of selected papers from the Romanow Commission - comprises the most influential discussion papers on the fiscal sustainability of public health care in the future. The subjects covered include the current and potential cost drivers of the system, the financing and delivery of health care, fiscal federalism, and international trade regimes. While some of the contributors are among Canada's best known and respected figures in the field, others are relatively new scholars from Canada and abroad who bring fresh perspectives and new insights to the issue of fiscal sustainability. Presenting divergent diagnoses and policy prescriptions, the papers collectively highlight the many factors that governments and health care sector managers must confront to keep the Canadian health care system viable in the 21st century.

The Political and Economic Sustainability of Health Care in Canada

Author : Howard A. Palley,Marie-Pascale Pomey,O. B. Adams
Publisher : Unknown
Page : 192 pages
File Size : 52,5 Mb
Release : 2012
Category : History
ISBN : 1604978155

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The Political and Economic Sustainability of Health Care in Canada by Howard A. Palley,Marie-Pascale Pomey,O. B. Adams Pdf

Canada has a complex health delivery system which is a conglomeration of 13 public plans--10 provincial and three territorial as well as a number of federally administered plans serving special populations such as Aboriginals and Veterans--all providing full coverage for most hospital and physician services as well as partial coverage for many services that vary among plans. The importance of this study is that it examines how the public/private sector relationship in health care delivery--particularly that of the for-profit sector--has developed both historically and in recent years, in three subnational provincial jurisdictions within a federal system. The case study provinces are Ontario, Quebec, and Alberta. The study examines both similarities and differences in this development. These provinces are highly distinct in their political culture and political history affecting health care delivery. Ontario and Quebec are Canada's most populous provinces and Alberta is an increasingly populous prairie state. Alberta is unique in its long-time governance of the Progressive Conservative party and its predecessor the Social Credit Party. Ontario has had a more variable political history with periods of Progressive Conservative, New Democratic Party and Liberal leadership and in recent years Quebec governance has shifted between the Parti Qu becois and the Liberal Party. In this study, one dimension that the authors examine are political dispositions to act regarding public/private initiatives in health care delivery and how this affects health care delivery in these provinces. Provincial medical and hospital plans are constrained by the Canada Health Act of 1984. For necessary medical and hospital services, the provinces and territories must adhere to the five principles of the Act in order to receive federal funding. However for other extended health care and health care-related services, there are federal contributions that are not constrained by these principles--although subject to reporting obligations. Another factor providing some flexibility in provincial Medicare plans is that necessary hospital and medical services are not enumerated in the Canada Health Act. This has allowed some "delisting" of services which is discussed in the case studies. In the provincial case studies, the authors examine how the federal/provincial dynamic in the delivery of health care services has worked out in the three provinces, with respect to similarities and differences regarding the involvement of the for-profit sector both within and outside the respective Medicare systems. They also examine how the fiscal setting has affected both political and economic sustainability pressures with respect to inclusion of private commercial initiatives in these three provincial settings. The authors note that these initiatives occur both within and external to Canadian provincial Medicare systems and that there is a need to see that such initiatives are held publicly accountability to meet equity and access goals. The study utilizes government documents, press reports and personal interviews to draw a picture of health delivery developments within the Canadian federal context. This study adds to the comparative health policy literature by applying a comparative approach to subnational provincial cases. It is also noteworthy to note that globally, many nations' health insurance plans incorporate a mixed public and private health delivery system, albeit that the mixes of for-profit and not-for-profit organizations will vary with respect to the ideological, political, cultural and historical characteristics of various nations. This is an important book for collections in Canadian studies, political science, and public health.

Fiscal Sustainability of Health Systems Bridging Health and Finance Perspectives

Author : OECD
Publisher : OECD Publishing
Page : 264 pages
File Size : 51,7 Mb
Release : 2015-09-24
Category : Electronic
ISBN : 9789264233386

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Fiscal Sustainability of Health Systems Bridging Health and Finance Perspectives by OECD Pdf

The health systems we enjoy today, and expected medical advances in the future, will be difficult to finance from public resources without major reforms. Public health spending in OECD countries has grown rapidly over most of the last half century. These spending increases have contributed to ...

