Restructuring Canada's Health Services System: How Do We Get There from Here?

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Editorial Reviews

Booknews
The proceedings of the Fourth Canadian Conference on Health Economics, U. of Toronto, 1990, 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 medical care. No index. Annotation c. Book News, Inc., Portland, OR (booknews.com)
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Product Details

  • ISBN-13: 9780802060051
  • Publisher: University of Toronto Press
  • Publication date: 3/11/1992
  • Pages: 420
  • Product dimensions: 6.20 (w) x 9.26 (h) x 1.17 (d)

Table of Contents

Foreword
Preface
What Happens If We Don't Restructure the System?
Ontario's Health Care System at the Crossroads 3
Discussion 9
Utilization: The Doctors Dilemma
The Effects of Medical Care Policy In B.C.: Utilization Trends In the 1980s 13
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 19
Physician Remuneration: Fee-for-service Must Go, But Then What? 35
Discussion 39
Reports and Commissions: Looking for Directions
A Great Canadian Prescription: Take Two Commissioned Studies and Call Me In the Morning 49
Report of the Pharmaceutical Inquiry of Ontario: An Overview 63
Redefining the Globe: Recent Changes In the Financing of British Columbia Hospitals 73
Discussion 85
There's No Place Like Home
Cost Effectiveness of Home Care 89
There's No Place Like Home 99
Discussion 105
What Gains Can We Expect from Health Promotion and Disease Prevention, or 'Whither Oat Bran'?
Evaluation of Federal Health Promotion Initiatives 111
Health Promotion/Disease Prevention: What Do We Think We Know? 115
Cholesterol Screening: The Costs and Benefits of Various Programs 123
Discussion 135
South of the Border
U.S. Influences on Canada: Can We Prevent the Spread of Kuru? 143
Canadian Influences on the U.S.: Immune System Responses? 149
Discussion 153
Yankee Influences: Playing in the Bush Leagues?
Managed Care: What Is it, and Can it Be Applied to Canada? 159
The American Experience with a Prospective Payment System: Some Lessons for Canada 165
Riverview/Fraser Valley Assertive Outreach Program 185
Discussion 191
Hospitals: Changing Prescriptions
Changing Patterns of Governance for Hospitals: Issues and Models 195
Innovative Fund Raising: The St. Michael's Hospital Health Centre 207
Purchasing Hospital Capital Equipment: What Role for Technology Assessment? 213
Discussion 223
Quality Time
Assessing the Quality of Medical Care 229
Assessing the Quality of Medical Care 235
Discussion 239
Methodology for Economic Evaluation: Give Us the Tools
Implications of Basing Health Care Resource Allocations on Cost-utility Analysis In the Presence of Externalities 245
Conducting Comprehensive Cost Assessments: A Case Study of an Assertive Mental Health Community Treatment Program 263
Discussion 269
Economic Evaluations of Health Programs: Costs and Consequences
Determinants of Medical Malpractice: The Canadian Experience 273
Preliminary Findings of the Economic Evaluation of an Ontario Geriatric Day Hospital 285
Economic Costs of Self Sufficiency In Blood Products: The Case of Albumin 301
Discussion 307
Marketing Change: How Can We Get Anywhere from Here? 313
The Empire Strikes Back
Hospital Competition In the U.K.: A (Possibly) Useful Framework for the Future 317
Hospital Competition in the U.K.: A Prospective 331
Discussion 333
Hospitals Revisited
Hospital Resources In Metropolitan Toronto: The Reality versus the Myth 339
Redirecting Incentives In the British Columbia Health System: Creating a Consequence 347
Collaborative Arrangements for Service Delivery: The Example of Two New Brunswick Hospitals 351
Discussion 361
Where Else Might We Go? Alternative Approaches and Models
Co-operative Health Service Delivery in Canada 365
The Independent Health Facilities Act: A First for North America 377
Models for Integrating and Coordinating Community-based Human Service Delivery: An Analysis of Organizational and Economic Factors 387
Discussion 393
Closing Remarks 397
List of Participants 399
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