Capital funding of health care in Canada is critical, yet declined in last 20 years

June 22, 2020

Capital funding of health care, used to build new hospitals, redesign or upgrade existing facilities and invest in new technologies, has declined in Canada over the last 20 years, according to an analysis in CMAJ (Canadian Medical Association Journal).

"Despite increases in total health care spending in Canada, capital investment in Canadian health care has seen a substantial decline in recent years, contributing to Canada's high hospital occupancy rates, hallway health care problem and operating inefficiencies," writes Dr. David Klein, Dalla Lana School of Public Health and St. Michael's Hospital, Unity Health, Toronto, Ontario, with coauthors.

Without adequate capital funding, health care systems are unable to adopt new technologies for diagnosis and patient care or upgrade aging buildings and equipment, which can affect patient care and efficient health care delivery.

"Capital funding to support infrastructure is largely neglected in discussions about annual funding, yet inadequate or uncertain capital investment may threaten the sustainability and equity of the Canadian health care system even more than the variable disbursement of operational funding," says Dr. Klein.

The authors argue that Canada and its provinces and territories should prioritize capital funding byExpert leadership to oversee investment and project execution is critical.

"More capital alone will not solve the problem," they write. "Capital investment must also be overseen and managed by expert leadership, fairly, transparently and ethically, to protect the public's interest and trust. The challenges underpinning the current level and effectiveness of our health care system will not be solved with one method alone."
"Ensuring adequate capital investment in Canadian health care" is published June 22, 2020.

Canadian Medical Association Journal

Related Health Care Articles from Brightsurf:

Study evaluates new World Health Organization Labor Care Guide for maternity care providers
The World Health Organization developed the new Labor Care Guide to support clinicians in providing good quality, women-centered care during labor and childbirth.

Six ways primary care "medical homes" are lowering health care spending
New analysis of 394 U.S. primary care practices identifies the aspects of care delivery that are associated with lower health care spending and lower utilization of emergency care and hospital admissions.

Modifiable health risks linked to more than $730 billion in US health care costs
Modifiable health risks, such as obesity, high blood pressure, and smoking, were linked to over $730 billion in health care spending in the US in 2016, according to a study published in The Lancet Public Health.

Spending on primary care vs. other US health care expenditures
National health care survey data were used to assess the amount of money spent on primary care relative to other areas of health care spending in the US from 2002 to 2016.

MU Health Care neurologist publishes guidance related to COVID-19 and stroke care
A University of Missouri Health Care neurologist has published more than 40 new recommendations for evaluating and treating stroke patients based on international research examining the link between stroke and novel coronavirus (COVID-19).

Large federal program aimed at providing better health care underfunds primary care
Despite a mandate to help patients make better-informed health care decisions, a ten-year research program established under the Affordable Care Act has funded a relatively small number of studies that examine primary care, the setting where the majority of patients in the US receive treatment.

International medical graduates care for Medicare patients with greater health care needs
A study by a Massachusetts General Hospital research team indicates that internal medicine physicians who are graduates of medical schools outside the US care for Medicare patients with more complex medical needs than those cared for by graduates of American medical schools.

The Lancet Global Health: Improved access to care not sufficient to improve health, as epidemic of poor quality care revealed
Of the 8.6 million deaths from conditions treatable by health care, poor-quality care is responsible for an estimated 5 million deaths per year -- more than deaths due to insufficient access to care (3.6 million) .

Under Affordable Care Act, Americans have had more preventive care for heart health
By reducing out-of-pocket costs for preventive treatment, the Affordable Care Act appears to have encouraged more people to have health screenings related to their cardiovascular health.

High-deductible health care plans curb both cost and usage, including preventive care
A team of researchers based at IUPUI has conducted the first systematic review of studies examining the relationship between high-deductible health care plans and the use of health care services.

Read More: Health Care News and Health Care Current Events is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to