Postdoctoral Fellow, Cumming School of Medicine, University of Calgary, Calgary, AB.
Professor of Medicine and Health Economics, Cumming School of Medicine, University of Calgary, Calgary, AB.
Healthc Policy. 2021 Feb;16(3):43-50. doi: 10.12927/hcpol.2021.26434.
Increasing private healthcare financing has been suggested as a solution toward improving healthcare quality and access within the Canadian healthcare system. However, Lee et al. (2021) find no evidence that increasing private financing would address the challenges faced by Canadian healthcare. We suggest turning our focus away from reforms that solely increase private healthcare financing and toward evidence-based delivery-system reforms to address both quality and sustainability. We present examples and supporting evidence of the effectiveness of patient-, physician-, organization- and system-level strategies. Changes should engage physicians and be implemented across Canada to facilitate a cultural shift toward experimentation and high-value care delivery.
增加私人医疗保健融资已被提议作为改善加拿大医疗保健系统医疗质量和可及性的一种解决方案。然而，Lee 等人（2021）发现，增加私人融资并不能解决加拿大医疗保健面临的挑战。我们建议将重点从仅增加私人医疗保健融资的改革转移开，转向基于证据的交付系统改革，以解决质量和可持续性问题。我们提出了患者、医生、组织和系统层面策略有效性的例子和支持证据。这些变化应该让医生参与进来，并在加拿大各地实施，以促进向实验性和高价值医疗服务提供的文化转变。
