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Home Policy Articles: Health Care: Accountability


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Canada's New Social Risks: Directions for a New Social Architecture popular

Jane Jenson provides a synthesis report for the year-long analysis undertaken by Canadian and international experts for a research program organized by the CPRN.

Health Care Reforms: Just How Far Can We Go? popular

Philippe H. Trudel, Bruce W. Johnston, and Michel Bédard explore what kinds of health care reforms can occur under existing laws. They also examine how much room the provinces have to manoeuvre under current federal legislation, namely, the Canada Health Act, as well as which laws reform-minded provincial governments could modify.

Will We Rise to the Challenge? Eight Mega Issues Facing Canada popular

This briefing tracks eight key trends that are having a major impact on Canada’s business and public policy environment. Charles Barrett and Anne Golden point to the global economy and the consequences of competition from developing countries. They examine Canada’s relationship with the United States and the competing priorities of defence and trade. They also look at the need for investment in human capital and innovation for Canada to compete on the global stage, as well as the importance of addressing climate change and environmental issues.

A Patients’ Bill of Rights: A Cure for Canadians’ Concerns About Medicare?

This article by Colleen Flood and Tracey Epps explores the prospect of a patient’s “bill of rights” as a means of addressing some of the issues and concerns associated with health care in Canada, and also as a potential means of surpassing the limitations of current appeal procedures.

Access Delayed, Access Denied. Waiting for Medicines in Canada

Brett Skinner, Mark Rovere, and Courtney Glen analyze the time that patients must wait between the discovery of a new drug and its availability to Canadian consumers.

Accountability in Health Care and Legal Approaches

In this paper, Ries and Caulfield address the growing interest, both on the part of governments and individuals, in using legal mechanisms to define rights and obligations with respect to health care.

Accountability: Why Strings Need to be Attached to Health Care Dollars

Armine Yalnizyan’s article Accountability: Why Strings Need to be Attached to Health Care Dollars argues the federal government should not provide provincial health care funds without guarantees to how those funds will be used. Yalnizyan dismisses ‘no strings attached’ funding and argues that accountability for usage must be a prerequisite for federal health care funding. She claims that accountability demonstrates transparency and a readiness to be responsible to taxpayers. In the case of targeted funds, however, Yalnizyan recognizes the necessity for provincial flexibility, arguing that such funds may be diverted to another health care usage if provincial governments can demonstrate they have met minimum targeted standards. This is a necessity, she claims, for Canada to maintain its public health care system.

Church’s end-of-life teaching is a gift to be shared

In this brief article, Bridget Campion describes her first case as a clinical ethicist.

Development of a Taxonomy for Health Care Decision-Making in Canada

Coyte’s paper is part of the working paper series entitled Defining the Medicare Basket: Health Care Decision Making in Canada. This series was undertaken to examine how decisions are made about what is covered by publicly funded health care, and if decisions about what is covered should be revisited.

Engaging Citizens: One Route to Health Care Accountability

Julia Abelson and Francois-Pierre Gauvin consider the increased public demand for government accountability, and then focus more specifically on how the government is addressing this demand in the realm of health care.

Funding Hosptial Infrastructure: Why P3s Don't Work, and What Will

This report examines the consequences of adopting a “public-private partnership,” more commonly known as a P3 model, for the delivery of health care infrastructure and services.

Giving Citizens a Voice in Health Care Policy in Canada

This brief report, by Maxwell, Rosell and Forest, begins with the belief that the values of a country’s citizens should define the boundaries of action in a democracy. The authors examine the Romanow Report’s use of a “ChoiceWork dialogue,” in which representative groups of ordinary citizens work through complex issues and make value- based choices. The input of these citizens had an important impact on the Commission’s report and the debate that ensued. As Maxwell, Rosell and Forest point out, this method of public engagement is more costly than polling, but essential when opinions are diverse and difficult decisions must be made.

