I just read this article from the CBC and it got me to thinking about some of the more important cost issues facing the Canadian healthcare system. If 60-80% of all healthcare funding is consumed by wages, why do we have the highest paid folks (docs) doing routine stuff…whether that be ordering a lab test, prescribing some drugs, etc. These highly skilled (and expensive) members of the workforce should be focused on the highest value add segments of healthcare, such as diagnosis or managing a population of patients suffering from chronic disease(s).
I have always felt that the current governance, funding and systemic model in Canada is seriously out of date. Our healthcare funding “crisis” can be addressed by eHealth technologies, but I think the greatest savings can be achieved by reworking parts of how we currently deliver healthcare services.Whether this is pharmacists gaining more prescribing powers, or nurse practitioners delivering routine services currently delivered only by doctors. Provincial governments are starting to get it…they have little choice when you look at the ever increasing % of their budgets being consumed by healthcare spending.
This blog is supposed to be about eHealth in the Canadian market, but I think it is as important to talk about some of the other issues as well. Otherwise we may be missing the forest for the trees.