Sage Journals: Discover world-class research

Abstract

Money is important to healthcare; many of the problems of the past decade are a result of capricious decisions by government, slashing funding and then pouring it into the system. Healthcare needs stable, predictable funding. But, overall, Canada's health system has neither been a glutton for funding nor has it been starved. The real problems in our system relate to quality of care.

Get full access to this article

View all access options for this article.

References

Ontario Ministry of Health and Long-Term Care media release, January 17, 2005. [Accessed January 21, 2005]. Available at: http://www.health.gov.on.ca/english/media/speeches/archives/sp_05/sp_011705.html

Klein

. Speech to the Canadian Club in Calgary; January 11, 2005. [Accessed January 11, 2005]. Available at: http://www.gov.ab.ca/premier/dsp_speech.cfm?content_162&Year=2005

Woolhandler

Campbell

Himmelstein

. Costs of healthcare administration in the United States and Canada. N Eng J Med 2003; 349: 768–75.

Canadian Institute for Health Information. National Health Expenditures Trend 1975–2004. [Accessed January 18, 2005]. Available at: http://secure.cihi.ca/ichiweb/dispPagejsp?cw_page=AR_31E&cw_topic=31

US Center for Medicare and Medicaid Services Web site. [Accessed January 20, 2005]. Available at: http://www.cms.hhs.gov/statistics/nhe/projections-2003/tl.asp

Data from OECD Web site. [Accessed January 18, 2005]. Available at: http://www.oecd.org/dataoecd/13/13/31963469.xls

Baker

Norton

Flintoft

Blais

Brown

Cox

. The Canadian Adverse Events Study. CMAJ 2004; 170: 1678–86.

Rachlis

. Prescription for Excellence: How Innovation is Saving Canada's Health Care System. (Chapter 5: A Tonic for Chronic Illness; Chapter 10: Canada on Drugs; Chapter 11: Waiting for this, waiting for that). Toronto: HarperCollins; 2004.

Saskatchewan Health Services Utilization and Research Commission. Hospital and home care study; March 1998.

10.

DeCoster

Petersen

Kasian

. Alternatives to acute care. Winnipeg: Manitoba Centre for Health Policy and Evaluation; 1996.

11.

Heyland

Lavery

Tranmer

Shortt

SED

Taylor

. The fiinal days: An analysis of the dying experience in Ontario. Annals of the Royal College of Physicians and Surgeons 2000; 33: 356–61.

12.

Burge

Lawson

Johnston

. Trends in the place of death in cancer patients, 1992–1997. CMAJ 2003; 168: 265–70.

13.

Rajacich

Cameron

. Preventing admissions of seniors into the emergency department. Journal of Gerontological Nursing 1995; 21: 36–40.

14.

Lee

Garniss

Oliver

. A community hospital-based heart failure program decreases readmission rates. Abstract for the meeting of the Society of General Internal Medicine, San Diego, May 2001.

15.

Vancouver/Richmond Health Board. Evaluation of clinical paths for congestive heart failure patients: Spanning the continuum of care. Vancouver: Vancouver/Richmond Health Board; 2001.

16.

Murray

Berwick

. Advanced access: Reducing waiting and delays in primary care. JAMA 2003; 289: 1035–40.

17.

Murray

Bodenheimer

Rittenhouse

Grumbach

. Improving timely access to primary care: Case studies of the advanced access model. JAMA 2003; 289: 1042–46.

18.

Kates

Crustolo

Farrar

Nikolaou

Ackerman

Brown

. Mental health and nutrition: Integrating specialists' services into primary care. Can Fam Phys 2002; 48: 1898–1903.

19.

Stewart

. Wait list management of diabetes in Capital Health. Presentation of Taming the Queue at the National Invitational Colloquium on Wait Time Measurement, Monitoring and Management, Aylmer, Quebec March 31 — April 1, 2004.

20.

NHS Modernization Agency. Caring in Many Ways. The Modernization Board Annual Report. London, England; 2004.

21.

Jha

Perlin

Kizer

Dudley

. Effect of the transformation of the Veterans Affairs health care system on the quality of care. N Eng J Med 2003; 348: 2218–27.

22.

Ashton

Souchek

Petersen

Menke

Collins

Kizer

. Hospital use and survival among Veterans Affairs benefiiciaries. N Eng J Med 2003; 349: 1637–46.

23.

Jencks

. The right care. New England Journal of Medicine 2003; 348: 2251–52.

24.

Rauscher

. Primary Care and Chronic Disease Management Experience in BC. Presentation to Canucks at IHI 2004. Orlando, Florida, December 14, 2004.

25.

Stampfer

Manson

Rimm

Willett

. Primary prevention of coronary heart disease in women through diet and lifestyle. N Eng J Med 2000; 343: 16–22.

26.

Manson

Stampfer

Colditz

Liu

Solomon

. Diet, lifestyle, and the risk of type 2 diabetes mellitus in women. N Eng J Med 2001; 345: 790–97.

27.

The Changing Face of Heart Disease and Stroke in Canada 2000. Heart and Stroke Canada; 1999. [Accessed January 20, 2005]. Available at: http://dsp-psd.pwgsc.gc.ca/Collection/H1-10-2000E.pdf

28.

Canadian Cancer Society. Canadian Cancer Statistics; 2004.

29.

Mathews

Martinez

. Warning Signs E-Mails Suggest Merck Knew Vioxx's Dangers at Early Stage As Heart-Risk Evidence Rose, Offiicials Played Hardball; Internal Message: “Dodge!”. Wall Street Journal; November 1, 2004.

30.

Mynors-Wallis

Gath

Lloyd-Thomas

Tomlinson

. Randomized controlled trial comparing problem solving treatment with amitryptiline and placebo for major depression in primary care. Br Med J 1995; 310: 441–45.

31.

Lin

. Effect of acupuncture on cardiopulmonary function. Chinese Medical Journal 1996; 109: 482–85.

32.

Haslam

. A comparison of acupuncture with advice and exercises on the symptomatic treatment of osteoarthritis of the hip: Randomized controlled trial. Acupuncture in Medicine 2001; 19: 19–26.

33.

Lee

Chen

Huang

Chung

Chang

. Acupuncture in the treatment of renal colic. Journal of Urology 1992; 147: 16–18.

34.

Nakagawa

. The community drug utilization program. Presentation to the Second National Conference on Cost-Effective Drug Therapy, November 27–28, 1997, Toronto.

35.

Schneeweiss

Walker

Glynn

MacLure

Dormuth

Somerai

. Outcomes of reference pricing for angiotensin-converting-enzyme inhibitors. N Eng J Med 2002; 346: 822–29.

36.

Devereaux

Heels-Ansdell

Lacchetti

Haines

Burns

Cook

. Payments for care at private for-profiit and private not-for-profiit hospitals: A systematic review and meta-analysis. CMAJ 2004; 170: 1817–24.

37.

Devereaux

Choi

PTL

Lacchetti

Weaver

Schunemann

Haines

. A systematic review and meta-analysis of studies comparing mortality rates of private for-profiit and private not-for-profiit hospitals. CMAJ 2002; 166: 1399–1406.

38.

Devereaux

Schunemann

Ravindran

Bandari

Garg

Choi

. Comparison of mortality between private for-profiit and private not-for-profiit hemodialysis centers: A systematic review and meta analysis. JAMA 2002; 288: 2449–57.

Medicare: Innovation is the Key to Sustainability?

Abstract

Get full access to this article

References