The Institute for Competitiveness & Prosperity finds that, overall, Ontario could get better value for money from its health care spending. Ontario is among the jurisdictions with the highest total per capita health care spending in the OECD, with spending 33 percent above the OECD average. Yet despite exceptional resources, Ontario falls short when comparing the province’s overall health care performance to that of international peers. Countries that spend less on health care have comparable or better health care outcomes, higher quality care, and more extensive public coverage than Ontario.
The 3rd edition of The Canadian Rx Atlas breaks down retail spending on prescription drugs Canada, providing a detailed portrait of the factors driving spending trends over time and variations across provinces.
The Atlas gives a first-ever portrait of age- and sex-specific patterns of prescription drug use and costs across provinces. It also provides first-of-kind estimates of the source of financing for the prescriptions filled in every province.
Unique to the Canadian Rx Atlas, these details are not provided simply for all spending on prescription drugs; it also provides these details for each of 33 clinically and economically important therapeutic categories.
Drug spending continues to increase in Canada; overall annual growth has slowed to its lowest rate in 16 years.
Drug Expenditure in Canada, 1985 to 2012 updates trends in drug spending in Canada, primarily from retail establishments, in total, by public and private payers, and by type of drug (prescribed and non-prescribed). Provincial/territorial and international comparisons are included.
Data Tables, 1985 to 2012 (https://secure.cihi.ca/estore/productFamily.htm?locale=en&pf=PFC2146&lang=en&media=0)
The Fraser Institute’s Provincial Healthcare Index 2013 uses publically available
data for the year 2010 (or the most recent year available) to measure
the provision of healthcare in comparison to healthcare expenditures across
provinces in Canada. The value for money that provinces receive can be
thought of as consisting of two, equally important parts:  provision of
healthcare (the value) and  expenditure on healthcare (the cost). The
provision of healthcare is captured using 46 indicators, aggregated into four
broad components:  availability of resources;  use of resources; 
access to resources;  clinical performance of medical goods and services
in each province.
Drug Expenditure in Canada, 1985 to 2011 updates trends in drug spending in Canada, primarily from retail establishments, in total, by public and private payers, and by type of drug (prescribed and non-prescribed). Provincial/territorial and international comparisons are included.
Health Systems Evidence is a search tool to support policymakers, stakeholders and researchers interested in strategies to strengthen or reform health systems or in how to get cost-effective programs, services and drugs to those who need them. This search tool is available in the following seven languages: Arabic, Chinese, English, French, Portuguese, Russian and Spanish. Health Systems Evidence provides the option for users to subscribe to a customizable evidence service that will provide monthly email alerts identifying new documents available in the database specific to someone’s individual interests. The tool is free to use, but registration is required.
Developed by the Ontario Association of Community Care Access Centres (OACCAC), and the Ontario Hospital Association (OHA), the paper identifies the strategic challenges facing Ontario’s health care system, and outlines the actions that must be taken to ensure it can meet the access and quality of care needs of patients in today’s challenging economic environment. The pillars are: Setting Ambitious Goals; Planning Properly; Letting Evidence Drive Care Decisions; and, Connecting Care
The purpose of this white paper from the Richard Ivey School of Business International Centre for Health Innovation is to examine the progress made within the health systems of seven comparator countries to learn how they have been able to help meet population health needs more effectively and make progress in health system redesign and transformation. The authors consider that Canada has made less progress in meeting health care demands and can learn from other countries.
Released in 2010 in partnership with the Ontario Association of Community Care Access Centres and the Ontario Federation of Community Mental Health and Addiction Programs, Ideas and Opportunities for Bending the Health Care Cost Curve: Advice for the Government of Ontario was a business case approach to help the province deal with growing health care demands in the face of constrained budgets.
The report outlined 16 tangible and evidence-based recommendations to find efficiencies while improving access and quality of care. Among them were strategies to better manage costly chronic illnesses, appropriately shift services from hospitals to the community, as well as lower physician and drug expenditures to be more in line with those of other provinces.
This new study raises serious concerns about “Activity Based Funding” (ABF), a new funding model introduced in BC that pays hospitals based on the number of surgeries they perform. Research evidence from the US, UK and Europe shows that ABF’s narrow focus on increasing “activity” in one part of the health care system does not address the system-level changes needed to control health care costs and improve patient care.
Beyond the Hospital Walls: Activity Based Funding Versus Integrated Health Care Reform finds that ABF is not the right fix for BC’s health care problems.