Chapters in this book

1. Frontmatter i
2. Contents v
3. Foreword ix
4. Preface xi
5. What Happens If We Don’t Restructure the System?
6. Ontario’s Health Care System at the Crossroads 3
7. Discussion 9
8. Utilization: The Doctors Dilemma
9. The Effects of Medical Care Policy in B.C.: Utilization Trends in the 1980s 13
10. Who Has Seen the Wind? Examining the Evidence and Exploring the Policy Options Pertaining to the Effect Changes in Physician Supply Have Had on Influencing Medical Utilization and Costs in Alberta 19
11. Physician Remuneration: Fee-for-service Must Go, But Then What? 35
12. Discussion 39
13. Reports and Commissions: Looking for Directions
14. A Great Canadian Prescription: Take Two Commissioned Studies and Call Me in the Morning 49
15. Report of the Pharmaceutical Inquiry of Ontario: An Overview 63
16. Redefining the Globe: Recent Changes in the Financing of British Columbia Hospitals 73
17. Discussion 85
18. There’s No Place Like Home
19. Cost-Effectiveness of Home Care 89
20. There’s No Place Like Home 99
21. Discussion 105
22. What Gains Can We Expect from Promotion and Disease Prevention, Or ‘Whither Oat Bran’?
23. Evaluation of Federal Health Promotion Initiatives 111
24. Health Promotion/Disease Prevention: What Do We Think We Know? 115
25. Cholesterol Screening: The Costs and Benefits of Various Programs 123
26. Discussion 135
27. South of the Border
28. U.S. Influences on Canada: Can We Prevent the Spread of Kuru? 143
29. Canadian Influences on the U.S.: Immune System Responses? 149
30. Discussion 153
31. Yankee Influences: Playing in the Bush Leagues?
32. Managed Care: What Is It, and Can It Be Applied to Canada? 159
33. The American Experience with a Prospective Payment System: Some Lessons for Canada 165
34. Riverview/Fraser Valley Assertive Outreach Program 185
35. Discussion 191
36. Hospitals: Changing Prescriptions
37. Changing Patterns of Governance for Hospitals: Issues and Models 195
38. Innovative Fund Raising: The St. Michael’s Hospital Health Centre 207
39. Purchasing Hospital Capital Equipment: What Role for Technology Assessment? 213
40. Discussion 223
41. Quality Time
42. Assessing the Quality of Medical Care 229
43. Assessing the Quality of Medical Care 235
44. Discussion 239
45. Methodology for Economic Evaluation: Give Us the Tools
46. Implications of Basing Health Care Resource Allocations on Cost-utility Analysis in the Presence of Externalities 245
47. Conducting Comprehensive Cost Assessments: A Case Study of an Assertive Mental Health Community Treatment Program 263
48. Discussion 269
49. Economic Evaluations of Health Programs: Costs and Consequences
50. Determinants of Medical Malpractice: The Canadian Experience 273
51. Preliminary Findings of the Economic Evaluation of an Ontario Geriatric Day Hospital 285
52. Economic Costs of Self Sufficiency in Blood Products: The Case of Albumin 301
53. Discussion 307
54. Marketing Change: How Can We Get Anywhere from Here?
55. Marketing Change: How Can We Get Anywhere from Here? 313
56. The Empire Strikes Back
57. Hospital Competition in the U.K.: A (Possibly) Useful Framework for the Future 317
58. Hospital Competition in the U.K.: A Prospective 331
59. Discussion 333
60. Hospitals Revisited
61. Hospital Resources in Metropolitan Toronto: The Reality versus the Myth 339
62. Redirecting Incentives in the British Columbia Health System: Creating a Consequence 347
63. Collaborative Arrangements for Service Delivery: The Example of Two New Brunswick Hospitals 351
64. Discussion 361
65. Where Else Might We Go? Alternative Approaches and Models
66. Co-operative Health Service Delivery in Canada 365
67. The Independent Health Facilities Act: A First for North America 377
68. Models for Integrating and Coordinating Community-based Human Service Delivery: An Analysis of Organizational and Economic Factors 387
69. Discussion 393
70. Closing Remarks 397
71. List of Participants: Fourth Canadian Conference On Health Economics 399