Archive for the ‘Health Delivery System’ Category
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Sunday, March 3rd, 2019
St. Joseph’s Healthcare in Hamilton, specifically at its Integrated Comprehensive Care (ICC) program… started as a pilot back in 2012. Known then as the “bundled care” program, it was designed to connect surgical patients with a single team of clinicians who could care for them before, during and after their operations… It has resulted in a savings of up to $4,000 per patient, a 30 per cent reduction in emergency department visits and 30 per cent reduction in hospital readmissions, a savings of more than 30,000 bed days and an increase in patient satisfaction, according to the hospital.
Tags: budget, Health, mental Health, standard of living
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Friday, March 1st, 2019
The possibility that these teams, which might include doctors and hospitals, along with home care agencies and long-term care homes, could share one budget has the potential to deliver positive change. It would provide a clearer incentive to ensure that patients can access the right care in the right place, which generally costs far less than waiting for things to escalate into crisis. But if this is also the government’s way to shave dollars out of the health budget, that potential goes right out the window.
Tags: budget, Health, ideology, mental Health
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Thursday, February 28th, 2019
… the government will create a super agency called Ontario Health, which will become the single point of accountability for all health services in the province… It seems our ministry is forecasting several years of turgid inertia while Ontario Health and Ontario Health Teams organize their new structures… Massive new bureaucracy, maintenance of old bureaucracy and a low rules environment where we will design the future of Ontario health systems “on the fly.”
Tags: budget, featured, Health, ideology, standard of living
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Wednesday, February 27th, 2019
a recent Conference Board of Canada comparative assessment of the provincial health systems ranked Ontario as the second-best performer in the country, behind only B.C. As is true with the analysis from the Ford government on a host of issues, the real story is more complex than they are letting on, and the fix is missing the bigger set of issues at stake, namely how to create an effective and responsive health care system.
Tags: budget, featured, Health, ideology, mental Health, standard of living
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Wednesday, February 27th, 2019
The promise to make a complicated system easier for patients to navigate came with the acknowledgement from Elliott and senior officials that the “transformation” will take at least three years — coinciding with the next provincial election — and with many details yet to be worked out… she announced between 30 and 50 “Ontario Health Teams” will form across the province to better co-ordinate all levels of care. Each will serve about 300,000 people in a geographic area or a specific group of patients across the province, such as children with fragile medical conditions.
Tags: featured, Health, ideology, mental Health
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Wednesday, February 20th, 2019
… the board ordered that the two sides strike an “appropriateness working group” to eliminate or restrict inappropriate or overused physician services — $100 million worth in 2019-20 and another $360 million worth the following year… The arbitration decision provides doctors with redress, eliminating most but not all of the fee cuts imposed by the province in recent years, effective this coming April. As well, it awards physicians with increases of 0.75 per cent for 2017; 1.25 per cent for 2018; 1 per cent for 2019; and 1 per cent for 2020.
Tags: budget, Health, ideology, mental Health
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Tuesday, February 19th, 2019
“Reducing inappropriate use requires careful considerations of the trade-off between the effectiveness of interventions and their acceptability to physicians,” said Rosalie Wyonch. “Incorporating laboratory services in physician compensation formulas would be an effective tool to discourage unnecessary lab tests.” … The report proposes a number of options for policymakers to reduce inappropriate laboratory testing:
Tags: budget, Health
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Saturday, January 5th, 2019
As trainees, we learn to manage patients on medical wards and in office clinics. We become proficient at recognizing their maladies and manipulating their biology: our exams and training prepare us well for this. But we are less prepared to understand how community services — arguably the crucible of modern health care — will pick up where we have left off… Yet, most physicians get little to no exposure to rehabilitation institutions, long-term care facilities and nursing homes.
Tags: Health, mental Health, standard of living
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Tuesday, October 23rd, 2018
Talking about the price of drugs is very 20th century; in the 21st century, and the impending era of personalized medicine, what matters is the value treatments provide. For drugs such as Remicade, we should be paying, and paying fairly, when the drug works, when it delivers on a specific treatment goal.
Tags: budget, Health, jurisdiction, mental Health, pharmaceutical, standard of living
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Monday, October 22nd, 2018
Canada pays the third-highest drug prices among the countries in the Organization for Economic Co-operation and Development, and spends more per capita on prescriptions than any country except the United States and Switzerland… Like generic drugs before them, biosimilars could free up money for governments and private insurers to cover the newest generation of miracle cures, including expensive gene therapies
Tags: budget, featured, Health, jurisdiction, pharmaceutical, standard of living
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