In this report we consider the case for using population-needs based approach to the planning and allocation of health-care resources in Ontario. In section 1 the needs-based approach is contrasted with systems of allocation used currently in Ontario. These existing systems tend to allocate...

Objectives. To assess the health-related quality-of-life (HRQL) effects of chorionic villi sampling (CVS) and genetic amniocentesis (GA) prenatal diagnosis, including factors related to both the processes and the outcomes. Study Design. The HRQL of one hundred twenty six women participating in a...

In this study we develop a methodology for calculating a capitation rate for a Comprehensive Health Organization (CHO). We apply the methodology to the population served by the proposed Fort Frances CHO. The methods of calculating capitation rates used currently by the Ontario Ministry of Health...

This document reviews the findings of studies of the clinical and economic performance of Ontario’s Health Service Organizations and makes recommendations for further evaluation. The tentative conclusions regarding HSO performance indicate that: 1. The HSO program in total and some HSOs...

Increasing interest in quality assurance and effectiveness in health care has been generated by three major observations: about 20% of care is consistently demonstrated to be inappropriate, variations in practice cannot be explained be patient or facility factors, and decreased utilization as a...