<p>Why has health care reform proved a stumbling block for provincial governments across Canada? What efforts have been made to improve a struggling system, and how have they succeeded or failed? In Paradigm Freeze, experts in the field answer these fundamental questions by examining and comparing six essential policy issues - regionalization, needs-based funding, alternative payment plans, privatization, waiting lists, and prescription drug coverage - in five provinces. Noting hundreds of recommendations from dozens of reports commissioned by provincial governments over the last quarter century - the great majority to little or no avail - the book focuses on careful diagnosis, rather than unplanned treatment, of the problem. Paradigm Freeze is based on thirty case studies of policy reform in Alberta, Saskatchewan, Ontario, Quebec, and Newfoundland and Labrador. The contributors assess the nature and extent of healthcare reform in Canada since the beginning of the 1990s. They account for the generally limited extent of reform that has occurred, and identify the factors associated with the relatively few cases of large reform. An insightful new perspective on a problem that has plagued Canadian governments for decades, Paradigm Freeze is an important addition to the field of health policy. Contributors include John Church (University of Alberta), Michael Ducie (Alberta Health and Wellness), Pierre-Gerlier Forest (Pierre Elliott Trudeau Foundation), Stephen Tomblin (Memorial University), Jeff Braun Jackson (Ontario Professional Firefighters Association, Burlington, ON), Marie-Pascale Pomey (Université de Montréal), John N. Lavis (McMaster University), Harvey Lazar (Queen's University), Elisabeth Martin (Université Laval),Tom McIntosh (University of Regina), Dianna Pasic (McMaster University), Neale Smith (University of British Columbia), and Michael G. Wilson (McMaster University).</p>

Paradigm Freeze: Why It Is So Hard to Reform Health Care in Canada (Queen's Policy Studies Series) (Volume 179)

Medical Books

Lavis, John N.

Lazar, Harvey

Forest, Pierre-Gerlier

Church, John

Administration & Medicine Economics

Queen's Policy Studies Series - School

<p>Ever wondered how the Ontario health system works? The goal of this book is to help make the system more understandable to the citizens who pay for it and are served by it, the professionals who work in it (and the future professionals who will one day work in it), and the policymakers who govern it. Each chapter begins with key messages for each of these groups. Part 1 describes the ‘building blocks’ of the system, including who gets to make what decisions (governance arrangements), how money flows through the system (financial arrangements), and what and who make up the system’s infrastructure and workforce (delivery arrangements). Part 2 explains how the building blocks are used to provide: 1) care in each of six sectors – home and community care, primary care, specialty care, rehabilitation care, long-term care, and public health; 2) care for four conditions or groupings of conditions – mental health and addictions, work-related injuries and diseases, cancer, and end-of-life; 3) care using select treatments – prescription and over-the-counter drugs, complementary and alternative therapies, and dental services; and 4) care for Indigenous peoples. Part 3 describes recent and planned reforms to the system and assesses how the health system is performing. The system is complex, so 66 tables and 25 figures have been included to aid understanding, including 16 ‘at-a-glance’ figures that summarize the policies, programs, places and people that are key to understanding particular types of care.</p>

Ontario's Health System: Key Insights for Engaged Citizens, Professionals and Policymakers

McMaster Health Forum

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