|
|||||||
|
M-THAC Research Unit - Greatest Hits CDM-THAC Projects |
Project Title: Boundaries of Medicare
Research Team:
Gamble, B.
Deber, R.
Berger, E.
Williams, A.P.
Pendleton, A.
Partners:
Canadian Federation of Independent Business
The Canadian Healthcare Association
Canadian Home Care Association
Canadian Medical Association, and participating provincial/territorial medical associations
Canadian Nurses Association, and participating provincial/territorial nursing associations
Canadian Pharmacists Association
Conference Board of Canada
Medical Reform Group
Ontario Chamber of Commerce
Ontario Hospital Association
Registered Nurses Association of Canada
Canadian Medicare guarantees universal coverage for 'medically necessary' services delivered in hospitals or by doctors. There is far more variability about coverage for services delivered in the community by non-physician providers. As discussion about the sustainability of Medicare heightens, most observers have called for updating the determination of what should be paid for from public funds.
To clarify the debate, M-THAC and its partners conducted a mailed survey of the policy elites of such key stakeholder groups as physicians, nurses, hospital/health authorities, home care providers, pharmacists, and business.
The 12-page survey, constructed in consultation with our partners and available in both French and English, included items about overall sustainability issues, and a detailed question asking about coverage for a list of 49 potential services. It was distributed in 2002.
This project demonstrated the great potential of M-THAC's partnership between researchers and community partners. It was funded by the M-THAC Research Unit, and included in-kind contributions from our partners. Results from this study were cited in a CIHI Report. (Canadian Institute for Health Information (2005): Exploring the 70/30 split: How Canada's health care system is financed. CIHI, Ottawa, Ontario.) Elements of this project formed the PhD thesis of M-THAC Researcher, Brenda Gamble.
Selected Presentations:
- November 2004 - The imprisoning effects of what is. A perspective from Canada on Stakeholders' views about the boundaries of publicly funded health care, 5th International Healthcare Priorities conference, Wellington, New Zealand.
- May 2004 - How to spend the money: Stakeholders views about the boundaries of Medicare, 1st Conference of the Canadian Association for Health Services and Policy Research, Montreal, Quebec.
- November 2003 - What's In, What's Out? Stakeholders views about the boundaries of Medicare, The Canadian Institutes of Health Research (CIHR), Institute of Health Services and Policy Research (IHSPR) Inaugural National Symposium, Montreal, Quebec.
- 2003 - What's In, What's Out? Stakeholders views about the boundaries of Medicare, Institute of Medical Sciences Scientific Day, University of Toronto, Toronto Ontario.
- 2002 - Stakeholders views about the boundaries of Medicare, Canadian Health Economics Research Association (CHERA). Halifax, Nova Scotia.
- 2002 - Stakeholders views about the boundaries of Medicare, Institute of Medical Sciences Scientific Day, University of Toronto, Toronto, Ontario.
Selected Publications:
-
Deber, R. and Gamble, B. "What's in" "What's out": Stakeholders' views about the boundaries of Medicare, Longwoods Review 2004; 2(3):1-9.The definitive version can be found at Longwoods Review, http://www.longwoods.com/home.php?cat=253.
- Gamble, Brenda.2006 What's in" "What's out": Stakeholders' views about the boundaries of Medicare, Doctoral thesis.
- Additional publications are in progress.