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
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 |