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The Nurse Practitioner Answer to the Primary Care Crisis
Sunday, October 27th, 2024
Another factor [to explain Canadians’ seemingly sudden disenchantment with their healthcare system]may be the reluctance of provincial governments to undertake major institutional reforms. Since the 1990s, when serious budget deficits necessitated action, most provinces have been reluctant to provoke opposition from powerful interest groups, in particular physicians’ associations… As a result of this opposition, some NPs are underemployed in rural and remote communities or underutilized in urban hospitals…
Tags: Health, ideology, jurisdiction, participation
Posted in Health Debates | No Comments »
Addressing the Crisis in Access to Primary to Primary Care: A Targeted Approach
Sunday, September 29th, 2024
… a major cause for the dysfunction is the reluctance of provincial governments to undertake institutional reforms, for fear of provoking interest groups – particularly physicians’ organizations. The provinces have not made major changes to their health delivery systems since forced to do so by the deficit crises of the 1990s… The author recommends… an aggressive increase in the number of nurse practitioners working in community primary care, usually in multi-discipline clinics; and… rostering patients and expanding capitation in multi-discipline clinics.
Tags: featured, Health, ideology, jurisdiction, participation
Posted in Health Delivery System | No Comments »
Putting the ‘system’ in education for on-reserve students
Monday, February 27th, 2012
Feb. 27, 2012
… reserve schools have two major tasks – to teach traditional culture and the core competencies of reading, writing, science and mathematics necessary for success in the mainstream economy. With honourable exceptions, on-reserve schools are failing at both tasks… “The education ‘system’ for first nations students on reserve is a far cry from any system that other Canadians would recognize in terms of … degree of input, accountability, and democratic governance most Canadians take for granted.”
Tags: budget, Indigenous, standard of living, youth
Posted in Education Delivery System | No Comments »
Stand up for good government, MPs
Thursday, August 12th, 2010
Aug. 11, 2010
This is an occasion for MPs to stand up and be counted. We call for the three opposition leaders to agree on the text of a resolution in defence of census integrity and preservation of the mandatory long form, and to state publicly their intent to move it upon reopening of the House of Commons. In the spirit of democracy and non-partisanship, the vote should be open, unconstrained by party whips. Parliamentary endorsement of the integrity of the census would be a powerful affirmation of a core Canadian value.
Tags: ideology, participation, rights, standard of living
Posted in Governance Debates | No Comments »
Lone-parent poverty: Canadian social policy can still do better
Tuesday, July 6th, 2010
July 6, 2010
Canada’s poverty rate in the mid-2000s was 12.5 per cent, two points above the midpoint among OECD countries. Unfortunately, further reductions in Canadian poverty are likely to be more complex than welfare-to-work programming. In many provinces, most welfare recipients are no longer “employables”; they are “persons with disabilities.” A high-profile category is the urban homeless, most of whom combine some form of mental illness with abuse of drugs or alcohol. Here, effective policy requires provision of housing and expensive services. The long-term goal of social policy is to reduce the numbers in at-risk groups.
Tags: economy, participation, poverty, women
Posted in Social Security Debates | No Comments »
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