缅北强奸

缅北强奸 experts on why it鈥檚 time to fix medicare鈥檚 innovation problem

Photo of hospital
How Canada finances and delivers health care hasn鈥檛 changed much in 50 years, focusing on hospitals and doctors (photo by Christopher Furlong/Getty Images)

Canadians like to compare our health-care system to that of the U.S., but they should look further afield: They will discover other countries provide universal coverage that is more comprehensive, has better wait times and costs less,

 鈥淲e鈥檙e laggards when it comes to innovation, and the architecture of our system needs to evolve rapidly,鈥 write Dr. Andrew Boozary, a resident family physician at 缅北强奸, and Dr. David Naylor, 缅北强奸鈥檚 president emeritus and a professor of medicine. Naylor led , which calls for a $1.3-billion increase in federal research funding over four years, as well as sweeping changes to how it is administered.

In the op-ed, Boozary and Naylor argue that how Canada finances and delivers health care hasn鈥檛 changed much in 50 years, focusing on hospitals and doctors. Funding of the system needs to be more integrated, they say.

鈥淔or example, insuring physiotherapy services provided in clinics or at home might save costs by reducing return visits to doctors or days in hospital,鈥 they write. 鈥淭here鈥檚 just no way to make that math work, or take other innovative steps, when each part of the system has a separate budget.鈥

Boozary and Naylor urge Canada to adopt an approach advocated by the Center for Medicare and Medicaid Innovation (CMMI), a U.S. hub that focuses on integrating payments around the patient.

鈥淐MMI is the source of ideas like bundling all payments to hospitals and professionals alike when financing complex services that bridge hospitals and homes, like hip replacements,鈥 they write.

An important part of CMMI is how it evaluates innovation, they write. 鈥淚f something works, CMMI makes that payment option widely available. If it doesn鈥檛, the model is tweaked and re-evaluated.鈥

Their conclusion: The hard reality 鈥 reinforced by multiple performance indicators and countless stories from frustrated patients and professionals 鈥 is that we just can鈥檛 keep delivering health care as we always have."

 

  

 

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