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Related Experiment Video

Updated: Apr 6, 2026

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Accelerating the Road to Change.

Robyn Tamblyn1

  • 1Scientific Director, CIHR - Institute of Health Services and Policy Research, Professor, Department of Medicine and Department of Epidemiology and Biostatistics, McGill University, Faculty of Medicine, Montreal, QC.

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|July 19, 2015
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Summary

Canadian healthcare reform requires a new model for federal investment tied to quality, efficiency, and outcomes. A national outcome measurement system and improvement incentives are proposed to address systemic challenges.

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Area of Science:

  • Health Services Research
  • Health Policy and Management

Background:

  • There is a widespread agreement on the need for Canadian health system reform.
  • Current reform efforts have not achieved desired objectives, indicating a need for new approaches.

Purpose of the Study:

  • To propose a novel model for Canadian healthcare reform.
  • To outline strategies for conditional federal investment linked to performance.
  • To suggest mechanisms for national outcome measurement and improvement incentives.

Main Methods:

  • Conceptual analysis of existing healthcare reform challenges.
  • Development of a new model integrating federal investment, quality metrics, and outcome measurement.
  • Examination of incentive structures to foster improvement without detrimental competition.

Main Results:

  • A proposed model for conditional federal investment tied to quality, efficiency, and outcomes.
  • Recommendations for a national system of outcome measurement.
  • Incentive strategies designed to promote improvement without fostering unhealthy competition.

Conclusions:

  • The proposed model offers a viable framework for reforming the complex, multi-jurisdictional Canadian healthcare system.
  • Successful implementation hinges on addressing the practical challenges of transitioning to the new system.