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PRIMARY HEALTHCARE ECONOMICS

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lily kim

on 7 March 2014

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Transcript of PRIMARY HEALTHCARE ECONOMICS

BASIC HEALTH CARE ECONOMICS
Physician Remuneration
THE CANADIAN HEALTH CARE SYSTEM
Thusha Sivanantham
Eun Won (Lily) Kim
Getnet Eijgu
Rebecca Qing

ECONOMICS
Scarcity
Choice
Preference
Health Care Economics
What?
Why?
Principle of
Elasticity
Provider
Buyer
Payer

health care as
ALTRUISM

Traditional Perspective on
the cost of health care:
Health care determined by
PROVIDER

FINANCE
FUNCTIONS AND REFORMS
OF THE HEALTH CARE SYSTEM

User fees and co-payments.

Reform
: Certain procedures
previously covered by health
insurance is no longer covered
FUNDING

Health Based Allocation Model (Ontario)

Utilization Model
Unit Cost Model

DELIVERY
PUBLIC VS PRIVATE

DEBATE:
Would instating the
privatized healthcare model to the
Canadian context reduce our
expenses and improve
overall health?



ROMANO REPORT
Accountability
KIRBY REPORT
(Feldstein, 2011; Kelly & Crawford, 2013)

(Feldstein, 2011; Kelly & Crawford, 2013)

(Feldstein, 2011; Kelly & Crawford, 2013)

(Feldstein, 2011; Kelly & Crawford, 2013)

$
$
$
$
$
Four main models of alternative
physician remuneration:

1. Fee-for-service
2. Capitation
3. Salary
4. Blended

COSTING SYSTEMS
What is it?
How does it relate to healthcare?
Resource Intensity Weights
(RIWs)
Canadian Institute of Health Information (CIHI)
Activity-Based Costing

(ABC)

Two common costing systems used in Canada
$
$
$
References
STRENGTHS
WEAKNESSES
THE

References

Asanin, J., & Wilson, K. (2008). “I spent nine years looking for a doctor”: Exploring access to
health care among immigrants in Mississauga, Ontario, Canada. Social science & medicine,
66(6), 1271-1283.
Barua, B., Rovere, M., & Skinner, B. (2011). Waiting Your Turn: Wait Times for Health Care in
Canada. 2011 Report. Fraser Institute.
Esmail, N. (2009). Waiting Your Turn: Hospital Waiting Lists in Canada. 2009 Report. Fraser
Institute.
Feldstein, P. J. (2011). Health care economics. CengageBrain. com.
Flood, C. M., & Haugan, A. (2010). Is Canada odd? A comparison of European and Canadian
approaches to choice and regulation of the public/private divide in health care. Health Economics, Policy and Law, 5(3), 319.
Kelly, P., & Crawford, H. (2013). Nursing leadership and management (2nd Canadian Ed.) Toronto,
ON: Nelson Education Ltd.
Organisation for Economic Cooperation and Development [OECD] (2011). Health at a Glance
2011: OECD Indicators. OECD. http://dx.doi.org/10.1787/health_glance-2013-en
Soroka, S., Maioni, A., & Martin, P. (2013). What moves public opinion on health care? Individual
experiences, system performance, and media framing. Journal of health politics, policy and law, 38(5), 893-920.
Wranik , D. W., & Durier-Copp, M. (2010). Physician remuneration methods for family physicians
in canada:expected outcomes and lessons learned.
Health Care Anal
, (18), 35-59. doi: 10.1007/s10728-008-0105-9

HEALTH CARE DEBATE
QUESTIONS?
you have 15 minutes...
(Feldstein, 2011; Kelly & Crawford, 2013)

(Feldstein, 2011; Kelly & Crawford, 2013)

(Feldstein, 2011; Kelly & Crawford, 2013)

(Feldstein, 2011; Kelly & Crawford, 2013)
(Wranik & Durier-Copp, 2010)
(Feldstein, 2011; Kelly & Crawford, 2013)

(Feldstein, 2011; Kelly & Crawford, 2013)

Kelly, P., & Crawford, H. (2013). Nursing leadership and management (2nd Canadian
Ed.) Toronto, ON: Nelson Education Ltd.
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