Raisa Deber
Datos Biográficos
| ID | 1734697 |
|---|---|
| NOMBRE | Raisa Deber |
| NOMBRES | Raisa |
| APELLIDO | Deber |
| FIRMA | DEBER R |
| AFILIACIONES | University of Toronto |
| ORCID | 0000-0003-0598-3926 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 25 |
| TOTAL DE CITAS | 99 |
| TOTAL COMO AUTOR | 25 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1974 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2022 |
| ÍNDICE H | 5 |
Addressing the Capital Requirement
Ontario has an immediate need for 70,000 long-term-care (LTC) beds—38,000 to address current waitlists and a further 32,000 in need of replacement, which together will cost more than $20 billion. This study examines funding sources and requirements and ownership structures in the LTC homes sector in Ontario. Semi-structured interviews were used to understand the ability, challenges, and willingness of LTC home owners to undertake the needed const…
Paying for primary care
Four Flavours of Health Expenditures
Different categories of services present different policy issues for financing health care. This conceptual paper suggests four categories: (1) public health services for the entire population; (2) basic health care to individuals, where anticipated costs are small and relatively homogeneous; (3) potentially catastrophically expensive services to individuals, where costs are skewed but not predictable; and (4) potentially catastrophically expensi…
Another Look at the Human Papillomavirus Vaccine Experience in Canada
Policy debates about immunization frequently focus on classic trade-offs between individual versus collective well-being. Publicly funded immunization programs are usually justified on the basis of widespread public benefit with minimal individual risk. We discuss the example of the policy process surrounding the adoption of the human papillomavirus (HPV) vaccine in Canada to consider whether public good arguments continue to dominate immunizatio…
Renforcement de la capacité en soins infirmiers de santé communautaire et de santé publique
Models of funding and reimbursement in health care
What is the best way to pay providers to deliver health services? The research evidence strongly suggests that there is no single answer; rather, one must consider the incentives and disincentives inherent in alternative health‐care funding models. This article suggests a conceptual framework for categorizing payment mechanisms that highlights different policy options and their associated tradeoffs. It concentrates on the following: distinctions …
Do people want to be autonomous patients? Preferred roles in treatment decision‐making in several patient populations
Background What role do people want to play in treatment decision‐making (DM)? Objective Examine the role patients indicate they would prefer in making treatment decisions across multiple clinical settings in Ontario, Canada. Design Secondary analysis of a series of survey/interview‐based studies measuring preferred role, conducted in 12 different populations. Setting and participants Respondents were outpatients, largely but not entirely attendi…
Stickiness' and 'inflow' as proxy measures of the relative attractiveness of various sub-sectors of nursing employment
Patient, consumer, client, or customer
Objective To clarify preferred labels for people receiving health care. Background The proper label to describe people receiving care has evoked considerable debate among providers and bio‐ethicists, but there is little evidence as to the preferences of the people involved. Design We analysed dictionary definitions as to the derivation and connotations of such potential labels as: patient, client, customer, consumer, partner and survivor. We then…
Canadian Health Reform
We analyze the gender impact of the current Canadian system of first-dollar health insurance by examining the use of physicians' services and acute-care hospital services in the Canadian province of Manitoba from April 1, 1997, to March 31, 1999. First, we describe the use by age and sex of healthcare resources offered with universal access at no cost to individuals. Second, we argue that women have a particular interest in maintaining single-pay…
How does trust affect patient preferences for participation in decision‐making
Objective Does trust in physicians aid or hinder patient autonomy? We examine the relationship between trust in the recipient's doctor, and desire for a participative role in decisions about medical treatment. Design We conducted a cross‐sectional survey in an urban Canadian teaching hospital. Setting and participants A total of 606 respondents in three clinics (breast cancer, prostate cancer, fracture) completed questionnaires. Variables studied…
Regulating Healthcare
Health Care Reform
Although Canadian health care seems to be perennially in crisis, access, quality, and satisfaction in Canada are relatively high, and spending is relatively well controlled. The Canadian model is built on a recognition of the limits of markets in distributing medically necessary care. Current issues in financing and delivering health care in Canada deserve attention. Key dilemmas include intergovernmental disputes between the federal and provinci…
Long-Term Care Goes to Market
La désinstitutionnalisation et le virage vers les ressources communautaires posent des défis importants aux décideurs et aux dispensateurs de services, le plus important étant sans nul doute le défi de fournir un volume de services communautaires de haute qualité suffisant à répondre aux besoins de la clientèle. Ce défi est particulièrement évident dans les soins de longue durée (SLD), en raison de la complexité et de la diversité de ce champs d'…
Policy trade‐offs in “home care”
As Canada enters the twenty‐first century, its highly prized program, medicare, is undergoing radical transformation. With technological change and the restructuring of health systems, the locus of care is shifting from institutions to the home. As a result, care that was formerly publicly financed under the Canada Health Act is technically becoming de‐insured. This paper analyses the reform of community‐based long‐term care services in Ontario f…
Public Health in Canada
Overconfidence among physicians and nurses
Freedom, equality and the Chatter of Rights
