Health Care System Models
The contribution of the health care system on overall population health has been accepted as being modest since Archie Cochrane published his famous monograph "Effectiveness and Efficiency: Random Reflections on the Health Care System". His diagram of the decline of tuberculosis in England and Wales (showing that the decline pre-dated the development of any efficacious medical intervention) has become a classic. Since then, it has become fashionable to argue the health care tends to do too little, too late. Nonetheless, we should recognize the immense contribution of public health interventions, including sanitation, clean water supply and immunizations and vaccinations.
Some resources to help you in your search for information:
- In Canada, Evans and Stoddart have devoted years to critiquing the contribution of the health care system. (
R. G. Evans and G. L. Stoddart, Producing Health, Consuming Health Care.)
- The Canadian Institute for Health Information has recently published a major report on "Health Care Report" which provides many indicators of the impact of health care system.
- For the health care system to address population health inequalities, it will need significant reform, argues D.R. Gwatkin