Development of a taxonomy for health care decision-making in Canada

With the implications extending beyond the health care system, there is a move towards requiring that the level of government that provides particular services or makes the decisions to provide services, be given the responsibility of funding. [...] Regarding the latter measure, we will include an assessment of the role of cost-effectiveness analysis in decision-making and how organizational structures enhance or impede the use of such analyses in the process of making decisions. [...] To do this, the federal government has been in a struggle with the provinces over the proper role that the federal government ought to play in the future development of provincial health care systems. [...] One example of the first prong is the splitting of the CHST into two separate transfers, Canada Health Transfer (CHT) in support of health and the Canada Social Transfer in support of post- secondary education, social assistance and social services. [...] The MOHLTC will fund the device portion of the surgery while the other services that go along with the surgery are funded through the hospital’s global budget.10 The Priority Programs Unit provides designated hospitals with the operating funds to deliver MRI insured services.