Research

New Publications on Health System Change

This summer and fall, HPME faculty have published a variety of think pieces on health system change, drawing on the experiences of the British National Health Servcie (NHS), the Veteran's Administration (VA) in the US and the National Institute for Health and Clinical Excellence in the UK (NICE).

Baker: Wait Time Reductions and the NHS

Professor G. Ross Baker and Ms. Farrah Schwartz make timely recommendations for reducing wait times in cancer care in their article, “Innovation and Access to Cancer Care Services in Ontario” ( Longwoods Review Vol. 3 No. 2 2005). The authors outline access problems to cancer care and review three strategies for managing and reducing wait times: measuring and monitoring, improving and expanding services and system redesign. They refer to changes made by NHS as an example of system redesign that Ontario can learn from.

Anderson, Decter and Sullivan: Lessons Learned from the VA

Also in this issue of the Longwoods Review, Matthew Anderson (HPME alumnus), Michael Decter (Adjunct Faculty, HPME) and Terry Sullivan (Associate Professor, HPME) examine the transformation experience of the VA and its relevance for Canada . Sullivan compares changes in the VA with changes that the Cancer Care Ontario has been undergoing to improve quality and access to care, while Anderson focuses on IT and Decter on leadership.

Culyer: NICE's Model for Involving Stakeholders in Priority Setting

In an article in Healthcare Papers (Vol. 5 No. 4 2005), “Involving Stakeholders in Healthcare Decision – The Experience of the National Institute for Health and Clinical Excellence (NICE) in England and Wales”, Anthony Culyer (Adjunct Faculty, HPME) examines how caregivers and providers are involved in health priority setting in the UK. He traces the development of NICE and the means through which it has involved its many stakeholder groups in decision making.

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