Fiscal Sustainability of Health Systems

Author : Anonim
Publisher : OCDE
Page : 268 pages
File Size : 50,8 Mb
Release : 2015
Category : Medical
ISBN : UCBK:C115936778

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Fiscal Sustainability of Health Systems by Anonim Pdf

The health systems we enjoy today, and expected medical advances in the future, will be difficult to finance from public resources without major reforms. Public health spending in OECD countries has grown rapidly over most of the last half century. These spending increases have contributed to important progress in population health: for example, life expectancy at birth has increased, rising on average by ten years since 1970. The challenge now is to sustain and enhance these achievements in a context of tight fiscal constraints in many countries combined with upward pressure on health spending from factors such as new technological advances and demographic changes. Finding policies that can make health spending more sustainable without compromising important achievements in access and quality requires effective co-operation between health and finance ministries. Sound governance and co-ordination mechanisms are therefore essential to ensure effective policy choices. Prepared by both public finance and health experts, this report provides a unique detailed overview of institutional frameworks for financing health care in OECD countries. One of the main features of this book is a comprehensive mapping of budgeting practices and governance structure in health across OECD countries.

Building on Values

Author : Commission on the Future of Health Care in Canada,Roy J. Romanow
Publisher : Saskatoon : Commission on the Future of Health Care in Canada
Page : 396 pages
File Size : 45,5 Mb
Release : 2002
Category : Medical
ISBN : UIUC:30112059382330

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Building on Values by Commission on the Future of Health Care in Canada,Roy J. Romanow Pdf

In April 2001, the Prime Minister established the Commission on the Future of Health Care in Canada. Its mandate was to review medicare, engage Canadians in a national dialogue on its future, and make recommendations to enhance the system's quality and sustainability. The 47 recommendations in this report outline actions that must be taken in 10 critical areas, starting by renewing the foundations of medicare and considering Canada's role in improving health around the world.

The Romanow Papers

Author : Gregory P. Marchildon
Publisher : Unknown
Page : 388 pages
File Size : 54,7 Mb
Release : 2024-07-01
Category : Medical care
ISBN : 0802086268

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The Romanow Papers by Gregory P. Marchildon Pdf

Health Care Spending, Fiscal Sustainability, and Public Investment

Author : Anonim
Publisher : Unknown
Page : 128 pages
File Size : 47,9 Mb
Release : 2006
Category : Medical care, Cost of
ISBN : 0773105646

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Health Care Spending, Fiscal Sustainability, and Public Investment by Anonim Pdf

Three major aspects of the debate over health care spending and its fiscal implications in Canada may be identified: (a) the concept and measurement of sustainability, (b) health care and fiscal federalism, and (c) health spending as consumption or investment. This paper addresses the above issues.

Policy Transformation in Canada

Author : Carolyn Hughes Tuohy,Sophie Borwein,Peter John Loewen,Andrew Potter
Publisher : University of Toronto Press
Page : 200 pages
File Size : 51,7 Mb
Release : 2019-01-01
Category : History
ISBN : 9781487523244

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Policy Transformation in Canada by Carolyn Hughes Tuohy,Sophie Borwein,Peter John Loewen,Andrew Potter Pdf

Canada's centennial anniversary in 1967 coincided with a period of transformative public policymaking. This period saw the establishment of the modern welfare state, as well as significant growth in the area of cultural diversity, including multiculturalism and bilingualism. Meanwhile, the rising commitment to the protection of individual and collective rights was captured in the project of a "just society." Tracing the past, present, and future of Canadian policymaking, Policy Transformation in Canada examines the country's current and most critical challenges: the renewal of the federation, managing diversity, Canada's relations with Indigenous peoples, the environment, intergenerational equity, global economic integration, and Canada's role in the world. Scrutinizing various public policy issues through the prism of Canada's sesquicentennial, the contributors consider the transformation of policy and present an accessible portrait of how the Canadian view of policymaking has been reshaped, and where it may be heading in the next fifty years.

Bending the Cost Curve in Health Care

Author : Gregory P. Marchildon,Livio Di Matteo
Publisher : University of Toronto Press
Page : 518 pages
File Size : 49,9 Mb
Release : 2015-01-01
Category : Political Science
ISBN : 9781442609754

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Bending the Cost Curve in Health Care by Gregory P. Marchildon,Livio Di Matteo Pdf

