|The 2002 Romanow Report||Return to Health Care Theme page|
3. Additional Information:
In November 2002, Roy Romanow, head of the Commission on the Future of Health Care in Canada, presented a report Building on Values: The Future of Health Care in Canada.
Over 18 months, the Commission undertook exhaustive consultations involving tens of thousands of Canadians, health experts, provincial premiers and health ministers, experts and health care workers.
The report presents 47 recommendations with time frames for implementation. Three themes underlie the recommendations:
- Strong leadership and improved governance is needed to keep Medicare a national asset.
- The system needs to become more responsive and efficient as well as more accountable to Canadians.
- We need to make strategic investments over the short term to address priority concerns, as well as over the long term to place the system on a more sustainable footing.
Report recommendations include:
- Establishing a Canadian Health Covenant to express a collective vision for health care and updating the Canada Health Act. (This act specifies portability, universality, comprehensiveness, public administration, accessibility of care).
- Fostering collaboration among governments, providers and citizens through a new Health Council of Canada.
- Achieving the goal of adequate, stable and predictable funding by:
- Establishing a federal cash funding floor of 25% of the cost of insured health services under the Canada Health Act by 2005/2006. This implies increasing federal funding for health care by about $6.5 billion above forecast levels.
- Establishing a dedicated, cash-only, 5-year Canada Health Transfer fund.
- Creating five new targeted funds to address immediate priorities until the minimum federal funding threshold is reached. For example,
- A Rural and Remote Access Fund to improve timely access to care in rural and remote areas ($1.5B total over 2 years)
- A Diagnostic Services Fund to improve wait times for diagnostic services ($1.5B total over 2 years)
- A Primary Health Care Transfer to help renew primary care delivery ($2.5B total over 2 years)
- A Home Care Transfer to establish a national home care strategy ($2B total over 2 years)
- A Catastrophic Drug Transfer to compensate Canadians who require expensive drug therapies to remain healthy ($1B beginning in FY 2004/5).
- These new funds amount to additional federal funding above current forecasts of approximately $6.5 billion in 2005/2006.
- Making the system more comprehensive by integrating home care services within the Canada Health Act, as well as improving prescription drug coverage.
- Improving timely access to care by improving wait list management, by removing obstacles to primary care reform, and by increasing the supply of diagnostic services and of health care providers across Canada.
- Encouraging a national personal electronic health record system and protecting the security and privacy of Canadians’ personal health information.
The Commission’s report also addresses topics such as: Aboriginal health care, culturally sensitive access, the impact of globalization, and, applied research. The complete report (392 pages!) is available.
Updated September 4, 2014