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Health Services Restructuring in CanadaNew Evidence and New Directions |
A timely examination of innovations to the Canadian health care system and their impact on the delivery of services.
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.
Contributors include Margaret Denton (McMaster), Herb Emery (Calgary), Aidan Hollis (Calgary), Ana Johnson-Masotti (Queen's), Harvey Lazar (Queen's and Victoria), Greg Marchildon (Regina), Lisa Powell (Illinois), Sebastian Schneeweiss (Harvard), Kumanan Wilson (Toronto), and Dominika Wranik (Dalhousie).
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.
Contributors include Margaret Denton (McMaster), Herb Emery (Calgary), Aidan Hollis (Calgary), Ana Johnson-Masotti (Queen's), Harvey Lazar (Queen's and Victoria), Greg Marchildon (Regina), Lisa Powell (Illinois), Sebastian Schneeweiss (Harvard), Kumanan Wilson (Toronto), and Dominika Wranik (Dalhousie).
Details
Part of the Queen's Policy Studies Series (number 108 in series)
398 Pages, 6 x 9
John Deutsch Institute for the Study of Economic Policy
ISBN 9781553390763
January 2007
Formats: Paperback, Cloth
Charles Beach is professor of economics and director, the John Deutsch Institute, Queen's University.
Richard Chaykowski is associate professor, Industrial Relations, School of Policy Studies, Queen's University.
Sam Shortt is director, Centre for Health Services and Policy Research, Queen's University.
France St-Hilaire is vice president, research, Institute for Research on Public Policy, Montreal.
Arthur Sweetman is director of the School of Policy Studies, Queen's University, where he holds the Stauffer-Dunning Chair in Policy Studies. He is the co-editor of Towards Evidence-Based Policy for Canadian Education.
Richard Chaykowski is associate professor, Industrial Relations, School of Policy Studies, Queen's University.
Sam Shortt is director, Centre for Health Services and Policy Research, Queen's University.
France St-Hilaire is vice president, research, Institute for Research on Public Policy, Montreal.
Arthur Sweetman is director of the School of Policy Studies, Queen's University, where he holds the Stauffer-Dunning Chair in Policy Studies. He is the co-editor of Towards Evidence-Based Policy for Canadian Education.
Health Services Restructuring in Canada
Edited by Charles Beach, Richard Chaykowski, Sam Shortt, France St-Hilaire, and Arthur Sweetman
Table of Contents
Preface ix
Introduction 1
Charles M. Beach, Richard P. Chaykowski, Sam Shortt, France St-Hilaire and Arthur Sweetman
Section I:
Health-Care Reform Opening Remarks 11
Michael Decter
Policy Instruments and Health Reform: The Role for Evidence 15
Pierre-Gerlier Forest
Regionalization and Health Services Restructuring in Saskatchewan 33
Gregory P. Marchildon
A Decision-Making Framework for the Prioritization of Health Technologies 59
Ana P. Johnson-Masotti and Kevin Eva
The Effects of Delisting Publicly Funded Health Care Services 83
Mark Stabile and Courtney Ward
The Demand for Private Health Insurance in Alberta In the Presence of a Public Alternative. ..111
J.C. Herbert Emery and Kevin Gerrits
Discussant's Comments. ..147
Tom Mclntosh
Section 11:
Pharmacare Opening Remarks. ..153
Robyn Tamblyn
Drugs for Rare Diseases: Paying for Innovation. ..155
Aidan Hollis
Effectiveness of Reference Drug Programs and Policy Implications. ..179
Sebastian Schneeweiss
Discussant's Comments. ..203
Wayne Critchley
Section Ill:
Issues in the Delivery of Health Care: Health Human Resources and Regionalization
Opening Remarks. ..211
Tom Ward
Barriers and Solutions to Implementation Strategies to Improve Health Human Resource
Models in Canada. ..213
Martine Durier-Copp and Dominika Wranik
Where Have All the Home-Care Workers Gone? ...245
Margaret Denton, Isik Urla Zeytinoglu, Sharon Davies and Danielle Hunter
Snapshots of Health-Care Utilization in Canada: Is the Picture Changing? 1978-1998 ...269
Lori J. Curtis
Discussant's Comments. ..299
Peter Glynn
Section IV:
Public Health The Economics of Obesity: Research and Policy
Implications from a Canada-US Comparison. ..305
M. Christopher Auld and Lisa M. Powell
Sextant? Chronometer?: Are We Equipped to Chart the Course of Canadian Health Services Restructuring? ...333
Robert C. James and Manya Sadouski
Structural Reform in the Canadian Blood System. ..345
Kumanan Wilson
Discussant's Comments. ..375
Duncan Hunter
Contributors
Edited by Charles Beach, Richard Chaykowski, Sam Shortt, France St-Hilaire, and Arthur Sweetman
Table of Contents
Preface ix
Introduction 1
Charles M. Beach, Richard P. Chaykowski, Sam Shortt, France St-Hilaire and Arthur Sweetman
Section I:
Health-Care Reform Opening Remarks 11
Michael Decter
Policy Instruments and Health Reform: The Role for Evidence 15
Pierre-Gerlier Forest
Regionalization and Health Services Restructuring in Saskatchewan 33
Gregory P. Marchildon
A Decision-Making Framework for the Prioritization of Health Technologies 59
Ana P. Johnson-Masotti and Kevin Eva
The Effects of Delisting Publicly Funded Health Care Services 83
Mark Stabile and Courtney Ward
The Demand for Private Health Insurance in Alberta In the Presence of a Public Alternative. ..111
J.C. Herbert Emery and Kevin Gerrits
Discussant's Comments. ..147
Tom Mclntosh
Section 11:
Pharmacare Opening Remarks. ..153
Robyn Tamblyn
Drugs for Rare Diseases: Paying for Innovation. ..155
Aidan Hollis
Effectiveness of Reference Drug Programs and Policy Implications. ..179
Sebastian Schneeweiss
Discussant's Comments. ..203
Wayne Critchley
Section Ill:
Issues in the Delivery of Health Care: Health Human Resources and Regionalization
Opening Remarks. ..211
Tom Ward
Barriers and Solutions to Implementation Strategies to Improve Health Human Resource
Models in Canada. ..213
Martine Durier-Copp and Dominika Wranik
Where Have All the Home-Care Workers Gone? ...245
Margaret Denton, Isik Urla Zeytinoglu, Sharon Davies and Danielle Hunter
Snapshots of Health-Care Utilization in Canada: Is the Picture Changing? 1978-1998 ...269
Lori J. Curtis
Discussant's Comments. ..299
Peter Glynn
Section IV:
Public Health The Economics of Obesity: Research and Policy
Implications from a Canada-US Comparison. ..305
M. Christopher Auld and Lisa M. Powell
Sextant? Chronometer?: Are We Equipped to Chart the Course of Canadian Health Services Restructuring? ...333
Robert C. James and Manya Sadouski
Structural Reform in the Canadian Blood System. ..345
Kumanan Wilson
Discussant's Comments. ..375
Duncan Hunter
Contributors
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