Quebec and Ontario's health-care systems offer the best overall value for money, a new report concludes, while Newfoundland and Labrador offers the worst.

The report, from the Fraser Institute think-tank, looked at the per-capita cost of health care in each province and compared it with the availability and quality of medical services. The report focused on the availability of resources, the timeliness of service, and clinical performance using 46 key indicators.

Quebec performed best in its availability of medical resources, including doctors, specialists and nurses per capita, as well as medications approved for public reimbursement. Manitoba, Saskatchewan, and Prince Edward Island had the fewest medical resources among the provinces.

Ontario also offered the timeliest access to medical services in Canada, followed by Quebec and Alberta. The longest delays for specialist appointments, surgery, diagnostic imaging, and pharmaceutical approvals were found in Prince Edward Island, Newfoundland and Labrador, and British Columbia.

Alberta was found to have the best overall clinical performance among the provinces in terms of mortality rates, hospital re-admission rates, and patient safety, followed by Manitoba and Quebec. Saskatchewan performed most poorly, followed by British Columbia and Newfoundland and Labrador.

Quebec spends the least on health care per capita, followed by British Columbia and Ontario, while Newfoundland and Labrador, Alberta, and Saskatchewan spend the most, said Nadeem Esmail, the Fraser Institute’s director of Health Policy Studies.

“This study reveals how provinces have struck different balances between health expenditures and health system performance,” Esmail said in a statement. “For example, Quebec is able to offer its residents a relatively high-value health care system at a low cost, while Newfoundland and Labrador does its residents a disservice by providing only average value at a very high cost.”

The study did not examine health care services in the territories of Yukon, Nunavut and the Northwest Territories.

Here are the overall value-for-money rankings

  1. Quebec
  2. Ontario
  3. New Brunswick
  4. Nova Scotia
  5. British Columbia
  6. Manitoba
  7. Alberta
  8. Saskatchewan
  9. Prince Edward Island
  10. Newfoundland and Labrador