Allin Sara, Guilcher Sara, Riley Dana, Zhang Yu Janice
Senior researcher with the Canadian Population Health Initiative at CIHI, where she leads analytic work on health system performance and equity in health and healthcare.
Assistant professor at the Leslie Dan Faculty of Pharmacy, University of Toronto. Her research focuses on improving health services and outcomes for vulnerable populations with multiple complex health and social needs.
Healthc Q. 2017;20(1):10-13. doi: 10.12927/hcq.2017.25143.
While improving health system efficiency, or value for money, is a priority in Canada, there is little information about optimal approaches for improvement in the Canadian context. Through interviews with senior health system decision-makers from two provinces, this study conducted by the Canadian Institute for Health Information identified the following five main themes along with actions that can be taken to improve health system efficiency in Canada: performance monitoring for accountability and decision-making, system-level integration in governance and care delivery, partnerships outside the health sector to improve population health, physician engagement and remuneration and flexible funding. Future work could apply this framework to assess and compare progress towards health system efficiency in other jurisdictions.
虽然提高卫生系统效率或性价比在加拿大是一个优先事项，但在加拿大背景下，关于改进的最佳方法的信息却很少。通过对来自两个省份的高级卫生系统决策者进行访谈，加拿大卫生信息研究所开展的这项研究确定了以下五个主要主题以及为提高加拿大卫生系统效率可采取的行动：用于问责和决策的绩效监测、治理和护理提供方面的系统层面整合、卫生部门以外改善人群健康的伙伴关系、医生参与和薪酬以及灵活供资。未来的工作可以应用这个框架来评估和比较其他司法管辖区在卫生系统效率方面取得的进展。
