Restructuring Canada's Health Systems: How Do We Get There From Here? : : Proceedings of the Fourth Canadian Conference on Health Economics / / ed. by Raisa Deber, Gail Thompson.

• Superior document: Title is part of eBook package: De Gruyter University of Toronto Press eBook-Package Archive 1933-1999
• MitwirkendeR: Alberti, Michael,; Anderson, Geoff,; Angus, Douglas E.,; Apland, L. E.,; Aserlind, Eric,; Baker, G. Ross,; Barer, Morris L.,; Barkin, Martin,; Barnes, Marsha,; Brown, Sheila A.,; Caruth, Frances,; Chibba, Michelle,; Coyte, Peter C.,; Culyer, A. J.,; Deber, Raisa B.,; Dewees, Donald N.,; Diamond, Ronald,; Dixon, Maureen,; Eagle, D. Joan,; Etches, Bruce,; Evans, Robert G.,; Finder, Lavada,; Gamble, Paul A. W.,; Goel, Vivek,; Guyatt, Gordon,; Haazen, Dominic S.,; Helminiak, Thomas,; Higenbottam, John A.,; Hurley, Jeremiah E.,; Iglehart, John,; Jacobs, Philip,; Kennedy, Wendy,; Labelle, Roberta J.,; Lamb, Marianne,; Lavoie, Joe N.,; Lowy, Frederick H .,; MacMillan, Robert,; Patterson, Christopher,; Pink, George H.,; Plain, Richard H. M.,; Rachlis, Michael M.,; Ritchie, Neil,; Rondeau, Kent V.,; Sackett, Barbara,; Saunders, L. Duncan,; Shapiro, Evelyn,; Shewfelt, Yvonne,; Sisk, Jane E.,; Soderstrom, Lee,; Stoughton, W. Vickery,; Stratford-Devai, Fawne,; Tholl, William G.,; Thompson, Gail G.,; Trebilcock, Michael J.,; Turner, A. Robert,; Turpie, Irene,; Wall, Ronald,; Weisbrod, Burton,; Weissert, William G.,; Williams, J. Ivan,; Wolff, Nancy,; Wright, Charles J.,
• HerausgeberIn: Deber, Raisa,; Thompson, Gail,
• Place / Publishing House: Toronto : : University of Toronto Press, , [2017]; ©1992
• Year of Publication: 2017
• Language: English
• Series: Heritage
• Physical Description: 1 online resource (432 p.)

Is the Canadian health care system becoming a victim of its own success? It has done what it set out to do – provide universal access to all medically necessary health services without financial barriers to patients – but expanding technology, an aging population, and escalating costs strain its ability to continue. It is time to explore ways to reorient and restructure the health care system and the services it provides. At the Fourth Canadian Conference on Health Economics, contributors of international reputation addressed these concerns. Their papers, collected in this volume, consider a wide range of fundamental issues related to health care policies and structures. They discuss new developments in health care delivery, assess implications of such new policies as home care and health promotion, and propose concrete alternatives for restructuring the present system to sustain universal medicine.

Table of Contents

Frontmatter -- Contents -- Foreword -- Preface -- What Happens If We Don’t Restructure the System? -- Ontario’s Health Care System at the Crossroads -- Discussion -- Utilization: The Doctors Dilemma -- The Effects of Medical Care Policy in B.C.: Utilization Trends in the 1980s -- Who Has Seen the Wind? Examining the Evidence and Exploring the Policy Options Pertaining to the Effect Changes in Physician Supply Have Had on Influencing Medical Utilization and Costs in Alberta -- Physician Remuneration: Fee-for-service Must Go, But Then What? -- Discussion -- Reports and Commissions: Looking for Directions -- A Great Canadian Prescription: Take Two Commissioned Studies and Call Me in the Morning -- Report of the Pharmaceutical Inquiry of Ontario: An Overview -- Redefining the Globe: Recent Changes in the Financing of British Columbia Hospitals -- Discussion -- There’s No Place Like Home -- Cost-Effectiveness of Home Care -- There’s No Place Like Home -- Discussion -- What Gains Can We Expect from Promotion and Disease Prevention, Or ‘Whither Oat Bran’? -- Evaluation of Federal Health Promotion Initiatives -- Health Promotion/Disease Prevention: What Do We Think We Know? -- Cholesterol Screening: The Costs and Benefits of Various Programs -- Discussion -- South of the Border -- U.S. Influences on Canada: Can We Prevent the Spread of Kuru? -- Canadian Influences on the U.S.: Immune System Responses? -- Discussion -- Yankee Influences: Playing in the Bush Leagues? -- Managed Care: What Is It, and Can It Be Applied to Canada? -- The American Experience with a Prospective Payment System: Some Lessons for Canada -- Riverview/Fraser Valley Assertive Outreach Program -- Discussion -- Hospitals: Changing Prescriptions -- Changing Patterns of Governance for Hospitals: Issues and Models -- Innovative Fund Raising: The St. Michael’s Hospital Health Centre -- Purchasing Hospital Capital Equipment: What Role for Technology Assessment? -- Discussion -- Quality Time -- Assessing the Quality of Medical Care -- Assessing the Quality of Medical Care -- Discussion -- Methodology for Economic Evaluation: Give Us the Tools -- Implications of Basing Health Care Resource Allocations on Cost-utility Analysis in the Presence of Externalities -- Conducting Comprehensive Cost Assessments: A Case Study of an Assertive Mental Health Community Treatment Program -- Discussion -- Economic Evaluations of Health Programs: Costs and Consequences -- Determinants of Medical Malpractice: The Canadian Experience -- Preliminary Findings of the Economic Evaluation of an Ontario Geriatric Day Hospital -- Economic Costs of Self Sufficiency in Blood Products: The Case of Albumin -- Discussion -- Marketing Change: How Can We Get Anywhere from Here? -- Marketing Change: How Can We Get Anywhere from Here? -- The Empire Strikes Back -- Hospital Competition in the U.K.: A (Possibly) Useful Framework for the Future -- Hospital Competition in the U.K.: A Prospective -- Discussion -- Hospitals Revisited -- Hospital Resources in Metropolitan Toronto: The Reality versus the Myth -- Redirecting Incentives in the British Columbia Health System: Creating a Consequence -- Collaborative Arrangements for Service Delivery: The Example of Two New Brunswick Hospitals -- Discussion -- Where Else Might We Go? Alternative Approaches and Models -- Co-operative Health Service Delivery in Canada -- The Independent Health Facilities Act: A First for North America -- Models for Integrating and Coordinating Community-based Human Service Delivery: An Analysis of Organizational and Economic Factors -- Discussion -- Closing Remarks -- List of Participants: Fourth Canadian Conference On Health Economics