What ever happened to patient centered care?

Activity Based Funding Versus Integrated Health Care Reform
by Marcy Cohen, Margaret McGregor,Iglika Ivanova & Chris Kinkaid

As Canada’s premiers meet in Victoria to discuss different approaches to health system reform, a new study raises serious concerns about “Activity Based Funding” (ABF), a new funding model introduced in BC that pays hospitals based on the number of surgeries they perform. Research evidence from the US, UK and Europe shows that ABF’s narrow focus on increasing “activity” in one part of the health care system does not address the system-level changes needed to control health care costs and improve patient care.