从停滞到危机:加拿大医疗保健系统如何以及现在如何?
1Professor, Department of Medicine, Dalla Lana School of Public Health, President Emeritus, The University of Toronto, Toronto, ON.
HealthcarePapers
|January 28, 2026
概括
加拿大的医疗保健系统需要创新. 提出了以合作和扩展成功想法为重点的自下而上的方法,以应对持续存在的挑战并改善医疗保健服务.
科学领域:
- 医疗保健政策和创新 医疗保健政策和创新
- 医疗服务研究 医疗服务研究
- 加拿大医疗保健系统分析分析
背景情况:
- 加拿大的医疗保健系统面临着持续的挑战,包括2015年卫生保健创新咨询小组 (APHI) 确定的不良整合和劳动力规划.
- 在通过自上而下的改革和联邦倡议解决这些问题方面取得的进展有限.
- 由于持续的医疗保健危机和低创新指数,新战略的必要性是显而易见的.
研究的目的:
- 评估加拿大医疗保健系统改革的有效性.
- 提出一种基于自下而上的合作的医疗保健创新新模式.
- 探索商业化加拿大医疗保健创新的潜力.
主要方法:
- 分析APHI建议和随后的医疗保健系统进展情况.
- 审查联邦和省/地区改革战略.
- 合作创新模式的概念框架开发.
主要成果:
- 在过去的十年中,在解决系统性医疗保健缺陷方面取得了温和的进展.
- 自上而下的改革和联邦"购买变革"倡议取得了有限的成果.
- 关于结构改革的挑战,APHI的远见得到了验证.
结论:
- 建议采用协作催化,评估和扩展医疗保健创新的自下而上的模式.
- 这种新模式为解决加拿大医疗保健危机提供了一个有希望的方法.
- 这种创新方法可以促进新型加拿大医疗保健产品和服务的选择性商业化.
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