The reallocation challenge: Containing Canadian medical care spending to invest in the social determinants of health
Autor: | Craig Mitton, Neale Smith, Paul Kershaw |
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Rok vydání: | 2016 |
Předmět: |
Canada
medicine.medical_specialty Social Determinants of Health Psychological intervention Population health 03 medical and health sciences 0302 clinical medicine Resource (project management) Health care medicine Humans 030212 general & internal medicine Social determinants of health Health Care Rationing 030505 public health Public economics Health Priorities business.industry Public health Public Health Environmental and Occupational Health Equity (finance) General Medicine Commentary Resource allocation 0305 other medical science business Delivery of Health Care |
Zdroj: | Canadian Journal of Public Health. 107:e130-e132 |
ISSN: | 1920-7476 0008-4263 |
Popis: | We argue that Canadian provincial governments should contain medical care spending in order to invest more in the social determinants of health (SDH). Others have said this, many times. Doing it has not proven easy. We therefore emphasize the potential contribution of the priority-setting and resource allocation literature. This literature identifies formal tools and approaches that have built cultures of support for resource shifts, while providing pragmatic means for advancing efficiency and equity. Although reallocation towards SDH from other areas of the health care system is financially viable and supported by existing research, it will require new emphasis on the design of population health interventions that make reallocation politically expedient. |
Databáze: | OpenAIRE |
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