Archive for the ‘Health Delivery System’ Category

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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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Ontario’s health-care system is in crisis. More privatization isn’t the answer

Thursday, June 6th, 2024

We know that private, for-profit chains will come to dominate our health-care system if we let them. It’s already happening. That’s a recipe for poorer services, higher costs, and worse outcomes. We could achieve better results for less by removing the profit motive and focusing on community clinics run on a not-for-profit basis… instead of headed and run from a distance by some faceless, profit-maximizing firm.

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The Doctor Dilemma: Improving Primary Care Access in Canada

Monday, May 27th, 2024

Addressing the primary care access gap involves five strategies… : 1) expanding the number of training positions and filling the unfilled residency spots with international medical graduates; 2) reducing the administrative burden for family physicians; 3) providing alternate payment models; 4) expanding the scope of practice of other primary care providers; and 5) expanding team-based models of care.

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How Canada can fix primary care crisis

Thursday, May 23rd, 2024

In every neighbourhood in the country, just as there are schools for our children, there should be a primary-care home — or centre — served by a team of doctors, nurse practitioners, nurses, dieticians, therapists, social workers, and others. Each person has an ongoing relationship with a primary-care clinician in this publicly funded team. The team is connected to other parts of the health system and social services. It’s a one-stop shop for your health related needs.

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We need to revolutionize how we organize health care in Canada

Friday, April 19th, 2024

… “achieving high value for patients must become the overarching goal of health care delivery, with value defined as the health outcomes per dollar spent.” … Our government should focus less on who they are paying, and more on what they want to buy… This would facilitate innovations in care delivery across the system, and allow for more investment in integrated care programs that span the full continuum. Funding could focus on all-in coverage… including drugs, home care and virtual innovations.

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