Archive for the ‘Health Delivery System’ Category

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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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Cutting ER wait times? There’s an app for that

Saturday, March 30th, 2024

One prescription for improving the health of the urgent care sector: AI and virtual emergency departments are cutting wait times in the real ones… Researchers programmed AI into an app to determine which patients are most urgently in need of care… [plus] online emergency department bookings… with a list of criteria to determine if their condition allows for a short wait before receiving care… [and the use of] data points to boost staff at more demanding times.

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Can new approaches to medical curriculum solve the family doctor shortage?

Friday, March 22nd, 2024

Three new medical schools and an innovative family medicine program look to alleviate a crisis in primary care… Team-based or multidisciplinary care is… an approach that the Canadian Medical Association (CMA) wants provinces to adopt, and soon… While the new medical programs hold a lot of promise for alleviating the family doctor shortage… solving it entirely is a collective responsibility that extends to and beyond all medical schools in Canada.

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I had to turn another patient away: It doesn’t have to be that way

Thursday, February 29th, 2024

It’s actually physically impossible for a solo family doctor to keep up with all the needed acute, chronic and preventive care, let alone look after their many results and consult notes while running what amounts to a small business… Primary care teams are urgently needed to share these responsibilities and make the most of family doctors’ skills… also needed is a clear vision and a steadfast commitment to reconstructing primary care.

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Why is Ontario embracing private health care? The Scandinavian experience shows it hurts both the quality and choice of care

Tuesday, February 20th, 2024

A new report examines trends in Sweden, Norway, the United States, France and Great Britain, where the pursuit of profit by financial capital is systematically devouring public funding, eroding quality of care and degrading working conditions. Sound familiar? It should: The tapeworm economy has arrived in Ontario, and we need to control it… The escalating profitization of care gobbles up funds that could improve care.

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How better and cheaper software could save millions of dollars while improving Canada’s health-care system

Monday, February 5th, 2024

Although the Canadian federal government has invested over $2.1 billion developing health information technology (HIT), all 10 provinces still have their own separate HIT systems. Besides being an obvious source of redundancy and waste, these systems: do not work together, are expensive and are inconsistent… we analyzed the economic costs and savings of integrating some of the functions of the software…

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No end to the ER crisis without investments and addressing workers’ concerns

Wednesday, January 17th, 2024

We recently estimated that dealing with those pressures and bringing back the quality of care in our hospitals to an acceptable standard would require a $1.25 billion annual investment after offsetting costs of inflation. But so far, the Ford government is letting the hospitals deteriorate while it sits on $5.4 billion in contingency funding. If this government is serious about addressing the hospital crisis, it must commit to historic investments immediately.

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Everything we know (so far) about the Canadian Dental Care Plan

Sunday, January 14th, 2024

The program will roll out over two years. By May 2024, everyone over the age of 65 who meets eligibility requirements will be able to apply… By the end of the year, qualifying disabled people and those under 18 should be enrolled. After that, enrollment will open to all other eligible Canadians who meet the income threshold (less than $90,000 in household take-home pay) and don’t have access to private insurance through their employer… Program eligibility will depend on the income reported on your previous-year tax return.

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