ReviewHealth research policy and systems2022
Hospital funding reforms in Canada: a narrative review of Ontario and Quebec strategies.
Review in Health research policy and systems, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
4 citing papers in PubMed.
- Scaling surgical care capacity in Nigeria: a narrative review of current practices and innovations in rural surgical workforce development.BMC surgery · 2025Review
- Population-based integrated care funding values and guiding principles: An empirical qualitative study.Heliyon · 2024Article
- Piloting a Hospital Pharmacy Performance Model in the Face of Province-Wide Implementation of Activity-Based Funding in Quebec Health Care Centres.The Canadian journal of hospital pharmacy · 2024Article
- Comparison of Fracture Identification Using Different Definitions in Healthcare Administrative (Claims) Data.Pharmacy (Basel, Switzerland) · 2023Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn the early 2000s, Ontario and Quebec, two provinces of Canada, began to introduce hospital payment reforms to improve quality and access to care. This paper (1) critically reviews patient-based funding (PBF) implementation approaches used by Quebec and Ontario over 15 years, and (2) identifies factors that support or limit PBF implementation to inform future decisions regarding the use of PBF models in both provinces.
methodsWe adopted a narrative review approach to document and critically analyse Quebec and Ontario experiences with the implementation of patient-based funding. We searched for documents in the scientific and grey literature and contacted key stakeholders to identify relevant policy documents.
resultsBoth provinces targeted similar hospital services-aligned with nationwide policy goals-fulfilling in part patient-based funding programmes' objectives. We identified four factors that played a role in ensuring the successful-or not-implementation of these strategies: (1) adoption supports, (2) alignment with programme objectives, (3) funding incentives and (4) stakeholder engagement.
conclusionsThis review provides lessons in the complexity of implementing hospital payment reforms. Implementation is enabled by adoption supports and funding incentives that align with policy objectives and by engaging stakeholders in the design of incentives.
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Registered trials
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