New health care studies from Fraser Institute

Issue: BCMJ, vol. 54, No. 5, June 2012, Page 252 News

The Fraser Institute recently released two new health care studies. The first, on the drug approval process in Ca­nada, shows that Canadians wait an average of 2 years for access to new drugs due to delays in both the federal approval process and the provincial process of authorizing reimbursement. 

Data show that Health Canada took longer to approve new medicines than the European Medicines Agency in all 5 years studied, and longer than the US Food and Drug Administration in 6 of the last 7 years studied. The study can be viewed at

The second study, on Canada’s health insurance system, provides data indicating that although Canadian health insurance ranks among the most expensive in the OECD, Canada is not providing patients with the same levels of access to medical services as other comparable countries. 
The study uses the most recent data available (from 2009) to compare the health care expenditures of 28 OECD countries in relation to 20 indicators of medical resource availability and output of medical services. 

Data show that Canada had the sixth-highest rate of health insurance expenditures, but ranked below the majority of OEDC countries on 15 out of the 20 indicators used, ranking especially low on the number of practising physicians per population (19th out of 23 countries). The study can be viewed at

. New health care studies from Fraser Institute. BCMJ, Vol. 54, No. 5, June, 2012, Page(s) 252 - News.

Above is the information needed to cite this article in your paper or presentation. The International Committee of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.

About the ICMJE and citation styles

The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.

An alternate version of ICMJE style is to additionally list the month an issue number, but since most journals use continuous pagination, the shorter form provides sufficient information to locate the reference. The NLM now lists all authors.

BCMJ standard citation style is a slight modification of the ICMJE/NLM style, as follows:

  • Only the first three authors are listed, followed by "et al."
  • There is no period after the journal name.
  • Page numbers are not abbreviated.

For more information on the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals, visit

BCMJ Guidelines for Authors

Leave a Reply