The Economic Impact of Improvements in Primary Healthcare Performance – Canadian Health Services Research Foundation – 22 May 2012

Posted on May 28, 2012. Filed under: Primary Hlth Care | Tags: |

The Economic Impact of Improvements in Primary Healthcare Performance – Canadian Health Services Research Foundation – 22 May 2012

Full report

Key Messages

“The performance of Canada’s primary healthcare (PHC) system lags behind that of other industrialized countries. Well-targeted investments in PHC can improve the health of individuals and populations, which can in turn have a positive impact on macro-economic indicators, such as employment rates, productivity and economic growth.
There are important gaps in Canadian PHC systems that require improvement. These include accessibility of PHC services, technical quality of care, quality improvement initiatives andpractice organization.
Various interventions and investments have been shown to enhance the performance of PHC, improve the quality of care and produce economic savings. These include incorporating pharmacists into PHC teams, case-management strategies to enhance chronic disease management, and electronic medical records that include patient recall and provider reminders for preventive care and chronic disease management.
This report presents the results of four different approaches to evaluate the economic impact of enhancements to PHC: 1. A synthesis of the literature on the macro- and micro-economic effects of good health, with specific relevance to PHC performance. 2. A systematic review of the economic impact of incorporating a pharmacist into a PHC practice. 3. A simulation exercise that evaluates the economic impact of improvements to influenza immunization rates for older adults brought about by provider reminder systems in PHC. 4. A literature review of reductions in burden of illness associated with four specific enhancements to chronic disease management in PHC that produce health benefits. These include PHC improvements that result in improved blood pressure control, enhanced diabetes management, increased uptake of cancer screening and improved continuity of care.”

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