Methodologist, Ontario Health (Cancer Care Ontario), Toronto, ON.
Health Economist, Ontario Health (Cancer Care Ontario), Toronto, ON.
Healthc Policy. 2020 Nov;16(2):41-54. doi: 10.12927/hcpol.2020.26354.
This article examines how alternate-level-of-care (ALC) days are funded through the cancer surgery funding model in Ontario and evaluates policy options to better address ALC days. The contribution of ALC days to hospital funding and the impact of removing or reallocating this funding from cancer surgery is measured. Though costs associated with ALC days in cancer surgery are low, this article highlights the need for policy options that would realign funding across the healthcare system in Ontario to better meet the needs of patients waiting for ALC, reduce pressure on inpatient bed capacity and improve value for money.
本文探讨了安大略省通过癌症手术供资模式为替代护理级别（ALC）天数提供资金的方式，并评估了更好地解决 ALC 天数问题的政策选择。本文衡量了 ALC 天数对医院供资的影响，以及从癌症手术中剔除或重新分配该供资的影响。尽管癌症手术中与 ALC 天数相关的成本较低，但本文强调需要有政策选择，以便在安大略省的医疗保健系统中重新配置资金，更好地满足等待 ALC 的患者的需求，减轻住院床位容量的压力，并提高资金的使用效益。
