Rafuse J
CMAJ. 1995 Feb 1;152(3):410-2.
Canada could slash public-health expenditures by 15% with no reduction in Canadians' health status by substituting less costly types of delivery and forms of treatment in more appropriate settings, says the recently released report of the Queen's-University of Ottawa Project on Cost-effectiveness of the Canadian Health Care System. Sustainable Health Care for Canada concludes that the system could be made more efficient by reducing the number of acute-care beds and cutting patients' length of stay in hospital. It also suggests substituting continuing care for acute care and relying less on institutionalization of the elderly and more on alternatives such as residential or community care. The report also suggests that as Canada experiments with decentralization, it may be time to look at other regulatory models for health care, including the mixed-market approach.
渥太华大学与女王大学联合开展的加拿大医疗保健系统成本效益项目最近发布的报告称，加拿大可以削减15%的公共卫生支出，而不会降低加拿大人的健康状况，方法是在更合适的环境中采用成本较低的服务提供类型和治疗形式。《加拿大可持续医疗保健》的结论是，通过减少急性护理病床数量和缩短患者住院时间，该系统可以提高效率。报告还建议用持续护理替代急性护理，减少对老年人机构化护理的依赖，更多地采用诸如居家或社区护理等替代方式。该报告还表明，随着加拿大尝试权力下放，或许是时候审视其他医疗保健监管模式了，包括混合市场模式。
