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Related Experiment Video

Updated: Feb 4, 2026

Measuring the Behavioral Effects of Intraocular Scatter

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Published on: February 18, 2021

Value for Money through Effective Stewardship.

Gregory P Marchildon, Michael Sherar

Healthcarepapers

|October 7, 2018

Summary

To improve Canadian health systems, experts agree on reforming physician payment and governance structures. Provincial governments should lead experiments to find the best approaches for aligning physician pay with accountability.

Area of Science:

Health Services Research
Health Policy
Public Health

Background:

Canadian healthcare systems face challenges in performance and delivery.
Existing governance and physician payment models may be misaligned.
Physician accountability for healthcare outcomes requires attention.

Purpose of the Study:

To explore expert consensus on improving Canadian health system performance.
To identify optimal strategies for aligning physician remuneration with accountability.
To inform policy recommendations for governance and payment reform.

Main Methods:

Analysis of respondent feedback on an Invited Essay regarding healthcare reform.
Synthesis of expert opinions on governance and payment structures.

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Review of existing initiatives, such as Alberta's government-physician agreement.

Main Results:

Strong agreement exists on the necessity of altering governance and physician payment arrangements.
Divergent views were noted on the specific mechanisms to address the disconnect between physician pay and accountability.
Ongoing governance improvements and provincial leadership in payment experiments are crucial.

Conclusions:

Reforming physician payment and governance is essential for higher-performing Canadian health systems.
Provincial governments have a key role in initiating and evaluating innovative payment and governance models.
Further experimentation is needed to effectively link physician remuneration to healthcare performance and delivery.