Archive for the ‘Health Delivery System’ Category

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Canada has the highest rate of multiple sclerosis. Now St. Michael’s Hospital is launching a $30M centre to fight MS

Wednesday, November 22nd, 2017

“The intent is to build the best clinical facility for MS in the world… And the way you do that is you make sure it’s a facility that offers the best in education and research as well.” … The facility will be known as the Barlo MS Centre — after John and Jocelyn Barford and Jon and Nancy Love, who donated $10 million per family to the project… “It’s the most frequent cause of disability in young adults in a number of western countries,”

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Health-care spending projected to jump nearly 4% this year, report finds

Wednesday, November 8th, 2017

The CIHI report states that… aging is only a “modest driver” of increasing health-care costs, estimated at nearly 1 per cent annually… among the three largest spending categories – hospitals, drugs and physicians, which together account for more than 60 per cent of the overall expenditure – pharmaceutical costs continue to increase at the fastest pace. This has been true since 2015, due partly to the increased use of high-cost patented drugs.

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It’s time for a data-driven approach to health care

Tuesday, November 7th, 2017

… the Big Three – hospitals, physicians and drugs – gobble up more than 60 per cent of total spending, and they have since we started compiling national health data in Canada in 1975. That is a sharp reminder that, despite all the talk about the importance of community care and the need for care to be delivered by multidisciplinary teams, we have a hospital-centric, physician-driven health system.

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Reopening old hospitals is the wrong remedy

Thursday, November 2nd, 2017

Was this an inevitable failure? No. Was the direction of expanding community care wrong? No. More care at home and in the community, was, and still is, the right direction. This failure is overwhelmingly a failure of delivery. At almost every point the political will was too weak, the sense of urgency almost completely lacking and the clarity of leadership muffled in rhetoric and lost in endless process.

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Three Ontario nursing homes ordered to stop new admissions because of substandard care

Wednesday, October 4th, 2017

Proper staffing of Ontario long-term care homes in general has long been a complaint among workers, families and the residents who suffer from lack of care… the government introduced legislation that, if passed, would create tougher enforcement against nursing homes. The legislation would include hefty fines for corporations, ranging from $200,000 for first time offence and $500,000 for subsequent offences.

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Canada should learn from countries that do universal health care differently—and better

Monday, October 2nd, 2017

Data from organizations such as the Commonwealth Fund defuse the notion that such wait times are a natural consequence of universal health care. For example, 30 per cent of Canadian patients reported waiting two months or longer for an appointment with a specialist, compared with only three per cent in Germany, four per cent in France and seven per cent in the Netherlands.

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Big Pharma marketing scheme banned by Ontario

Thursday, September 14th, 2017

The electronic vouchers steer patients to brand name drugs over their less expensive generic equivalents, and have raised concerns that patients’ health records are being used to sell pricier drugs that can pile unnecessary costs onto private insurance plans. The voucher feature, found in medical record software owned by Telus Health and other companies, will be disabled over the coming weeks, said Hoskins.

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Put critical mental health care within reach of all

Saturday, September 9th, 2017

Health Quality Ontario says proven treatments provided by psychologists, nurses, youth counsellors and social workers — such as cognitive behavioural therapy — should be covered by public health insurance. The evidence is clear for these specific psychotherapies, which are the first line of treatment for nearly every type of child or youth mental illness… For severe anxiety, a combination of CBT and medication is successful with 80 per cent of patients.

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Time to regulate occupational health and safety professionals

Monday, September 4th, 2017

… home inspectors, paramedics and human resources professionals are now regulated in some form in one or more provinces. In fact, provinces are increasingly regulating a suite of health professionals that may include everyone from dental hygienists to diagnostic sonographers, but not OHS professionals… Regulating OHS professionals as other countries have done would be a significant step forward in making Canada’s workplaces safer and healthier.

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Why doesn’t Ontario want health-care workers to be accountable?

Friday, September 1st, 2017

No one knows for sure how many PSWs there are in Ontario, precisely because the field is so unregulated. Miranda Ferrier guesses there are about 135,000. About 30,000 belong to her association, and every one of them has to have an enhanced criminal record check and local police check — every year — and the association has in place a code of ethics, standards of practice and ongoing education. If these things were made mandatory… PSWs would have to be similarly checked out and there would be some accountability.

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