Health Care In Canada: Incrementalism Under Fiscal Duress

Autor:	C D Naylor
Rok vydání:	1999
Předmět:	Economic growth Integrated services medicine.medical_specialty Prescription drug Inpatient care business.industry Health Policy Public administration Incrementalism Acute care Health care medicine Economics Health care reform business health care economics and organizations Health policy
Zdroj:	Health Affairs. 18:9-26
ISSN:	1544-5208 0278-2715
Popis:	Driven by fiscal pressures in the 1990s, Canada's provincial Medicare systems cut inpatient care, expanded community services, and consolidated hospitals under regional authorities in nine of ten provinces. Public confidence has been badly shaken by the transition. No province has successfully integrated services across the continuum of care. Home care and prescription drug coverage vary from province to province. Efforts to reform physician payment have stalled, and capacity to measure and manage the quality of care is generally underdeveloped. Thus, for the next few years, policymakers must stabilize the acute care sector, while cautiously pursuing an agenda of piece-meal reforms.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::5c317bd8799b55f0ee9d0851a4082eed https://doi.org/10.1377/hlthaff.18.3.9 Zobrazit plný text záznamu