Peter Coyte Appointed Scientific Chair of the 6th International
Conference on the Scientific Basis of Health Services
The Canadian Health Services Research Foundation (CHSRF) recently
announced that its selection committee approved the Canadian
College of Health Service Executives as the host and HPME's Professor
Peter Coyte as the Scientific Chair of the 6 th International
Conference on the Scientific Basis of Health Services . The conference
will be held in Montreal in September 2005. This biennial conference
series, that began 10 years ago in the United Kingdom , has since
been hosted by the Netherlands , Canada , Australia and the US .
The 5th conference was held in Washington DC , hosted by the Agency
for Healthcare Research and Quality (AHRQ) and AcademyHealth.
The series has provided an international forum for the exchange
of research and experience on the use of health services research
to improve access to and the quality of healthcare systems. Its focus
is on the process of promoting the use of scientific evidence for
clinical practice, health services management and health policy.
Rather than examining the specific research methods or the content
of different areas of scientific evidence, the objective of the conference
series is to improve its dissemination, synthesis, translation and
uptake at different levels of decision-making. Numerous international
research societies, governments, international agencies and private
sector companies have supported the series as complementary to their
efforts.
Deber Brings Clarity to Private versus Public Healthcare In Election Debates
In an interview with Anthony Germain on CBC Radio’s The House (May 15,
2004), Dr. Raisa Deber (Professor in HPME ) was asked to comment on the
positions on healthcare taken by party leaders running in the Federal
election. Dr. Deber noted that there is a great deal of confusion in the
public versus private healthcare debate. Speakers do not usually
distinguish between the financing of healthcare and its delivery. In
Canada, 70% of health costs are currently publicly financed, including most
physician and hospital costs, but not pharmaceuticals, dentistry,
physiotherapy, and home care. One aspect of the public/private debate is
therefore about deciding what types of care are medically essential and
should be publicly funded. In this respect, Deber observed, Canada actually
funds a lower percentage of services than many other countries. Healthcare
is already delivered privately in Canada, through a combination of
not-for-profit hospitals and for-profit physicians (chiropractors, dentists,
physiotherapists, etc.). The second aspect of the public/private debate is
therefore about the introduction of greater competition among providers and
the private delivery of care by investor corporations with a fiduciary
responsibility to bring a return on investment to shareholders. According
to Deber, evidence suggests that attempting to shift costs from the public
purse onto investor-owned corporations has a variety of negative effects on
the delivery of healthcare, including higher overall costs. While Dr. Deber
did not comment specifically on the positions of leadership candidates
Martin, Harper and Layton, she provided listeners with a clear picture of
the key issues in the public/private debate and the direction in which
danger may lie.
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