EDMONTON, May 22, 2013 /CNW/ - Ontario, New Brunswick and Nova Scotia
rank highest among Canadian provinces for their performance in
delivering health care services, according to new Conference Board of
Canada research released today at the Western Summit on Sustainable Health in Edmonton.
The health system resources and performance grades are part of a major
report, Paving the Road to Higher Performance: Benchmarking Provincial Health
Systems. The full report, including overall grades, will be published on
Thursday, May 23.
"Spending larger sums of money on health care does not necessarily
translate into better performance. It is how money is spent, rather
than how much, that will deliver better value for Canadians," said
Gabriela Prada, Director, Health Innovation, Policy and Evaluation.
"Our analysis is not meant to 'shame and blame' provinces that do
relatively poorly on any given indicator," said Prada. "Our intention
is to identify performance achievements and gaps so that all provinces
are better equipped to make decisions that will improve health care
systems and population health."
The findings released today are the third and fourth categories
published by The Conference Board of Canada in its benchmarking of
provincial health systems, produced under the Canadian Alliance for Sustainable Health Care. In all, 90 indicators are assessed in the categories of Lifestyle
Factors, Health Status, Health Resources, and Health Care System
Good performance can be achieved at various levels of spending.
New Brunswick and Nova Scotia are among the provinces with more health
care resources per capita and they achieve top marks for the
performance of their health care systems.
Ontario achieves an "A" grade on health care system performance, despite
having less health care resources per capita than the majority of the
The Health Care System Performance category includes seven
sub-categories - screening and prevention, accessibility,
effectiveness, appropriateness, continuity, patient centredness, and
safety. Since Health Care System Performance comprises 47 of the 90
total indicators, the system performance grade will have a strong
influence on a province's overall grade.
Alberta is the lone province to receive a "B" in Health Care System
Performance. British Columbia, Saskatchewan, Manitoba, and Quebec
receive "C"s. The lowest grades are awarded to P.E.I. and Newfoundland
Regarding the resources put into the health care system, Nova Scotia,
New Brunswick, Quebec, and Newfoundland and Labrador have more
per-capita resources (providers, medical equipment, and hospital beds)
than the other Canadian provinces.
Although the assumption is often made that more resources is likely to
lead to better system performance, good results can be achieved with
fewer resources. Despite relatively limited number of providers,
medical equipment and hospital beds when compared with other provinces,
Ontario gets top grades on health care system performance. Quebec has
among the highest resources per capita, yet gets a "C" in health care
system performance. Newfoundland and Labrador has among the highest
level of health resources per capita, but gets a "D" in health care
The Conference Board of Canada benchmarks performance using an A-B-C-D
report card ranking methodology. Grade levels are assigned to the
indicators using the following method:
For each indicator, the difference between the top and bottom performer
is calculated and this figure is divided by 4.
A province receives a report card rating of "A" on a given indicator if
its score is in the top quartile, a "B" if its score is in the second
quartile, a "C" if its score is in the third quartile, and a "D" if its
score is in the bottom quartile.
This methodology helps to ensure that those regions awarded an "A" on a
given indicator perform substantially better than the range of
performances among the other regions.
The overall findings will be revealed at The Conference Board of
Canada's Western Summit on Sustainable Health, starting today at The Westin, Edmonton. This two-day forum will
provide an opportunity for all health stakeholders from across the West
to connect, share ideas, and discuss how to transform the health care
system and improve the health of Canadians.
Launched in 2011, the Canadian Alliance for Sustainable Health Care is a five-year Conference Board program of research and dialogue. It
will delve deeply into facets of Canada's health care challenge,
including the financial, workplace, and institutional dimensions, in an
effort to develop forward-looking qualitative and quantitative analysis
and solutions to make the system more sustainable.
SOURCE: Conference Board of Canada
For further information:
Brent Dowdall, Media Relations, Tel.: 613- 526-3090 ext. 448