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Getting what we pay for? The value-for-money challenge.
Kimberlyn McGrail1, Amy Zierler, Ivan Ip
1Centre for Health Services and Policy Research, University of British Columbia.
Healthcarepapers
|January 9, 2010
Summary
Canada
Area of Science:
- Health Economics
- Healthcare Management
- Public Health Policy
Background:
- Canada's 2008 healthcare spending exceeded $172 billion, over $5,000 per capita.
- The nation exhibits favorable life expectancy and declining amenable mortality rates within the Organisation for Economic Co-operation and Development (OECD).
- Despite positive indicators, a clear understanding of healthcare system value and areas for improvement remains elusive.
Purpose of the Study:
- To identify fundamental issues hindering the assessment of healthcare value for money in Canada.
- To explore the alignment between healthcare spending objectives and actual outcomes.
- To propose a framework for evaluating healthcare system performance and identifying areas for enhancement.
Main Methods:
- The study involves a critical analysis of existing healthcare spending and outcomes data.
- It reviews current healthcare management practices and information strategies.
- The paper synthesitsizes expert perspectives on healthcare objectives and performance measurement.
Main Results:
- Current data collection and analysis methods are insufficient for determining healthcare value.
- There is a lack of clearly articulated objectives for healthcare spending and service delivery.
- The efficient utilization of human resources and services for health promotion is not adequately measured.
Conclusions:
- Canada needs a comprehensive information strategy to evaluate healthcare performance effectively.
- Integrating research into healthcare delivery is crucial for understanding outcomes.
- Formalizing healthcare system objectives and developing outcome-focused data are essential for improving value for money.
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