Ten years ago on 25 October the 500-page report of the Standing Committee on Senate Social Affairs, Science and Technology The Health of Canadians: The Federal Role, was released (often referred to as the Kirby Report, after committee chair Michael Kirby). The report, which looked at the problems and potential remedies for Canadian health care, was followed by the report of the Romanow Commission.
Both reports recommended an injection of more federal funds into health care, which subsequently materialized through two health accords in 2003 and 2004. In the report, the senators recommended that health care funds be used to “buy change and reform,” not sustain health care as it was structured at the time. It is generally recognized that the accords failed to follow this advice.
The senators also proposed a “health care guarantee” with maximum wait times, and warned that if governments could not ensure timely access to care, the courts would decide that Canadians could not be denied the right to purchase private health insurance to get the services they need. The Supreme Court of Canada made such a ruling in the now-famous Chaoulli case in June 2005, and there are currently other cases pending.
Another recommendation in the report was the use of activity-based funding for hospitals, which has now been adopted by some provinces. Recommendations in favor of a national home care program and the expansion of medicare to cover catastrophic drug costs remain unfulfilled.
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 www.icmje.org