Romanow Papers The Fiscal Sustainability Of Health Care In Canada
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Author : Commission on the Future of Health Care in Canada Publisher : University of Toronto Press Page : 436 pages File Size : 52,7 Mb Release : 2004-01-01 Category : Political Science ISBN : 0802086179
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.
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 : 51,5 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.
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.
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.
Author : Commission on the Future of Health Care in Canada Publisher : Unknown Page : 0 pages File Size : 40,5 Mb Release : 2004 Category : Medical ISBN : 0802086195
Romanow Papers: The governance of health care in Canada by Commission on the Future of Health Care in Canada Pdf
The twelve papers in this third volume of the research program for the Romanow Commission offer a detailed analysis of the governance of health care in Canada from the perspective of constitutionalism, intergovernmental relations, and societal context. In the first section, the authors deal with the formal division of powers regarding health care as outlined in the Canadian constitution and the Charter of Rights and Freedoms. The second section outlines the strengths and weaknesses of the intergovernmental governance of health care. Finally, the third section focuses on governance of health care outside of the governmental sphere. The theme that resonates throughout the contributions - and which is in itself a call for deeper analysis - is that health care governance has become locked in a cycle of mutual recrimination, blame assigning, and blame avoidance from the federal and provincial levels right down to the level of the individual citizen.
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 : The Commission Page : 84 pages File Size : 45,8 Mb Release : 2002 Category : Health planning ISBN : UIUC:30112056709733
Shape the Future of Health Care by Commission on the Future of Health Care in Canada,Roy J. Romanow Pdf
This is the first report of the commission appointed to undertake dialogue with Canadians on the future of Canada's public health care system and to make recommendations for ensuring the long-term sustainability of the system. It focusses on results of the fact-finding work of the commission and begins with an overview of the commission's research process. The main section reviews what the commission heard & learned regarding four themes: Canadian values and how they are & should be reflected in the Canada Health Act; health system sustainability & funding; health care quality & access; and leadership, collaboration, & responsibility. The final section discusses three major challenges to be addressed in the next phase of the commission's work, a national consultation with Canadians. The appendix includes a summary of commission work during the fact-finding phase and information on the commission's research program.
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.
Cost Containment and Efficiency in National Health Systems by John Rapoport,Philip Jacobs,Egon Jonsson Pdf
Written by a local health economics expert, each of the eight chapters in this timely handbook and ready reference describes the national healthcare system of a different industrialized country. In each case, the 4-5 specific policies with the highest impact on that respective country over the past 20-30 years are identified. In addition, the economic characteristics of each policy are described and, where possible, its success evaluated, discussing the current policy agenda. A final chapter summarizes and synthesizes the major points of the analysis. While the main focus is on economics, this guide is written in non-technical language for an audience of health policy decision makers or students of health policy, making it an invaluable contribution to the current debate surrounding the control of rising healthcare-related costs in the developed world.
CASE STUDIES IN CANADIAN HEALTH POLICY AND MANAGEMENT, SECOND EDITION by Raisa Deber,Catherine Mah Pdf
Covering a wide range of issues, the 22 cases included in Case Studies in Canadian Health Policy and Management constitute an exceptional resource for bringing real-life policy questions into the classroom. Based on actual events, the cases have been developed with input from mid-career professionals with strong field experience and extensively tested in Raisa B. Debers graduate case study seminar at the University of Toronto. Each case features both a substantive health policy issue and a selection of key concepts and methods appropriate to examining public policy, public health, and health care management issues. In each case, the authors provide a summary of the case and the related policy issues, a description of events, suggested questions for discussion, supporting information, and both works cited and further reading. Suitable for graduate and undergraduate classrooms in programs in a variety of fields, Case Studies in Canadian Health Policy and Management is an exceptional educational resource. This second edition features all new cases, as well as adding an introductory chapter that provides a framework and tools for health policy analysis in Canada.
Author : Raisa B. Deber Publisher : University of Toronto Press Page : 205 pages File Size : 55,6 Mb Release : 2018-01-01 Category : Medical ISBN : 9781487521493
Focusing on Canada's health care system, Raisa B. Deber introduces the reader to the facts and concepts necessary to understand health care policy in Canada and to evaluate how we might want to reform our health care system.
Bad Medicine by Jim Grieshaber-Otto,Scott Sinclair,Canadian Centre for Policy Alternatives Pdf
Introduction -- Key trade treaty rules and health safeguards -- Examing recent reports on health care reform -- Hazardous mixture : trade treaties and helath care reform proposals -- Towards healthy health care reform.
Canadian Social Policy by Anne Westhues,Brian Wharf Pdf
Social policy shapes the daily lives of every Canadian citizen and should reflect the beliefs of a majority of Canadians on just approaches to the promotion of health, safety, and well-being. Too often, those on the front lines—social workers, nurses, and teachers—observe that policies do not work well for the most vulnerable groups in society. In the first part of this new edition of Canadian Social Policy, Westhues and Wharf argue that service deliverers have discretion in how policies are implemented, and the exercise of this discretion is how citizens experience policy—whether or not it is fair and reasonable. They show the reader how social policy is made and they encourage active citizenship to produce policies that are more socially just. New material includes an examination of the reproduction of systemic racism through the implementation of human rights policy and a comparative analysis of the policy-making process in Quebec and English Canada. The second part of the book discusses policy issues currently under debate in Canada. Included are new chapters that explore parental leave policies and housing as a determinant of health. All chapters contain newly updated statistical data and research and policy analysis. A reworked section on the process of policy-making and the addition of questions for critical reflection enhance the suitability of the book as a core resource in social policy courses. The final chapter explores how front-line workers in the human services can advocate for change in organizational policies that will benefit the people supported.
