Measuring What Matters: The Cost vs Values of Health Care – Ivey – International Centre for Health Innvovation – November 2012

Posted on December 3, 2012. Filed under: Clin Governance / Risk Mgmt / Quality, Health Economics | Tags: , |

Measuring What Matters: The Cost vs Values of Health Care – Ivey – International Centre for Health Innvovation – November 2012

Extract from the Executive Summary:

“There is a clear misalignment between what Canadians value, and how Canadian health system performance is measured and funded. Canadian values have shifted substantially in recent years, towards a preference for greater autonomy and empowerment in managing their health care and management. Canadians’ values reflect the desire for a more “personalized” health care system, one that engages every individual patient in a collaborative partnership with health providers, to make decisions that support health, wellness, and quality of life. Yet, health systems are focused on performance management in terms of costs, operational inputs, such as services delivered, or quality measures such
as medication errors, readmissions to hospital, and mortality rates. Health system effectiveness is not evaluated in terms of delivering value to Canadians.

Canadians perceive health care as one of the most fundamentally important features of our society. There have been numerous studies of Canada’s health care system, and in every work to date, the perspectives and views of Canadians have been an important frame of reference for health system renewal and reform.
This white paper builds upon the discussion of past work and considers five main questions:
1. What are Canadians’ core health values?
2. How do values differ among key stakeholders within the sector, and what do they value from their unique health perspectives?
3. Are those publicly articulated values aligned with what is funded or reimbursed?
4. Are those publicly articulated values measured and incented from a health system perspective?
5. How do Canada’s health care values and performance outcomes compare over time to comparator Organization for Economic Cooperation and Development (OECD) nations?”

… continues

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