Tuesday, June 26, 2012

[EQ] Analysis of the impact of current healthcare system funding and financing models and the value of health and healthcare in Canada

Better Value:
An analysis of the impact of current healthcare system funding and financing models and the value of health and healthcare in Canada

Stuart N. Soroka, McGill University, Associate Professor, Department of Political Science

Adam Nathaniel Mahon, McGill University

Canadian Health Services Research Foundation Canadian Nursing Association CNA/CHSRF
The Health of Our Nation – The Future of Our Health System: Paper 3, June 2012

Available online PDF [33p.] at: http://bit.ly/Oovbko  

“….This report examines the interrelationship between measures of government spending on healthcare, health policy indicators and public attitudes on health policy to identify policy approaches capable of achieving better value in the Canadian healthcare system.


After describing its context, the report considers some of the many ways in which value can be defined, setting out a working definition that deems “better value” to mean improvements in healthcare policy indicators and/or Canadians’ attitudes toward the healthcare system. Subsequent sections then explore the ways in which spending change has thus far been linked to shifts toward better value in healthcare….”

“…..As a first step toward identifying better value in the Canadian healthcare system, we look at cross-sectional differences across a range of health policy indicators. Specifically, examining the variation that exists between Canadian provinces in terms of levels of healthcare expenditure and policy indicators may reveal efficiencies, and difficulties, in translating spending into healthcare.


The relationship between numbers of doctors and wait times, for instance, or between hospital spending and the nursing workforce, clearly varies across provinces, and we suggest that these differences may be revealing where “value” in healthcare is concerned……”


Executive summary

1. Context

2. Defining “better value

3. Measures and models

4. Trends in spending on healthcare

5. Interprovincial differences in spending

6.Health policy indicators as measures of better value

7.Public opinion as a measure of better value

8. Conclusions and recommendations



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