This paper examines the “clash of frameworks” evident when several policy fields are juxtaposed, and the implications of judicial review for the ability of the state to achieve its health policy objectives. We concentrate on two interrelated issues: the “rights” of physicians to set their own fee levels for services insured by provincial health plans, and to select their practice location while retaining the ability to bill a provincial plan for …
Banning Extra-Billing in Canada
The Impact of Selected Patient Characteristics on Practitioners?? Treatment Recommendations for End-stage Renal Disease
Medical decision making under uncertainty was tested using an empirical study of practitioner judgments concerning the preferred treatment(s) for end-stage renal disease (ESRD) patients. Patient-specific factors were varied systematically in written case vignettes, which were mailed to physician and nonphysician practitioners who treated ESRD patients in Canada and Michigan. Respondents were asked to indicate for each vignette: a preferred treatm…
The Canadian health care system
The Fault, Dear Brutus
A Model of Decision Making
Planning
Evaluation of the success of a plan requires the collection of statistics and indicators for monitoring purposes. In the health care field, outcomes are notoriously difficult to measure. To the extent that a successful program of prevention should result in providing less of a service, a conflict exists between planning and prevention: in the absence of outcome measures, success will be indistinguishable from failure, as in both cases, planned ta…
Party and Opposition
The Fault, Dear Brutus
Overconfidence among physicians and nurses
Policy trade‐offs in “home care”
As Canada enters the twenty‐first century, its highly prized program, medicare, is undergoing radical transformation. With technological change and the restructuring of health systems, the locus of care is shifting from institutions to the home. As a result, care that was formerly publicly financed under the Canada Health Act is technically becoming de‐insured. This paper analyses the reform of community‐based long‐term care services in Ontario f…
Banning Extra-Billing in Canada
Health Care Reform
Although Canadian health care seems to be perennially in crisis, access, quality, and satisfaction in Canada are relatively high, and spending is relatively well controlled. The Canadian model is built on a recognition of the limits of markets in distributing medically necessary care. Current issues in financing and delivering health care in Canada deserve attention. Key dilemmas include intergovernmental disputes between the federal and provinci…
Renforcement de la capacité en soins infirmiers de santé communautaire et de santé publique
Public Health in Canada
Models of funding and reimbursement in health care
What is the best way to pay providers to deliver health services? The research evidence strongly suggests that there is no single answer; rather, one must consider the incentives and disincentives inherent in alternative health‐care funding models. This article suggests a conceptual framework for categorizing payment mechanisms that highlights different policy options and their associated tradeoffs. It concentrates on the following: distinctions …
Stickiness' and 'inflow' as proxy measures of the relative attractiveness of various sub-sectors of nursing employment
Addressing the Capital Requirement
Ontario has an immediate need for 70,000 long-term-care (LTC) beds—38,000 to address current waitlists and a further 32,000 in need of replacement, which together will cost more than $20 billion. This study examines funding sources and requirements and ownership structures in the LTC homes sector in Ontario. Semi-structured interviews were used to understand the ability, challenges, and willingness of LTC home owners to undertake the needed const…
Paying for primary care
Four Flavours of Health Expenditures
Different categories of services present different policy issues for financing health care. This conceptual paper suggests four categories: (1) public health services for the entire population; (2) basic health care to individuals, where anticipated costs are small and relatively homogeneous; (3) potentially catastrophically expensive services to individuals, where costs are skewed but not predictable; and (4) potentially catastrophically expensi…
Canadian Health Reform
We analyze the gender impact of the current Canadian system of first-dollar health insurance by examining the use of physicians' services and acute-care hospital services in the Canadian province of Manitoba from April 1, 1997, to March 31, 1999. First, we describe the use by age and sex of healthcare resources offered with universal access at no cost to individuals. Second, we argue that women have a particular interest in maintaining single-pay…
The Canadian health care system
Party and Opposition
Planning
Evaluation of the success of a plan requires the collection of statistics and indicators for monitoring purposes. In the health care field, outcomes are notoriously difficult to measure. To the extent that a successful program of prevention should result in providing less of a service, a conflict exists between planning and prevention: in the absence of outcome measures, success will be indistinguishable from failure, as in both cases, planned ta…
The Fault, Dear Brutus
A Model of Decision Making
The Canadian health care system
The Impact of Selected Patient Characteristics on Practitioners?? Treatment Recommendations for End-stage Renal Disease
Medical decision making under uncertainty was tested using an empirical study of practitioner judgments concerning the preferred treatment(s) for end-stage renal disease (ESRD) patients. Patient-specific factors were varied systematically in written case vignettes, which were mailed to physician and nonphysician practitioners who treated ESRD patients in Canada and Michigan. Respondents were asked to indicate for each vignette: a preferred treatm…
Banning Extra-Billing in Canada
Freedom, equality and the Chatter of Rights
