A New Approach
In the past decade, in an effort to improve health care, many provincial health systems have undergone massive restructuring and introduced new programs, but Canadians are not seeing dramatic improvements in terms of access, quality, and sustainability. More and more Canadians are beginning to recognize that addressing the complex, inter-connected set of problems associated with health care will require the wider system to be redesigned before major progress is made towards improving access, quality, and sustainability.
Models of health care
The term “models” is frequently used in health care discussions. There are two levels of models applied to the health care: system models and delivery models.
There are about 200 countries on our planet and, of these, only around 40 industrialized countries have established health care systems. The four basic system models of health care are the Beveridge Model, the Bismark Model, the National Health Insurance Model, and the Out of Pocket Model.
Regardless of which health care model a country has employed, most industrialized nations are struggling to maintain their health care systems. If most health systems are struggling to provide access, quality, and sustainability, then significant improvements are likely not going to be found in the system model. Improvements will most likely be determined by how health systems deliver their health services.
In addition to the four overarching models of health care systems, there are also models of health care delivery. Models of health care delivery are primarily differentiated by the component they are built around (physician, hospital, patient, interdisciplinary team).
Some health jurisdictions in Canada have implemented “new” delivery models for health care. The overall objective of introducing new programs is to improve access, quality and sustainability; however, in many instances the execution of new programs has not realized the goals. There have been some successful pilot projects but replicating successes has proven difficult.
New approaches to Health Care Delivery- vesia
Examining successful projects that are improving access, quality, and sustainability and then determining how we can apply the process more broadly could be a step toward identifying large scale, improvements. vesia (Alberta Bladder Centre) in Calgary, Alberta is one example of a project that is the process of changing the delivery of health care services and producing some promising results. Vesia (Alberta Bladder Centre) in is an innovative, inter-disciplinary health care practice with a vision of improving the quality of life of patients who suffer from bladder disorders, by improving access to care, quality of care and reducing costs of care overall.
In this section, a patients experience is contrasted between the existing health care model and a new delivery model are illustrated. Although the vesia project is still in early stages, it is an example of how the health care delivery model can be shifted.
As the medical profession expands their knowledge and so many more medications and treatments become available, it becomes unreasonable to expect a family physician to know everything, or even enough, about hundreds of conditions and thousands of treatments. Any experience that involves a patient moving through the health care system in repeated circles between tests, specialists, and their family physician is inefficient, frustrating for the patient and expensive. New models of delivering care for certain common conditions can improve the patient experience, result in better outcomes, and cost less.Download
White Paper Four - A New Approach