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OECD Health Policy Studies Waiting Times for Health Services Next in Line by OECD Pdf
The report reviews a range of policies that countries have used to tackle waiting times for different services, including elective surgery and primary care consultations, but also cancer care and mental health services, with a focus on identifying the most successful ones.
Reducing Wait Times for Health Care by Steven Globerman,Nadeem Esmail,Brian Day,David Henderson Pdf
Public opinion polls in recent years show that Canadians are generally satisfied with their government-funded health care system. If there is any consistent source of dissatisfaction with the “single-payer” system, it is with the amount of time people wait to receive medical care. Requiring patients to queue for medical services presumably saves the government money, at least in the short-run, by reducing expenditures on hospitals and doctors. However, waiting lists impose monetary and non-monetary costs on those waiting for health care. The larger these costs, the more likely it is that waiting lists have net overall costs for Canadian society. What can and should be done to reduce or eliminate wait times for health care? Reducing Wait Times for Health Care: What Canada Can Learn from Theory and International Experience assesses various policy-related issues associated with waiting lists for health care services in Canada. First, Nadeem Esmail attempts to define what “waiting” for health care means and considers the complexities involved in comparing wait times from one country to another. In chapter 3, Dr. Brian Day examines the substantial costs that waiting for health care impose on Canadians. David Henderson then considers various policy approaches for reducing wait times in Canada, while in chapter 5, Steven Globerman addresses the labour market consequences of wait times and the broader impacts of wait times for Canada's economic growth. Finally, in chapter 6 of this volume, Nadeem Esmail reviews the international experience with wait times and reductions in wait times in an effort to identify policies that might work to improve the timeliness of access to health care in Canada. A key point for Canadian policymakers emerges from the chapters in this book: maintaining status quo health care policies is unlikely to improve the timeliness of the provision of health care services in Canada or improve the efficiency of the government-funded system.
Institute of Medicine,Committee on Optimizing Scheduling in Health Care
Author : Institute of Medicine,Committee on Optimizing Scheduling in Health Care Publisher : National Academies Press Page : 154 pages File Size : 52,7 Mb Release : 2015-08-24 Category : Medical ISBN : 9780309339223
Transforming Health Care Scheduling and Access by Institute of Medicine,Committee on Optimizing Scheduling in Health Care Pdf
According to Transforming Health Care Scheduling and Access, long waits for treatment are a function of the disjointed manner in which most health systems have evolved to accommodate the needs and the desires of doctors and administrators, rather than those of patients. The result is a health care system that deploys its most valuable resource--highly trained personnel--inefficiently, leading to an unnecessary imbalance between the demand for appointments and the supply of open appointments. This study makes the case that by using the techniques of systems engineering, new approaches to management, and increased patient and family involvement, the current health care system can move forward to one with greater focus on the preferences of patients to provide convenient, efficient, and excellent health care without the need for costly investment. Transforming Health Care Scheduling and Access identifies best practices for making significant improvements in access and system-level change. This report makes recommendations for principles and practices to improve access by promoting efficient scheduling. This study will be a valuable resource for practitioners to progress toward a more patient-focused "How can we help you today?" culture.
OECD Health Policy Studies Waiting Time Policies in the Health Sector What Works? by OECD Pdf
This book provides a framework to understand why there are waiting lists for elective surgery in some OECD countries and not in others. It also describes how waiting times are measured in OECD countries and reviews different policy approaches to tackling excessive waiting times.
Author : Michael Rachlis Publisher : Canadian Centre Policy Alternatives Page : 38 pages File Size : 45,7 Mb Release : 2005 Category : Health care reform ISBN : 9780886274689
Public Solutions to Health Care Wait Lists by Michael Rachlis Pdf
The Canadi- ing for-profit clinics to sell services to the public an debate has wrongly assumed that the only such sector and to any individual who has the cash to clinics are for-profit businesses. [...] Most the ultrasound, and sometimes the biopsy as well, patients are more than happy to see the first avail- on the same day. [...] They are aggressively de- The second new public sector approach to veloping for-profit clinics to sell services to the health care waits is the use of applications of public sector and any individual who has the cash queueing theory to manage waits and delays. [...] But the appropriate solution, in this case, is to increase the capacity of the in a peer-reviewed journal, and the physicians' public hospitals and clinics. [...] For The waits in the arena are longer if all the fans example, 10% of patients booked for ultrasound come just before the game starts, and may be non- examinations at the QEII Hospital in Halifax existent if people arrive in a constant stream dur- in July 2005 did not show up for their appoint- ing the hour prior to game time.
