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Health-care competition: Can Britain’s experience help Canada?

Friday, October 19th, 2012

Oct. 19 2012
More patients chose – with the help of their GPs – to go to better hospitals… Hospitals in areas where patients had more choice had greater improvements in clinical quality (measured by lower death rates after admission) and greater reductions in lengths of stay than hospitals in less competitive areas… better management is associated with better outcomes in NHS hospitals and that management tends to be better when hospitals compete with each other.

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What Canada can learn from Obamacare

Friday, October 19th, 2012

Oct. 19 2012
First… addressing the contentious issue of what exactly would be covered. The solution they chose recognizes that as practices and technologies change, so does the best way of meeting a population’s health needs… Second… health benefits obtained through employment are not taxed as income. At just the federal level, Canada’s Department of Finance calculates the value of this subsidy to be more than $3-billion… The third… is delivery system reform.

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Cuts to Statistics Canada a costly error, say experts

Friday, August 10th, 2012

23 July 2012
These reductions have been masked under the compelling veil of “efficiency.” In reality, the cuts promise considerable future costs because they compromise the tools used to understand the state. This, in turn, has a high probability of leading to decisions that are no longer based on evidence, and therefore are likely to be ineffective uses of public money… We have now halted the collection and analysis of our most informative longitudinal information on our labour force, on the workplace, on health and health care, and on child well-being.

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Posted in Governance Policy Context | 1 Comment »


Statistics Canada cuts compromise the tools used to understand the state

Wednesday, July 11th, 2012

July 10, 2012
… without being able to accurately describe the characteristics and trends of what that “problem” is, society will simply have to make policy in the dark. Evidence-based policy-making requires just that — evidence — standard, reliable metrics whose quantification and legitimacy is widely agreed upon… realizing the kind of savings that Statistics Canada claims to strive for in this budgetary cycle means continuing to invest in the foundational information that has wisely informed our nation for decades.

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Paying doctors and wait times: How does Canada compare?

Thursday, May 3rd, 2012

May 02 2012
A recent paper put out by the OECD suggests that in 2004 Canadian GPs were paid about the same in PPP dollars as doctors in Switzerland and Austria, but less than those in the U.S., U.K. and Germany. Using the comparison to average wages, however, Canadian GPs are among the highest paid in the OECD, just below the United States (3.2 times the average wage versus 3.4 in the U.S.)… Simply spending more doesn’t seem to solve the wait time problem, but targeted spending on agreed upon targets that increases productivity appears to deliver better results than across-the-board increases to any part of the health-care system.

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