Centralization and Aggregation of Health Services
Much of the recent attention in health reform has focused on the shifting of authority to sub-provincial levels. However, in most provinces, regions or districts there has been a consolidation of decision-making. Many of the previously independent silos of funding for hospitals, community services and agencies have been eliminated. In parallel, the governance, interests, collective agreements, and funding arrangements of individuals, provider groups and/or
institutions are being aggregated or merged into more centralized regional frameworks. Hospital mergers, the co-ordination of previously segregated institutional and/or community services, and even total integration of providers under a single governance structure all have implications for multiple aspects of the system.
| Final Research Reports |
A Randomized Controlled Trial of Pharmacotherapy Specialist Team Consultation Integrated into Primary Care Practice Settings versus Specialty Service Provided in a Hospital Outpatient Clinic
Lisa Dolovich
LOI-1997-029 |
- Key Implications for Decision Makers & Executive Summary
- Full Report
| HTML | PDF - 152 KB
PDF - 334 KB |
Low-Income Consumers Perspectives' on Determinants of Health Services Use
Miriam Stewart
LOI-1997-127 |
- Key Implications for Decision Makers & Executive Summary
- Full Report
| HTML | PDF - 240 KB
PDF - 852 KB |
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