Archive for the ‘Health Delivery System’ Category

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These doctors can help tackle Ontario’s shortage. They just need a licence

Wednesday, November 20th, 2024

… medical residencies should have a different stream for foreign-born doctors that more accurately assesses their qualifications… the expansion of supervised clinical positions in family health teams and Indigenous health centres where these doctors could gain clinical experience while meeting the needs of underserved communities… In the short term… the government could lower barriers to licensure by waiving exam fees — which can quickly run up to thousands of dollars — and funding additional residency positions.

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Foreign doctors won’t solve our family physician crisis. Here’s what might

Monday, October 14th, 2024

Expand and reform medical education… increase capacity and tailor programs to meet current needs, especially in family medicine… Reform selection processes to attract medical students who are committed and suited for specialties in need, particularly family medicine… Embrace community-based training… Incentivize family medicine… Integrate technology… Promote team-based approaches that maximize and effectively integrate the skills of various health professionals, improving patient care and physician satisfaction.

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Doctors want to practice medicine. Instead, we are buried in paperwork

Monday, September 30th, 2024

Administrative burden is a catch-all term to describe all the work a family physician does each day that does not include seeing patients… on average, a family doctor spends 19 hours per week on administrative and clerical tasks. Is it any wonder that recent reports state that medical students don’t want to be family doctors? In fact, 94 per cent of family doctors report feeling overwhelmed with this burden and as a result, some even close their practices…

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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.

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Are private health care providers breaking the law? Four doctors speak out on for-profit care in Canada

Saturday, August 10th, 2024

… the Canada Health Act, which specifies that medically necessary care pertains to care provided by a physician or in a hospital in order for provinces to receive their full Canada Health Transfer payments. The Act, which became law in 1984, is understandably silent on other health-care providers, such as nurse practitioners, or technological platforms that have emerged in the ensuing years… “… it’s absolutely horrible that people are being asked to pay for primary care especially when we see such a lack of support for physicians working in primary care through the publicly funded route.”

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Many more dentists on board to provide care under dental-care program: Holland

Wednesday, August 7th, 2024

… the increase is probably thanks to a change last month that allowed providers to participate on a claim-by-claim basis rather than registering in advance… If the program is to succeed, the government doesn’t just need all current dental-care providers to be ready to sign up. More professionals will also be needed to serve the nine million or so patients Ottawa expects will be eligible for the program before the end of next year.

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Canada has a hospital wait-time crisis. Other countries with universal health-care don’t. We should follow their lead

Tuesday, August 6th, 2024

In Canada, hospitals are primarily funded through what is called block funding… Under this system, any patient coming in is a cost to the hospital, which is then incentivized to ration care through long wait times… In European health-care systems, hospitals are primarily funded through an activity-based funding model… As every act of care is tied to a direct source of revenue, hospitals are encouraged to see and treat more patients

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As for-profit health care expands across Canada, doctors are fighting back

Friday, August 2nd, 2024

… the Canadian Medical Association is calling on governments across the country to ensure medically necessary care is based on need and not on the ability to pay. This includes enforcing a provision in the Canada Health Act that bans making patients pay fees as a condition of receiving publicly insured health services, a practice employed by some private medical clinics.

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I’m an emergency physician. I’ve seen what a functioning health care system needs and it’s not more downloading to pharmacies

Friday, August 2nd, 2024

Rather than focus on episodic care in a way that further fragments the health-care system, a “bold and innovative” government would address the major source of health-care rot — the lack of primary-care providers. It would reorder incentives and invest in strategies to ensure that every Ontario resident has a primary care provider to manage their episodic and complex medical needs… not a pharmacist to manage their sore throats and warts.

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Ontario considering expanding pharmacists’ powers to treat more common ailments

Thursday, August 1st, 2024

… the province is consulting with the industry on treating 14 more common ailments, such as a sore throat, shingles, and some sleep disorders… the government is also looking at allowing pharmacists to order and perform tests for strep throat and to administer additional vaccines for tetanus, diphtheria, pneumococcal, and shingles… [and] giving pharmacy technicians the power to administer vaccines for hepatitis, rabies, and meningitis.

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