Assessment of the Health System Performance in Ontario Major Cities (Canada)

Adela Nistor, Diana Gabriela Reianu


This study aims to provide evidence to support policymaking by assessing health system performance in the province of Ontario, Canada, and its major cities (Toronto, Mississauga, Oakville, and Brampton). It reports on the performance of health care organizations and local health systems over the years 2012-2018. The performance indicators analyzed are grouped into two categories: health status and quality of service (Ontario Ministry of Health). The analysis reports health care waiting times for the year 2018, focusing on the most frequently reported disease groups and procedures such as: pediatric, cancer, cardiac, orthopedic, eye, diagnostic imaging, and emergency room. It also looks at government spending on health, the benchmark for surgical procedures, the number of physicians, the health status of the population, and rates of hospitalization and hospital admissions. As recommendations, among policies to improve the health system, the government should pay attention to health spending, increasing the number of doctors rather than beds, and introducing the privately-owned hospitals that could coexist with the public ones.


health system; performance; health status; health policies.

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