Institute of Medicine,Committee on Quality of Health Care in America
Author : Institute of Medicine,Committee on Quality of Health Care in America Publisher : National Academies Press Page : 360 pages File Size : 54,8 Mb Release : 2001-08-19 Category : Medical ISBN : 9780309072809
Crossing the Quality Chasm by Institute of Medicine,Committee on Quality of Health Care in America Pdf
Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
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.
Waiting Times for Health Services by Organisation for Economic Co-operation and Development Pdf
Long waiting times for health services is an important policy issue in most OECD countries. Reducing the time that people have to wait to get a consultation with a general practitioner, or a diagnostic test or treatment, can go a long way in improving patient experience and avoiding possible deterioration in their health. Governments in many countries have taken various measures to reduce waiting times, often supported by additional funding, with mixed success. This report looks at how waiting times for elective treatment, which is usually the longest wait, have stalled over the past decade in many countries, and have started to rise again in some others. It also analyses the differences in how long people have to wait to get a consultation with general practitioners or specialists across countries. The report reviews a range of policies that countries have used to tackle waiting times for different services, including elective surgery and primary care consultations, but also cancer care and mental health services, with a focus on identifying the most successful ones.
Stepped Care 2.0: A Paradigm Shift in Mental Health by Peter Cornish Pdf
This book is a primer on Stepped Care 2.0. It is the first book in a series of three. This primer addresses the increased demand for mental health care by supporting stakeholders (help-seekers, providers, and policy-makers) to collaborate in enhancing care outcomes through work that is both more meaningful and sustainable. Our current mental health system is organized to offer highly intensive psychiatric and psychological care. While undoubtedly effective, demand far exceeds the supply for such specialized programming. Many people seeking to improve their mental health do not need psychiatric medication or sophisticated psychotherapy. A typical help seeker needs basic support. For knee pain, a nurse or physician might first recommend icing and resting the knee, working to achieve a healthy weight, and introducing low impact exercise before considering specialist care. Unfortunately, there is no parallel continuum of care for mental health and wellness. As a result, a person seeking the most basic support must line up and wait for the specialist along with those who may have very severe and/or complex needs. Why are there no lower intensity options? One reason is fear and stigma. A thorough assessment by a specialist is considered best practice. After all, what if we miss signs of suicide or potential harm to others? A reasonable question on the surface; however, the premise is flawed. First, the risk of suicide, or threat to others, for those already seeking care, is low. Second, our technical capacity to predict on these threats is virtually nil. Finally, assessment in our current culture of fear tends to focus more on the identification of deficits (as opposed to functional capacities), leading to over-prescription of expensive remedies and lost opportunities for autonomy and self-management. Despite little evidence linking assessment to treatment outcomes, and no evidence supporting our capacity to detect risk for harm, we persist with lengthy intake assessments and automatic specialist referrals that delay care. Before providers and policy makers can feel comfortable letting go of risk assessment, however, they need to understand the forces underlying the risk paradigm that dominates our society and restricts creative solutions for supporting those in need.
Federal Advisor on Wait Times (Canada),Brian D. Postl
Author : Federal Advisor on Wait Times (Canada),Brian D. Postl Publisher : Canadian Museum of Civilization/Musee Canadien Des Civilisations Page : 196 pages File Size : 48,7 Mb Release : 2006 Category : Health services accessibility ISBN : UIUC:30112075754876
Health at a Glance: Europe 2020 State of Health in the EU Cycle by OECD,European Union Pdf
The 2020 edition of Health at a Glance: Europe focuses on the impact of the COVID‐19 crisis. Chapter 1 provides an initial assessment of the resilience of European health systems to the COVID-19 pandemic and their ability to contain and respond to the worst pandemic in the past century.
John Deutsch Institute for the Study of Economic Policy
Author : John Deutsch Institute for the Study of Economic Policy Publisher : [Kingston, Ont.] : John Deutsch Institute for the Study of Economic Policy, Queen's University Page : 0 pages File Size : 55,5 Mb Release : 2006 Category : Drugs ISBN : 155339075X
Health Services Restructuring in Canada by John Deutsch Institute for the Study of Economic Policy Pdf
Annotation The recent Chaoulli Supreme Court decision and health care proposals by Quebec and Alberta have led to renewed debate on how best to restructure the Canadian health care system. This volume offers a timely analysis of access and wait-times, alternative modes of health care delivery, and funding methods from the perspective of evidence-based policy making. In an attempt to shift the debate away from polemical positions, contributors use empirical analysis to better understand what works and what doesn't. Topics include the demand for private health insurance, the impact of regional reforms, the effectiveness of drug programs, alternative human resource strategies, managed competition in home care, the economics of obesity, prioritization of health technologies, and planning for the next pandemic.
Commission on the Future of Health Care in Canada,Roy J. Romanow
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 : 43,6 Mb Release : 2002 Category : Medical ISBN : UIUC:30112059382330
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.
