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Assessing Canada’s performance
 in improving timely access for
           Canadians
Looking Back




    
              Ten Year Plan
        
        
Health Council Reports

 2007: S



 2008



 2011
Today, we’re wondering..






Many Canadians still waiting for…







 And, better engagement and overall care.
Waiting for primary health care

                                  Got a same-day or next-day appointment when needed medical attention
                       100

                                                                                                    International Performance 2008- 2011   Canadian Performance
                       90                                        86
                                                                                                    ↑ Improvement           7 countries         2008 – 8th

                       80
                                  79          78                                                    ↓ Decline                1 country          2011 – 8th

                                         72               73
                                                                      71
                       70                                                                                                                                    66
% Sicker respondents




                             61                                                    62
                                                     58                                        59
                       60                                                                                       57                                    57
                                                                                          55
                                                                              49                                                50
                       50
                                                                                                           43

                       40                                                                                                  35

                       30

                       20

                       10

                        0
                              United   New Zealand   France    Netherlands   Aus tralia   Germany       United States     Canada                     Average
                             Kingdom
                                                                                                                                              2008           2011

                                           Source: Commonwealth Fund International Health Policy Surveys
Waiting for specialists
Waited 4 or more weeks for appointment with specialist
                           100

                           90

                           80

                           70
    % Sicker respondents




                           60                                                             55
                                                                                   50
                           50
                                                                      41    43
                                                               40
                           40
                                                                                                       31
                                                         28
                           30
                                               22   23
                                          19
                           20        14
                                 8
                           10

                            0




                                                              Source: 2011 Commonwealth Fund International
                                                              Health Policy Survey
Waiting in Emergency
Departments (Ontario)

        40
        35
        30
        25
hours




                                                                     2008
        20
                                                                     2012
        15
        10
         5
         0
             Uncomplicated   Complex, not           Complex,
                               admitted             admitted

                                   Source: www.ontariowaittimes.ca
ALC = Waiting for Appropriate
Care








Switching the Focus from Wait Times
(a negative) to Improving Performance
(a positive)







So, what we need is a
transformative agenda




               Source: Baker & Denis (2011). A Comparative Study of Three
               Transformative Healthcare Systems: Lessons for Canada.
               CHSRF.
Current Developments








    -Council of the Federation, January 2012

    
Going Forward













Please visit us…

 www.healthcouncilcanada.ca

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Assessing Canada’s performance in improving timely access for Canadians

  • 1. Assessing Canada’s performance in improving timely access for Canadians
  • 2. Looking Back     Ten Year Plan  
  • 3. Health Council Reports  2007: S  2008  2011
  • 5. Many Canadians still waiting for…       And, better engagement and overall care.
  • 6. Waiting for primary health care Got a same-day or next-day appointment when needed medical attention 100 International Performance 2008- 2011 Canadian Performance 90 86 ↑ Improvement 7 countries 2008 – 8th 80 79 78 ↓ Decline 1 country 2011 – 8th 72 73 71 70 66 % Sicker respondents 61 62 58 59 60 57 57 55 49 50 50 43 40 35 30 20 10 0 United New Zealand France Netherlands Aus tralia Germany United States Canada Average Kingdom 2008 2011 Source: Commonwealth Fund International Health Policy Surveys
  • 7. Waiting for specialists Waited 4 or more weeks for appointment with specialist 100 90 80 70 % Sicker respondents 60 55 50 50 41 43 40 40 31 28 30 22 23 19 20 14 8 10 0 Source: 2011 Commonwealth Fund International Health Policy Survey
  • 8. Waiting in Emergency Departments (Ontario) 40 35 30 25 hours 2008 20 2012 15 10 5 0 Uncomplicated Complex, not Complex, admitted admitted Source: www.ontariowaittimes.ca
  • 9. ALC = Waiting for Appropriate Care    
  • 10. Switching the Focus from Wait Times (a negative) to Improving Performance (a positive)    
  • 11. So, what we need is a transformative agenda Source: Baker & Denis (2011). A Comparative Study of Three Transformative Healthcare Systems: Lessons for Canada. CHSRF.
  • 12. Current Developments   -Council of the Federation, January 2012  
  • 14. Please visit us… www.healthcouncilcanada.ca