Health Services Restructuring in Canada

by Beach, Charles M.; Chaykowski, Richard P.; Shortt, Sam; St-Hilaire, France; Sweetman, Arthur

• ISBN13: 9781553390756
• ISBN10: 155339075X
• Edition: 1st
• Format: Hardcover
• Copyright: 2007-04-30
• Publisher: Inst for Research on

Summary

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.

Table of Contents

Health-Care Reform
Opening remarks	p. 11
Policy instruments and health reform : the role for evidence	p. 15
Regionalization and health services restructuring in Saskatchewan	p. 33
A decision-making framework for the prioritization of health technologies	p. 59
The effects of delisting publicly funded health-care services	p. 83
The demand for private health insurance in Alberta in the presence of a public alternative	p. 111
Discussant's comments	p. 147
Pharmacare
Opening remarks	p. 153
Drugs for rare diseases : paying for innovation	p. 155
Effectiveness of reference drug programs and policy implications	p. 179
Discussant's comments	p. 203
Issues in the delivery of health care : health human resources and regionalization
Opening remarks	p. 211
Barriers and solutions to implementation strategies to improve health human resource models in Canada	p. 213
Where have all the home-care workers gone?	p. 245
Snapshots of health-care utilization in Canada : is the picture changing? : 1978-1998	p. 269
Discussant's comments	p. 299
Public health
The economics of obesity : research and policy implications from a Canada-US comparison	p. 305
Sextant? : chronometer? : are we equipped to chart the course of Canadian health services restructuring?	p. 333
Structural reform in the Canadian blood system	p. 345
Discussant's comments	p. 375
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