{"id":291848,"date":"2015-09-18T06:59:26","date_gmt":"2015-09-18T10:59:26","guid":{"rendered":"https:\/\/policyoptions.irpp.org\/2015\/09\/canada-has-mixed-wait-time-results-in-healthcare\/"},"modified":"2025-08-28T15:20:38","modified_gmt":"2025-08-28T19:20:38","slug":"canada-has-mixed-wait-time-results-in-healthcare","status":"publish","type":"post","link":"https:\/\/policyoptions.irpp.org\/fr\/2015\/09\/canada-has-mixed-wait-time-results-in-healthcare\/","title":{"rendered":"Canada has mixed wait time results in healthcare"},"content":{"rendered":"

We need governments to promote best practices across the country and improve patient outcomes<\/p><\/blockquote>\n

Wait times have long been a source of concern for Canadians, and in some jurisdictions, remain a significant problem. Recently the Canadian Institutes of Health Information (CIHI) released their report for 2015. There is both encouraging news and areas in need of attention.<\/p>\n

CIHI follows the wait times for five interventions across all jurisdictions in Canada including cancer care (radiation), cataract removal, surgery for hip fractures and total joint replacements of the hip and knee. In each instance, the question posed by CIHI is: \u201cWhat percentage of people receive treatment in a timely fashion?\u201d<\/p>\n

Establishing what constitutes \u201ctimely treatment\u201d can be contentious, but in 2004, the provinces and territories agreed to standards for wait time maximums based on the best available evidence. CIHI continues to deploy these benchmarks to the present day.<\/p>\n

The positive news is that wait times have remained stable over time in spite of increased demand. For example, the numbers of patients receiving radiation therapy has grown by 34% since 2010, yet 98% of patients are treated within the benchmark. Surgery for hip fractures has shown an improvement of 6% to 84% for timeliness.\u00a0 Eighty-three percent of hip replacements were performed within benchmark while 79% of knee replacements made the mark. For cataract surgery, the number within benchmark was 80%.<\/p>\n

Unfortunately, CIHI is not able to address the question of appropriateness of treatment.\u00a0 The critical question: \u201cDoes this patient really need this surgery, now?\u201d remains unanswered.<\/p>\n

Other studies show Canadian wait times in a mixed light.\u00a0 In an OECD study, Canada fares well in terms of timeliness of access compared to six OECD peer countries (United Kingdom, Australia, New Zealand, Finland, Estonia and Portugal), ranking first in cataract surgery and second in knee and hip replacements. (The other two interventions are not tracked in the other nations.)<\/p>\n

But a third study by the Commonwealth Foundation found that Canada does not fare well compared to peer nations with universal health care when accessing appointments for primary care and consultations for specialty care. Since accessibility is one of the five core principles of the Canada Health Act, it is a substantial issue that needs urgent attention. Furthermore, delays experienced in accessing these services would add to the total wait times for health care interventions.<\/p>\n

In other words, there\u2019s much room for improvement in the Canadian health system.<\/p>\n

Fortunately there are means at hand to address the problems of wait times and appropriateness of care, means that are already being deployed successfully in Canada, such as the work of the Cardiac Care Network in Ontario or the Alberta Bone and Joint Institute \u2014 or the Choosing Wisely Canada initiative of the Canadian Medical Association.\u00a0 But we need a broader uptake of such best practices across the country.<\/p>\n

Best practices not only enhance healthcare efficiency, they result in substantial economic savings too \u2014 a minimum of 15 percent according to most analyses.\u00a0 So how do we get there?<\/p>\n

Effective wait time management requires support from government leaders as well as cooperative administrative and clinical leadership. IS\/IT infrastructure support to manage centralized wait lists is fundamental, as is a committed full-time staff monitoring wait times performance in jurisdictions, measuring performance against benchmarks and identifying \u201coutliers\u201d or patients who are experiencing untoward delays.<\/p>\n

With these elements in place, a system can be created that includes the ability to track the key information of broad trends, as well as the means to identify individual problems.<\/p>\n

In addition to timely care, we must also establish a clear rationale for treatment in the first place: \u00a0Is this knee replacement really necessary now or should the patient lose weight or possibly have non-surgical management?\u00a0 When, why and how interventions need to be undertaken should be re-examined across the country.<\/p>\n

Building on the successes of best practices already established in some regions of Canada should set the agenda for the future \u2014 to enhance efficiency and quality of care at lower costs.\u00a0 Acting now will only strengthen Canada\u2019s most coveted social program.<\/p>\n

Robert Y. McMurtry<\/a> is an expert advisor with EvidenceNetwork.ca, an active orthopedist and formerly Dean of Medicine at Western University and Assistant Deputy Minister of Health Canada. \u00a0He was a special medical advisor to the Royal Commission of the Future of Health Care in Canada (Romanow Commission).<\/i><\/p>\n","protected":false},"excerpt":{"rendered":"

We need governments to promote best practices across the country and improve patient outcomes Wait times have long been a source of concern for Canadians, and in some jurisdictions, remain a significant problem. Recently the Canadian Institutes of Health Information (CIHI) released their report for 2015. There is both encouraging news and areas in need […]<\/p>\n","protected":false},"author":913,"featured_media":250682,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"content-type":"","ep_exclude_from_search":false,"footnotes":""},"categories":[],"tags":[],"article-status":[],"irpp-category":[],"section":[],"irpp-tag":[],"class_list":["post-291848","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"\nCanada has mixed wait time results in healthcare<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/policyoptions.irpp.org\/fr\/2015\/09\/canada-has-mixed-wait-time-results-in-healthcare\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Canada has mixed wait time results in healthcare\" \/>\n<meta property=\"og:description\" content=\"We need governments to promote best practices across the country and improve patient outcomes Wait times have long been a source of concern for Canadians, and in some jurisdictions, remain a significant problem. 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