Hamstrung and Hogtied: Cascading Constraints on Citizen Governors

In this paper Colleen Flood and Tom Archibald look at what type of role citizen governors may be able to play in improving accountability within the Medicare system. Flood and Archibald systematically examine five levels of decision-makers within Medicare and their roles, then question whether or not citizen governors, or another form of citizen engagement would improve accountability within the system. The authors explain that although there had been an increase in citizen participation it's positive effects were tempered by the move away from citizen governance and towards arm's length community councils. Ultimately more meaningful citizen participation is encouraged.

Health Care Spending, Fiscal Sustainability, and Public Investment

In his study “Health Care Spending, Fiscal Sustainability, and Public Investment,” Joe Ruggeri, Director of the Policy Studies Centre at the University of New Brunswick, analyzes three major issues on the debate on health care policy in Canada.

Health Human Resource Planning in Canada: Physician and Nursing Workforce

This report by Katya Duvalko, Patricia Baranek, Lise Lamothe and Kent Rondeau, commissioned by The Commission on the Future of Health Care in Canada, tries to explain why attempts at providing more health care workers to hospitals and clinics in need of personnel “have not met with much success.” The authors find several barriers to reform. These include but are not limited to the lack of coordinated health human resources planning (which has been seen as a separate policy area), the complexity of the issue and thus the difficulty of adequate planning, differences in legislative and regulatory schemes across Canada, and diffuse accountabilities.

How Good is Canadian Health Care? 2004 Report: An International Comparison of Health Systems

This report compares Canada to other countries that also have universal access to health care through publicly funded health care systems.

Improving Canada's Regulatory Process for Therapeutic Products

This report, prepared by the Public Policy Forum, is a summary of the outcomes of the session. It is meant to highlight the common understandings that emerged and to provide a synthesis of the proceedings. The Public Policy Forum’s goal in drafting this report is to produce a clear guide for action in improving the regulatory process around therapeutic products.

Miracle Cure: How to Solve America's Health Care Crisis and Why Canada Isn't the Answer

This is a book-length report written by Dr. Sally C. Pipes, President and CEO of the Pacific Research Institute.

Money, Politics and Health Care: Reconstructing the Federal-Provincial Partnership

This publication is a collection of essays, edited by Lazar and St-Hilaire, which analyze key issues in federal-provincial health care relations, particularly the fiscal component of that relationship.

Paying for Keeps: Securing the Future of Public Health Care - Highlights on the Health Accord Money Numbers

Paying for Keeps is a series by Armine Yalnizyan. In this issue, Yalnizyan analyzes the agreements made at the Health Accord. The federal government allocated $9.6 million in “new” money for the provinces and territories to help pay for health care over the next three years.

Report on the Citizens’ Dialogue on the Future of Health Care in Canada

This report by by Pierre-Gerlier Forest, Karen Jackson, Barbara Legowski, Larissa Lozowchuk, Judith Maxwell and Steven Rosell, in partnership with The Commission on the Future of Health Care in Canada, attempts to evaluate what Canadians value in their health care system in a period where “difficult trade-offs” are necessary. The primary research involved dialogue with Canadians in the format of 12 sessions, each involving 40 participants who were presented with alternative means of dealing with health care issues.

Rhetoric, Fallacy or Dream? Examining the Accountability of Canadian Health Care to Citizens

This report addresses the increasing demand, from Canadian citizens, for accountability regarding the health care system.

The Boundaries of Canadian Medicare: The Role of Medical Directors and Public Participation in Decision Making

Awad, Abelson and Flood’s paper is part of the working paper series entitled Defining the Medicare Basket: Health Care Decision Making in Canada. This series was undertaken to examine how decisions are made about what is covered by publicly funded health care, and if decisions about what is covered should be revisited.

The Harris-Eves Health Care Prescription: The cure is worse than what ails us

This technical paper, prepared by Sheila Block and Bill Murnighan, accompanies the Canadian Centre for Policy Alternatives’ Ontario Alternative Budget 2003. The authors review the Conservative government’s record on health care spending.

The Physician Services Committee: The Relationship Between the Ontario Medical Association and the Ontario Ministry of Health and Long-Term Care

Archibald and Flood’s paper is part of the working paper series entitled Defining the Medicare Basket: Health Care Decision Making in Canada.

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