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Improving Value Means Increasing Population Health and Equity.
Walter P Wodchis1, Robert J Reid2
1Professor, Institute of Health Policy, Management and Evaluation, Toronto, ON, Research Chair in Implementation and Evaluation Science, Institute for Better Health, Trillium Health Partners, Mississauga, ON.
Healthcarepapers
|July 21, 2020
Summary
Improving healthcare value in Canada means enhancing population health by boosting quality of life and life expectancy while reducing health inequalities. This commentary outlines a vision for achieving these gains.
Area of Science:
- Health Services Research
- Public Health Policy
Background:
- Value-based healthcare initiatives in Canada have yielded valuable lessons.
- Defining healthcare value is crucial for strategic improvements.
Purpose of the Study:
- To present a future vision for value-based healthcare across Canadian provinces.
- To suggest requirements for achieving significant value gains in healthcare.
- To align healthcare value with population health improvement goals.
Main Methods:
- Commentary based on learnings from past initiatives.
- Conceptual framework for value-based healthcare and population health.
- Analysis of health outcome distributions ('shift and squeeze').
Main Results:
- Healthcare value is intrinsically linked to population health outcomes.
- Improving population health involves enhancing average quality of life and life expectancy.
- Reducing health outcome inequalities is a key component of value improvement.
Conclusions:
- A future vision for value-based healthcare in Canada requires a focus on population health.
- Substantial gains in healthcare value necessitate strategic requirements informed by past experiences.
- The ultimate goal is to improve both the average and equity of health outcomes across the population.
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