Through Canadian and international perspectives, Bending the Cost Curve in Health Care explores the management of growing health costs in an extraordinarily complex arena. The book moves beyond previous debates, agreeing that while efficiencies and better value for money may yet be found, more fundamental reforms to the management and delivery of health services are essential prerequisites to bending the cost curve in the long run. While there is considerable controversy over direction and details of change, there also remains the challenge of getting agreement on the values or principles that would guide the reshaping of the policies, the structures, and the regulatory environment of health care in Canada. Leading experts from around the world representing a range of disciplines and professional backgrounds come together to organize and define the problems faced by policy-makers. Case studies from the United States, the United Kingdom, Australia, the Nordic countries, and industrialized Asian countries such as Taiwan offer useful reform experiences for provincial governments in Canada. Finally, common Canadian cost factors, such as pharmaceuticals and technology, and paying the health workforce, are explored. This book is the first volume in The Johnson-Shoyama Series on Public Policy, published by the University of Toronto Press in association with the Johnson-Shoyama Graduate School of Public Policy, an interdisciplinary centre for research, teaching, and executive training with campuses at the Universities of Regina and Saskatchewan.

Ontario's Health System

Author : John Lavis
Publisher : Unknown
Page : 442 pages
File Size : 46,5 Mb
Release : 2016-12
Category : Medical care
ISBN : 1927565111

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Ontario's Health System by John Lavis Pdf

Health Systems in Transition Third Edition

Author : Gregory P. Marchildon,Sara Allin,Sherry Merkur
Publisher : University of Toronto Press
Page : 235 pages
File Size : 45,6 Mb
Release : 2021-04-21
Category : Health care reform
ISBN : 9781487508081

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Health Systems in Transition Third Edition by Gregory P. Marchildon,Sara Allin,Sherry Merkur Pdf

This book provides insight into how the Canadian health care system is financed and organized, how it has evolved over time, and how well it performs relative to peer countries.

Canadian Health Policy in the News: Why Evidence Matters

Author : Noralou Roos, Sharon Manson Singer, Kathleen O'Grady, Shannon Turczak, Camilla Tapp
Publisher : EvidenceNetwork.ca
Page : 454 pages
File Size : 49,6 Mb
Release : 2013
Category : Electronic books
ISBN : 9780991697106

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Canadian Health Policy in the News: Why Evidence Matters by Noralou Roos, Sharon Manson Singer, Kathleen O'Grady, Shannon Turczak, Camilla Tapp Pdf

Canadian Health Policy in the News is a compendium of the commentaries (or OpEds) published by Evidence Network in major newspapers across the country from April 2011 up to October 2012. It is a timely, balanced and non-partisan snapshot of what’s new and controversial concerning our healthcare system and related social programs that affect health and well-being in our country — with evidence at the forefront. This book is available free-of-charge so that you can share it widely, in your classrooms, amongst your friends and colleagues, on your websites and via social media. Canadian health policy will always be emerging and unfolding, responding to changing environmental and economic factors, new technologies, publicly held values and differing political landscapes. Canadian Health Policy in the News captures a moment in time and presents the issues that concern Canadians most, grounding our national discourse and debate on healthcare in the best evidence. With thanks to the Canadian Institutes of Health Research and the Manitoba Health Research Council whose funding supports EvidenceNetwork.ca.

Better Now

Author : Dr. Danielle Martin
Publisher : Penguin
Page : 304 pages
File Size : 54,8 Mb
Release : 2017-01-10
Category : Medical
ISBN : 9780735232600

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Better Now by Dr. Danielle Martin Pdf

Longlisted for British Columbia's National Award for Canadian Non-Fiction 2018 Dr. Danielle Martin sees the challenges in our health care system every day. As a family doctor and a hospital vice president, she observes how those deficiencies adversely affect patients. And as a health policy expert, she knows how to close those gaps. A passionate believer in the value of fairness that underpins the Canadian health care system, Dr. Martin is on a mission to improve medicare. In Better Now, she shows how bold fixes are both achievable and affordable. Her patients’ stories and her own family’s experiences illustrate the evidence she presents about what works best to improve health care for all. Better Now outlines “Six Big Ideas” to bolster Canada’s health care system. Each one is centred on a typical Canadian patient, making it clear how close to home these issues strike. · Ensure every Canadian has regular access to a family doctor or other primary care provider · Bring prescription drugs under medicare · Reduce unnecessary tests and interventions · Reorganize health care delivery to reduce wait times and improve quality · Implement a basic income guarantee to alleviate poverty, which is a major threat to health · Scale up successful local innovations to a national level Passionate, accessible, and authoritative, Dr. Martin is a fervent supporter of the best of medicare and a persuasive critic of what needs fixing.