This paper examines the “clash of frameworks” evident when several policy fields are juxtaposed, and the implications of judicial review for the ability of the state to achieve its health policy objectives. We concentrate on two interrelated issues: the “rights” of physicians to set their own fee levels for services insured by provincial health plans, and to select their practice location while retaining the ability to bill a provincial plan for …
Overconfidence among physicians and nurses
Public Health in Canada
Long-Term Care Goes to Market
La désinstitutionnalisation et le virage vers les ressources communautaires posent des défis importants aux décideurs et aux dispensateurs de services, le plus important étant sans nul doute le défi de fournir un volume de services communautaires de haute qualité suffisant à répondre aux besoins de la clientèle. Ce défi est particulièrement évident dans les soins de longue durée (SLD), en raison de la complexité et de la diversité de ce champs d'…
Policy trade‐offs in “home care”
As Canada enters the twenty‐first century, its highly prized program, medicare, is undergoing radical transformation. With technological change and the restructuring of health systems, the locus of care is shifting from institutions to the home. As a result, care that was formerly publicly financed under the Canada Health Act is technically becoming de‐insured. This paper analyses the reform of community‐based long‐term care services in Ontario f…
Health Care Reform
Although Canadian health care seems to be perennially in crisis, access, quality, and satisfaction in Canada are relatively high, and spending is relatively well controlled. The Canadian model is built on a recognition of the limits of markets in distributing medically necessary care. Current issues in financing and delivering health care in Canada deserve attention. Key dilemmas include intergovernmental disputes between the federal and provinci…
How does trust affect patient preferences for participation in decision‐making
Objective Does trust in physicians aid or hinder patient autonomy? We examine the relationship between trust in the recipient's doctor, and desire for a participative role in decisions about medical treatment. Design We conducted a cross‐sectional survey in an urban Canadian teaching hospital. Setting and participants A total of 606 respondents in three clinics (breast cancer, prostate cancer, fracture) completed questionnaires. Variables studied…
Regulating Healthcare
Patient, consumer, client, or customer
Objective To clarify preferred labels for people receiving health care. Background The proper label to describe people receiving care has evoked considerable debate among providers and bio‐ethicists, but there is little evidence as to the preferences of the people involved. Design We analysed dictionary definitions as to the derivation and connotations of such potential labels as: patient, client, customer, consumer, partner and survivor. We then…
Canadian Health Reform
We analyze the gender impact of the current Canadian system of first-dollar health insurance by examining the use of physicians' services and acute-care hospital services in the Canadian province of Manitoba from April 1, 1997, to March 31, 1999. First, we describe the use by age and sex of healthcare resources offered with universal access at no cost to individuals. Second, we argue that women have a particular interest in maintaining single-pay…
Stickiness' and 'inflow' as proxy measures of the relative attractiveness of various sub-sectors of nursing employment
Do people want to be autonomous patients? Preferred roles in treatment decision‐making in several patient populations
Background What role do people want to play in treatment decision‐making (DM)? Objective Examine the role patients indicate they would prefer in making treatment decisions across multiple clinical settings in Ontario, Canada. Design Secondary analysis of a series of survey/interview‐based studies measuring preferred role, conducted in 12 different populations. Setting and participants Respondents were outpatients, largely but not entirely attendi…
Models of funding and reimbursement in health care
What is the best way to pay providers to deliver health services? The research evidence strongly suggests that there is no single answer; rather, one must consider the incentives and disincentives inherent in alternative health‐care funding models. This article suggests a conceptual framework for categorizing payment mechanisms that highlights different policy options and their associated tradeoffs. It concentrates on the following: distinctions …
Renforcement de la capacité en soins infirmiers de santé communautaire et de santé publique
Another Look at the Human Papillomavirus Vaccine Experience in Canada
Policy debates about immunization frequently focus on classic trade-offs between individual versus collective well-being. Publicly funded immunization programs are usually justified on the basis of widespread public benefit with minimal individual risk. We discuss the example of the policy process surrounding the adoption of the human papillomavirus (HPV) vaccine in Canada to consider whether public good arguments continue to dominate immunizatio…
Four Flavours of Health Expenditures
Different categories of services present different policy issues for financing health care. This conceptual paper suggests four categories: (1) public health services for the entire population; (2) basic health care to individuals, where anticipated costs are small and relatively homogeneous; (3) potentially catastrophically expensive services to individuals, where costs are skewed but not predictable; and (4) potentially catastrophically expensi…
Paying for primary care
Addressing the Capital Requirement
Ontario has an immediate need for 70,000 long-term-care (LTC) beds—38,000 to address current waitlists and a further 32,000 in need of replacement, which together will cost more than $20 billion. This study examines funding sources and requirements and ownership structures in the LTC homes sector in Ontario. Semi-structured interviews were used to understand the ability, challenges, and willingness of LTC home owners to undertake the needed const…
Economics (14 obras) · Health care (13 obras) · Political science (13 obras) · Business (12 obras) · Medicine (12 obras) · Healthcare Policy and Management (10 obras) · Psychology (8 obras) · Economic growth (7 obras) · Family medicine (6 obras) · Finance (6 obras)