The past and future of health care priority setting in Canada Craig Mitton, PhD Associate Professor Centre for Clinical Epidemiology and Evaluation School of Population and Public Health, UBC Michael Smith Foundation for Health Research Scholar [email protected]
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The past and future of health care priority setting in Canada
Craig Mitton, PhD
Associate ProfessorCentre for Clinical Epidemiology and EvaluationSchool of Population and Public Health, UBC
Michael Smith Foundation for Health Research Scholar
� Shifting or re-allocating resources based on comparison against pre-defined criteria
� Incentives to encourage participation
� Clinicians and managers working together
� Ethical conditions built in
� Tool that supports decision making
� Clear link to HTA
Expected Outcomes
� Primary benefit of explicit approach
• Achieving real resource shifts that are consistent
with strategic decision-making objectives
� Secondary benefits
• Evidence driven decisions
• Ownership of planning process
• Transparent and defensible decision making
• Clinician engagement and partnership
Gibson et al. JHSRP 2006Ruta et al. BMJ 2005
Case studies
� Basic approach used well over 150 times across multiple countries
� We have been involved in about 50 of these
� Five cases presented here:� BC Cancer Agency� Menno Home and Hospital� Vancouver Coastal Health, Home and Community Care� St. Joseph’s Hospital, Toronto� NW Local Health Integration Network
� Lessons learned and future research
Vancouver Coastal Health
� Community Care Division - $250M of $600M total resources included
� Plan to address forecasted deficit of $4.65M for 2010/11