Bending the Cost Curve in Health Care: Canada's Provinces in International Perspective

Edited by Gregory P. Marchildon and Livio Di Matteo

© 2014

Through Canadian and international perspectives, Bending the Cost Curve in Health Care explores the management of growing health costs in an extraordinarily complex arena. The book moves beyond previous debates, agreeing that while efficiencies and better value for money may yet be found, more fundamental reforms to the management and delivery of health services are essential prerequisites to bending the cost curve in the long run. While there is considerable controversy over direction and details of change, there also remains the challenge of getting agreement on the values or principles that would guide the reshaping of the policies, the structures, and the regulatory environment of health care in Canada.

Leading experts from around the world representing a range of disciplines and professional backgrounds come together to organize and define the problems faced by policy-makers. Case studies from the United States, the United Kingdom, Australia, the Nordic countries, and industrialized Asian countries such as Taiwan offer useful reform experiences for provincial governments in Canada. Finally, common Canadian cost factors, such as pharmaceuticals and technology, and paying the health workforce, are explored.

This book is the first volume in The Johnson-Shoyama Series on Public Policy, published by the University of Toronto Press in association with the Johnson-Shoyama Graduate School of Public Policy, an interdisciplinary centre for research, teaching, and executive training with campuses at the Universities of Regina and Saskatchewan.

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Product Details

  • Series: The Johnson-Shoyama Series on Public Policy
  • World Rights
  • Page Count: 479 pages
  • Dimensions: 6.0in x 1.0in x 9.0in
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SKU# HE000613

  • PUBLISHED DEC 2014
    From: $52.00
    ISBN 9781442609754
  • PUBLISHED DEC 2014
    From: $43.95

Quick Overview

Through Canadian and international perspectives, Bending the Cost Curve in Health Care explores the management of growing health costs in an extraordinarily complex arena.

Bending the Cost Curve in Health Care: Canada's Provinces in International Perspective

Edited by Gregory P. Marchildon and Livio Di Matteo

© 2014

Through Canadian and international perspectives, Bending the Cost Curve in Health Care explores the management of growing health costs in an extraordinarily complex arena. The book moves beyond previous debates, agreeing that while efficiencies and better value for money may yet be found, more fundamental reforms to the management and delivery of health services are essential prerequisites to bending the cost curve in the long run. While there is considerable controversy over direction and details of change, there also remains the challenge of getting agreement on the values or principles that would guide the reshaping of the policies, the structures, and the regulatory environment of health care in Canada.

Leading experts from around the world representing a range of disciplines and professional backgrounds come together to organize and define the problems faced by policy-makers. Case studies from the United States, the United Kingdom, Australia, the Nordic countries, and industrialized Asian countries such as Taiwan offer useful reform experiences for provincial governments in Canada. Finally, common Canadian cost factors, such as pharmaceuticals and technology, and paying the health workforce, are explored.

This book is the first volume in The Johnson-Shoyama Series on Public Policy, published by the University of Toronto Press in association with the Johnson-Shoyama Graduate School of Public Policy, an interdisciplinary centre for research, teaching, and executive training with campuses at the Universities of Regina and Saskatchewan.

Continue Reading Read Less

Product Details

  • Series: The Johnson-Shoyama Series on Public Policy
  • World Rights
  • Page Count: 479 pages
  • Dimensions: 6.0in x 1.0in x 9.0in
  • Author Information

    Gregory P. Marchildon is a professor and Ontario Research Chair in Health Policy and System Design at the Institute of Health Policy, Management and Evaluation, University of Toronto.


    Livio Di Matteo is Professor of Economics at Lakehead University. His articles have appeared in many academic international health journals, including the Journal of Health Economics, Health Policy, European Journal of Health Economics, and Health Economics, Policy and Law.
  • Table of contents

    List of Illustrations

    Introduction and Overview

    Part I: General Considerations on Bending the Cost Curve
    1. Why We Should Bend the Cost Curve and How We Could Do It
    Uwe Reinhardt
    2. Financial Incentives and Pay-for-Performance
    Jeremiah Hurley and Jinhu Li
    3. Tax Burdens and Aging
    John Richards and Colin Busby

    Part II: Pan-Canadian Cost Drivers and Political Considerations
    4. Common Provincial Determinants and Cost Drivers
    Livio Di Matteo and J. C. Herb Emery
    5. Pharmaceuticals
    Steven G. Morgan, Jamie R. Daw, and Paige A. Thomson
    6. Paying the Health Workforce
    Phil Leonard and Arthur Sweetman
    7. Three Federal Approaches to Cost Containment in Health Care
    Katherine Fierlbeck
    8. The Federal Role in Health Care
    Pierre-Gerlier Forest

    Part III: Provincial Experiences in Canada
    9. Ontario: Changing Policies, Changing Categories
    Raisa Deber and Sara Allin
    10. Québec: Sustainability—Perception and Reality
    François Béland and Claude Galand
    11. British Columbia: Cost Control in the Country of the Red Queen
    Kimberlyn M. McGrail and Robert G. Evans
    12. Alberta: Health Spending in the Land of Plenty
    Stephen Duckett
    13. Saskatchewan and Manitoba: Managing Down
    Gregory P. Marchildon
    14. Atlantic Canada: The Impact of Aging on the Cost Curve
    Joe Ruggeri

    Part IV: What Can Canada Learn from the International Evidence?
    15. The United States
    Gerard Anderson
    16. Australia
    Stephen Duckett
    17. England
    Alan Maynard
    18. Nordic Countries
    Jon Magnussen
    19. Taiwan and Other Advanced Asian Economies
    Tsung-Mei Cheng

    Index

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