THE FUTURE OF HEALTH CARE IN CANADA September 19, 2000 © Merck Frosst Canada & Co., 2000.
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THE FUTURE OF HEALTH CARE IN CANADA September 19, 2000 © Merck Frosst Canada & Co., 2000
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Transcript of THE FUTURE OF HEALTH CARE IN CANADA September 19, 2000 © Merck Frosst Canada & Co., 2000.
THE FUTURE OF HEALTH CARE IN CANADASeptember 19, 2000
© Merck Frosst Canada & Co., 2000
page 2
OECD Health Data FIle
0
2
4
6
8
10
12
14
16
1960 1970 1975 1980 1985 1990 1992Year
% G
DP
US JapanGermany FranceItaly UKCanada
International Health spending (1960-92)
page 3
“There is an urgent need to get the costs of Medicare under control”BCMA Forum on Medicare Emergent Theme
0%
2%
4%
6%
8%
10%
60 63 66 69 72 75 78 81 84 87 90 93 96 99
Medicare(all provinces)
Recession
Recession
Slow economicrecovery
Year
% GDP
Canadian Institute for Health Information.
Average annualrate of growth in H/C
1975 - 1991
1991 - 1996
1998 - 1999
11.2%
2.6%
5.1%
CANADA
page 4
1990 1999 chg. C.A.G.R.
Hospital Services 39.3 31.6 -7.7 +0.7%
Physician Services 15.1 13.9 -1.2 +2.8%
Drugs 11.3 15.2 +3.9 +11.1%
Other Health Spending 1 10.9 14.1 +3.2 +6.0%
Other Professional 2 10.5 12.8 +2.3 +5.3%
Other Institution 9.3 9.8 +0.5 +4.2%
Capital 3.6 2.7 -0.9 +0.2%
1 Includes administration, public health, health research2 Includes alternative care givers of health services
CANADA
Canadian Institute for Health Information.
page 5
page 6
5%
38%
55%
3%
26%
70%
6%
32%
62%
9%
44% 47%
0%
20%
40%
60%
80%
100%
Consumers Doctors Nurses Pharmacists
Rising Same Falling
Merck Frosst/NVO Health Care in Canada Survey 1999.
page 7
3%
13%
40%
42%
0% 10% 20% 30% 40% 50%
Major repairs
Minor tuning up
A completerebuilding
Fine the way it is
Merck Frosst/NVO Health Care in Canada Survey 1999.
Public Perception
page 8
page 9
Service Integration
Financial Incentives
Health Information
Health Insurance
page 10
Change Delivery System
Disease Management
Control Health Care Use
page 11
GP Fund Holding
Primary Care Physicians Managing Total Care or a Group of Patients
Budget Holding
page 12
Health Information System
Report Cards
Telemedicine/Telehealth
On-line Info
On-line Adjudication
Universal Classifications
page 13
Source: Pricewaterhouse Coopers. HealthCast 2010.
199040.5% Gov ’t
199746.4% Gov ’t
199040.5% Gov ’t
199746.4% Gov ’t
US Insurance
Gov ’t % spending growing
Growth in Medicare Increased
regulation
EmergingInsurance System
ResultingTrends
EmergingInsurance System
ResultingTrends
Increased private insurance choice outside US
Increased Public insurance in the US
Today10% PrivateTomorrow
5-7% Growth/Year
Today10% PrivateTomorrow
5-7% Growth/Year
European/Canadian Insurance
Private % spending growing
Public dissatisfaction
Increased employer-sponsored insurance
page 15
Public BureaucratsAdministrators
ProvidersPatients Tax
Payers
Provincial Government
Federal Government
PharmaceuticalIndustry
page 16
BASELINE
MEASURE
STANDARDIZEDPRACTICES
EVIDENCE
Operation ResultsHealth Costs
Disease Management
page 17
Reform
Performance
Opportunity
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