A new study had disclosed that Canadian patients with cystic fibrosis, an inherited disease that impairs the lungs and snarls other bodily functions, have a median lifespan 10 years longer than that of Americans with the disorder… there is no simple explanation.
Health Delivery System
Health Delivery Systemposted March 14, 2017 / No Comments
… underfunding and understaffing are “significant contributors” to workplace violence… unions recommend that the ministry of labour audit all of Ontario’s health-care facilities to make sure effective protections are in place; ensure that workplaces have safeguards such as personal monitors, alarms and identification of violent patients; and ensure adequate staffing levels and the presence of trained security personnel where needed.
Health Delivery Systemposted March 3, 2017 / No Comments
…we are still obscenely wealthy when viewed against the backdrop of the vast majority of Ontario citizens, struggling against the ravages of neoliberalism and austerity. I am an inner-city physician… Most of my wonderful patients struggle with poverty. / … other factors matter more to our health than the quality of our health care: security in housing and food, good education, adequate income. These issues, which are critical to patients’ health, are not on the OMA’s agenda.
Health Delivery Systemposted February 20, 2017 / No Comments
Hospitals are largely paid based on how much they spent last year. Long-term care homes are paid for each bed filled. Physicians are paid for the number of services they provide. Crucially, all these entities are paid public dollars through separate envelopes despite treating the same patients. As aging Canadians with multiple chronic diseases bounce from one health-care silo to another, from hospital to the community and back again, nobody holds accountability for their safe journey across these settings.
Health Delivery Systemposted February 17, 2017 / No Comments
More than anything else though, what Canada needs to fix its systemic health-care woes is to create a semblance of a system. What distinguishes the countries that have markedly better results than Canada – like the Netherlands and the Nordic countries – is the cohesiveness of the system, and the emphasis on primary care… we need vision and we need a system; not just data, but a willingness to act on the data.
Health Delivery Systemposted January 12, 2017 / No Comments
The measure, recommended by auditor general Bonnie Lysyk in her 2015 annual report, is part of a package of legislative and regulatory reforms expected by summer. They include more powers for the Health Ministry to order nursing homes to improve care, such as adopting new “best practices” for treating skin and wound problems, and the power to suspend a nursing home’s licence and put interim management in place.
Health Delivery Systemposted January 10, 2017 / No Comments
Complex health systems do not run themselves, and our current loosey-goosey collection of leaderless, milquetoast administrative bodies is not doing the job. If you want a well-managed, efficient health system that provides value for money, you need to hire good managers, pay them decently, empower them and hold them accountable. Until we do so, the number of health regions won’t matter, and the quality of health care will not improve appreciably.
Health Delivery Systemposted January 3, 2017 / No Comments
… it is clear that Ontarians deserve answers in the face of credible information that, at the very least, some doctors are billing enormous amounts for procedures that auditors find to be highly questionable – if not outright fraudulent… It also strengthens the argument for making public how much individual doctors bill the province for their services… it’s been done routinely in two other provinces for many years.
Health Delivery Systemposted January 1, 2017 / No Comments
Quality of care has improved for [10.5 million Ontarians]… patients who are part of a Family Health Team… those left behind from new group practices [2.3 million] receive poorer quality care… the patients left behind are more likely to be poor and new to Canada — and most live in urban areas… simply having a family doctor may not be enough.
Health Delivery Systemposted December 11, 2016 / No Comments
A majority of people connect with mental health services through their family doctor but there are other ways to get mental health care… If your family doctor isn’t on a health team, or you need specialized mental health care beyond what they can provide, you might need your doctor to refer you to a psychiatrist. Or, if you can afford it, you can go through a private clinician like a psychologist or therapist… There are also free community resources available to help people navigate the mental health system and find affordable care.