Note: Supplemental materials are not guaranteed with Rental or Used book purchases.
Purchase Benefits
What is included with this book?
Acronyms | p. 7 |
ntroduction: Medical Laboratories and the Public-Private Debate | p. 9 |
The Public-Private Debate | p. 10 |
What Is Public and What Is Private? | p. 12 |
How Medical Laboratories Work | p. 14 |
Cost and Integration | p. 15 |
Outline of the Booak | p. 16 |
Medical Laboratory Services before Medicare | p. 18 |
Securing a Strong Non-Profit Sector | p. 18 |
Non-Profit Hospital Insurance, Doctors and Laboratory Services | p. 19 |
The Medical Insurance Honey Pot | p. 20 |
Billing for Work Not Done | p. 21 |
Summary | p. 22 |
The Rise of the For-Profits, 1968-1990 | p. 24 |
Medicare and Increased Utilization | p. 24 |
Global Budgets and Limiting Hospital Access to ohip Money | p. 25 |
Direct Funding for Private Laboratories | p. 26 |
A Different Workload Measurement System | p. 27 |
Profitable but Not Efficient | p. 27 |
Licensing the Laboratory Sector | p. 28 |
Conflicts of Interest and Overuse | p. 30 |
Regulatory Attempts to Control Overuse | p. 31 |
Consolidation of the Laboratory Industry | p. 35 |
Ontario Association of Medical Laboratories | p. 37 |
Staff Conflict of Interest | p. 38 |
Political Conflict of InterestùMoney and Personnel | p. 38 |
Summary | p. 39 |
Support for Non-Profit Delivery | p. 42 |
Hospital Regionalization Initiatives | p. 42 |
Hospitals In-Common Laboratory | p. 43 |
The HICL Moves into the Community | p. 44 |
Hamilton Health Sciences Laboratory Program | p. 45 |
Other Hospital-Community Initiatives | p. 46 |
Laboratory Outpatient Pilot Project | p. 47 |
Summary | p. 49 |
For-Profits Consolidate Power, 1990-2010 | p. 52 |
The Agreement with the OAML | p. 53 |
Large Labs Respond to Hard Caps with Service Cuts | p. 54 |
The 1992 Laboratory Services Review | p. 56 |
LSR: No Decisions a Private Victory | p. 57 |
Regulation 02/98ùEnding Competition | p. 58 |
The Failed Long-Term SolutionùRegional Integration | p. 59 |
The Real Government Policy | p. 63 |
Reduction in Non-Profit Community Lab Services | p. 64 |
Contracting Private Services | p. 65 |
Joint Ventures | p. 66 |
New Tests and Programs | p. 67 |
Summary | p. 68 |
The WinnersùMDS, GDML and CIVIL | p. 71 |
LifeLabs/MDS | p. 71 |
Gamma-Dynacare Medical Laboratories (GDML) | p. 74 |
CML Healthcare Income Fund (CML) | p. 75 |
Variations from Sea to Sea | p. 78 |
British Columbia | p. 80 |
Alberta | p. 82 |
Saskatchewan | p. 84 |
Manitoba | p. 86 |
Quebec | p. 87 |
New Brunswick | p. 89 |
Nova Scotia | p. 89 |
Prince Edward Island | p. 90 |
Newfoundland and Labrador | p. 91 |
Cost and Integration | p. 92 |
The Cost Argument for Non-Profit Laboratories | p. 93 |
The Private Sector Unit-Cost Approach | p. 94 |
Excess Capacity | p. 95 |
The Evidence | p. 95 |
Why Are For-Profit Laboratories More Expensive? | p. 99 |
Inflated Fees | p. 99 |
What Is the Extra Cost? | p. 103 |
Quality and Accessibility | p. 105 |
Quality | p. 105 |
Pre- and Post-Analytic Quality ù Resources and Integration | p. 109 |
Access | p. 111 |
Conclusions | p. 114 |
Physicians, Political Process and Private Profit | p. 116 |
The For-Profit-Non-Profit Debate | p. 116 |
Why Do We Have For-Profit Laboratories? | p. 117 |
Secrecy | p. 117 |
Unequal Standards of Proof | p. 119 |
Unequal Voices | p. 119 |
Private Profit versus Public Interest | p. 120 |
The Medical Profession and For-Profit Laboratories | p. 120 |
Some Restrictions of For-Profit Delivery | p. 122 |
How to Improve Laboratory Services | p. 123 |
Conclusion | p. 125 |
Personal Communications | p. 127 |
References | p. 128 |
Acknowledgements | p. 135 |
Table of Contents provided by Ingram. All Rights Reserved. |
The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any access cards, study guides, lab manuals, CDs, etc.
The Used, Rental and eBook copies of this book are not guaranteed to include any supplemental materials. Typically, only the book itself is included. This is true even if the title states it includes any access cards, study guides, lab manuals, CDs, etc.