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. 2002 Mar;80(1):125–154. doi: 10.1111/1468-0009.00005

Policies Selected for Study, by Policy Category and Province

Policy Category Ontario Saskatchewan
Jurisdiction/governance Establishment of community-based transfer payment agencies for administering and funding midwifery practice groups (part of a larger policy trajectory that began with the decision to publicly fund midwifery services). Establishment of a health district with multilevel funding to serve both First Nations and non–First Nations populations (part of a larger policy trajectory that began with the decision to devolve much of the decision-making authority over health services to elected boards in health districts).
Financial arrangements Introduction of a discounted physician fee schedule for three years to provide incentives to practice in underserved geographic areas. Introduction of a needs-based funding formula for the allocation of approximately 60% (and eventually 80%) of health district funding (part of the same devolution initiative noted above).
Delivery arrangements Establishment of single long-term care access points for admission to long-term care facilities and the introduction of standardized admission criteria for these facilities (part of a larger policy trajectory that began with the decision to reform the long-term care sector). Introduction of long-term care resident classification criteria for use in needs-based funding of health districts, program planning, and resident assessment (part of the same devolution initiative noted above).
Program content Expedited (or facilitated) access to HIV prenatal screening. Expansion and systematization of a pneumococcal immunization program over four years.