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 CANADASeptember 19, 2000
© Merck Frosst Canada & Co., 2000
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OECD Health Data FIle
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4
6
8
10
12
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16
1960 1970 1975 1980 1985 1990 1992Year
% G
DP
US JapanGermany FranceItaly UKCanada
International Health spending (1960-92)
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“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
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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.
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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.
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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
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Service Integration
Financial Incentives
Health Information
Health Insurance
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Change Delivery System
Disease Management
Control Health Care Use
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GP Fund Holding
Primary Care Physicians Managing Total Care or a Group of Patients
Budget Holding
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Health Information System
Report Cards
Telemedicine/Telehealth
On-line Info
On-line Adjudication
Universal Classifications
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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
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Public BureaucratsAdministrators
ProvidersPatients Tax
Payers
Provincial Government
Federal Government
PharmaceuticalIndustry
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BASELINE
MEASURE
STANDARDIZEDPRACTICES
EVIDENCE
Operation ResultsHealth Costs
Disease Management
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Reform
Performance
Opportunity