Toward 2025: Diagnoses and Prognoses for Canada's Healthcare System

Abstract

Despite the Canadian healthcare system's enormous achievements of the past 50 years, the system is now at a crossroads. The healthcare world in Canada in 2025 will be a confluence of five transformational forces, including social ecological paradigm shifts, virtual e-care, e-management networks, transnational systems and humane caring environments. What follows is a glimpse into the underlying forces that will reshape healthcare by 2025.

Get full access to this article

View all access options for this article.

References

Organization of Economic Cooperation and Development. STI Scoreboard 2001 (on-line) 2001 [cited November 2001]. Available from: http://www.oecd.org/pdf/M00017000/M00017284.pdf

Caro

. Toward 2020 healthcare systems in Canada: Systemic diagnoses and radical prognoses. Submission to the Romanow Commission on the Future of Healthcare in Canada. (on-line) 2002 [cited March 2001]. [25 pages]. Available from: http://www.healthcarecommission.ca/Suite247/Common/GetMedia_WO.asp?MediaID=458&Filename=Dr.%20Denis%20Caro.pdf

Canadian Medical Association. On the road to recovery: An action plan for the federal government to revitalize Canada's healthcare system. (on-line) 2000 [cited December 2000]. Available from: http://www.cma.ca/staticContent/HTML/NO/12/advocacy/news/2000/pdf/recovery.pdf

Baxter

. The ocean and the fish: The economic and demographic environment for Canada's health services. (Paper presented at the National Healthcare Leadership Conference, Winnipeg, Manitoba; June 2001).

Whitman

. Ideology and injury prevention. International Journal of Health Services 1985; 15(1): 35–46.

Health Canada. Office of Health and the Information highway: Towards electronic health records. (On-line) 2001 [cited November 2001]. Available from: http://www.hc-sc.gc.ca/ohih-bsi/pubs/2001_her_dse/her_dse_e.pdf

Caro

. Toward executive support systems in health management: Strategic leadership imperatives. Healthcare Management Forum 1998 spring;11(1): 22–33.

Emig

Kijewski

. The application service providers in healthcare. Electromedica 2001; 69(1): 2–8.

Gee

. Dueling forces: I-Med vs. Fed-Med. Journal of Healthcare Management 2001; 46(1): 14–16.

10.

Pescovitz

. Cyber view: To your on-line-health. Scientific American 1999; 281(6): 60.

11.

Manji

. The Nexus generation and Generation X: Younger workers in health services. (Paper presented at the National Healthcare Leadership Conference, Winnipeg, Manitoba; June 2001).

12.

Caro

. Toward international strategic partnership management between the ICT and healthcare sectors: Seven pillars of effectiveness. World Health and Hospital Services 2002; 38(1): 2–8.

13.

Caro

. Comprehensive auditing systems: Potents, possibilities and promises in the healthcare sector. Healthcare Management Forum 1991 spring;4(1): 28–33.

14.

Kirkman

Bradford

. Management without frontiers: Health system convergence leads to healthcare management convergence. Frontiers of Health Services Management 1994; 11(1): 3–48.

15.

Burgelman

Doz

. The power of strategic integration. MIT Sloan Management Review 2001 spring;42(3): 28–39.

16.

Dickson

Farris

Verbeke

WJM

. Dynamic strategic thinking. Academy of Marketing Science Journal 2001 summer;29(3): 216–237.

17.

Preble

. Toward a comprehensive system of strategic control. Journal of Management Studies 1992; 29(4): 391–410.

18.

Caro

. Toward 2020 strategic triad partnerships in ICT and healthcare: Bridging the chasms in Canada and the European Union. Healthcare Management Forum 2002 fall;15(3): 25–31.

19.

Caro

. Integrated emergency support systems: Governance and leadership challenges. Optimum Online: The Journal of Public Sector Management [journal on-line] December 2001; 31(2): 8–21. [cited December 2001] Available from: http://optimumonline.ca/article.phtml?id=13

20.

Mand

Whipple

. 2000. Partnering for performance: Unleashing the power of finance in the 21^st century organization. New York: American Management Association; 2000. 21. Merlin AS. Innovative methods of funding hospital capital expenditures. Journal of Healthcare Finance 1999; 25(3): 60–65.

21.

Accenture, Markle Foundation and the United Nations Development Programme. Creating a development dynamic. Final report of the Digital Opportunity Initiative; July 2001.

22.

Caro

. Toward integrated crisis support systems in emergency management. Healthcare Management Review 1999; 24(4): 7–19.

23.

Caro

Angelis

. Federal governance in emergency management in Canada: Quo vadis? Healthcare Management FORUM [journal on-line] 2002 [cited March 2002];2:[7 pages]. Available from: http://www.cchse.org/asp/Caro%20Angelis%20corr.pdf

24.

Illich

. Medical nemesis: The expropriation of health. New York: Pantheon Books; 1982.

25.

Quinn

. Beyond rational management. San Francisco: Jossey-Bass; 1988.