Population-needs-based funding used by other provinces is needed in
Ontario according to Alliance Discussion Paper
TORONTO, Aug. 22 /CNW/ - The Ontario Government should establish a task
force to recommend how Ontario can move to a population-needs-based approach
to funding hospital care in the province, according to the GTA/905 Healthcare
The recommendation is one of ten contained in a discussion paper released
today by the Alliance which represents community hospitals serving more than
three million Ontarians in Durham, Halton, Peel and York regions and Dufferin
"We prepared this paper to help Ontario develop an equitable, transparent
and accountable approach to funding hospital care. I think that everyone
understands that Ontario's current approach to funding hospital services is
inequitable and based on the demographics and hospital capacities from years
ago. It does not take into account the differing health care needs of
Ontarians in different communities, and does not promote health care close to
home." said Anne McGuire, Chair of the GTA/905 Healthcare Alliance.
According to a November 2006 report developed for the Ontario Hospital
Association, hospital funding in Ontario is effectively allocated on an
across-the-board basis. The report noted that hospital operating funding
pressures resulting from population growth in the fast-growing GTA/905 regions
as well as Dufferin County, Kitchener-Waterloo, Simcoe and Ottawa-Carlton, are
not being taken into account by provincial funding practices, according to
Population-needs-based funding formulas are in place in Saskatchewan,
Alberta and British Columbia and are used in many countries such as the UK and
Sweden, noted McGuire.
"As Ontario implements its version of health system regionalization, it
should look to other provinces that regionalized years ago and note that they
quickly developed a population-needs-based approach to distributing provincial
health care funding," said McGuire.
"A population-needs-based approach takes into consideration not only the
number of people served by a hospital but also other factors such as the age,
gender make-up, socio-economic status, and the fact that small northern and
rural communities have higher costs to providing care," said McGuire.
"It also recognizes that some Ontarians will want to get some care
outside their communities. Population-needs-based funding means fairness for
every Ontarian," added McGuire.
Other recommendations include implementing a "no-loss" protection for
hospitals ensuring that all Ontario hospitals receive at least the same amount
of money as they did on March 30, 2007.
"Moving to a population-needs-based approach to funding hospitals is not
about robbing Peter to pay Paul. It's about how we move forward and allocate
new hospital funding so all communities get a fair share of new funds based on
the health care needs of residents in the community, whether you live in a
high growth community, a small northern or rural community or a large urban
centre," emphasized McGuire.
"We appreciate that the provincial government has started to recognize
the under funding of hospitals in high-growth communities," McGuire said,
referring to an additional $30 million in growth funding for hospitals in
high-growth areas last year.
"But we need to go beyond growth funding that the GTA/905 and other high
growth hospitals will need for several years. To fix the problem that created
the funding inequities in the first place, Ontario needs to allocate new
hospital funding so that it actually reflects the demographics of today and
tomorrow rather than the demographics from a decade ago," McGuire said.
For a copy of the Discussion Paper, "Funding Hospital-Based Care in Local
Health Integration Networks" visit the Alliance website: www.gta905health.com
For further information:
For further information: Tariq Asmi, Executive Director, GTA/905
Healthcare Alliance, (416) 205-1349