The Legislative Assembly of
British Columbia

PATIENTS FIRST:
Renewal and Reform of British Columbia's
Health Care System

 

Select Standing Committee on Health
Report
2001

 
 

"We could prevent up to 60 to 70 per cent of all cancers… up to 90 per cent
of all heart disease, up to 60 per cent of all strokes, up to 90 per cent of all
cases of chronic lung disease, up to 90 per cent of all diabetes - all the things
that are filling up our hospitals, and our doctor's offices and our graveyards…
I am deeply concerned that the entire focus of the general public,
the current government and the health care system as a whole is to pull drowning
people out of the river. I implore you to ensure we devote adequate time and
resources to making sure people don't fall into the river in the first place."

Dr. Andrew Larder, Medical Health Officer, East Kootenay Region

 

National Library of Canada Cataloguing in Publication Data

British Columbia. Legislative Assembly. Select Standing Committee on Health.

Patients First : Renewal and Reform of British Columbia's Health Care System

Cover title.
"Valerie Roddick, Chair."
ISBN 0-7726-4677-5

1. Medical policy - British Columbia. 2. Public health administration - British Columbia.
3. Health planning - British Columbia I. Title.

RA412.5C3P37 2001 362.1'09711 C2001-960306-1

 

Office of the Clerk of Committees
Select Standing Committee on Health

Location:
Room 224, Parliament Buildings
Victoria, British Columbia
V8V 1X4

Telephone: (250) 356-2933

Toll free at: 1-877-428-8337

Fax: (250) 356-8172

Email: ClerkComm@leg.bc.ca

Internet Homepage:
This report and others are available at our Internet Homepage which also contains further information about this and other Select Standing and Special Committees: http://www.legis.gov.bc.ca/cmt

 

 


 

December 10, 2001

To the Honourable,
The Legislative Assembly of the
Province of British Columbia
Victoria, British Columbia

Honourable Members:

I have the honour to present herewith Patients First: Renewal and Reform of British Columbia's Health Care System, the report of the Select Standing Committee on Health for the Second Session of the Thirty-Seventh Parliament.

The Report covers the work of the Committee with respect to the changes that are necessary to improve the provision of health services in British Columbia

Respectfully submitted on behalf of the Committee,

 

Val Roddick, MLA
Chair


 

Table of Contents

Composition of the Committee
Terms of Reference
Committee Process
OVERVIEW OF THE HEARING PROCESS
SETTING THE CONTEXT
  Universal Problem
Searching for the Answers
Need for a Made-in-B.C. Approach
OVERARCHING PRINCIPLES
Equity
Patient-centred Care
Evidence-Based Care: Doing What Works
Accountability
REGIONAL RESTRUCTURING
Restructuring Governance Bodies
Restructuring Acute-Care Service Delivery
Reorganizing Provincial Ambulance Services
INFORMATION MANAGEMENT SYSTEMS
PRIMARY CARE REFORM
PREVENTIVE HEALTH
THE CHALLENGE OF HUMAN RESOURCES
Doctor Shortages
Nursing Shortages
Other Health Professionals
PHARMACARE
Reference-based Pricing
Drug Approval
Adverse Drug Reactions
Expanding the Role of Pharmacists
CHRONIC AND CONTINUING CARE
ABORIGINAL HEALTH
FINANCIAL STRATEGIES
Inappropriate Use of Funds
Discouraging Inappropriate Use and Enhancing Patient Responsibility
Privatization
Medical Savings Accounts
DELIBERATIONS FOR THE FUTURE
APPENDICES
Appendix I - Endnotes
Appendix II - References
Appendix II - List of Witnesses

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