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Table 2 Proposed changes to the broader health care system to increase consideration of costs and the concept of value for money when caring for patients

From: Health care prioritization: a clinician’s duty

Proposed change Who can make the change
Incorporate health economics and consideration of cost into medical education as a professional ethic Royal College of Physicians and Surgeons of Canada
Medical schools
Similar to the system that currently exists for assessing new medications [13], when assessing new tests or technologies for funding, health systems should systematically review evidence on the impact on outcomes and costs, providing preferential access to those tests and technologies offering best value for money (i.e. better outcomes for less money) Provincial health systems
Federal health ministry
To align physician activities with health system goals, consider the optimal mix of payment methods for physicians Provincial health systems
Provincial medical associates