Archive for the ‘Health Delivery System’ Category

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Ontario Health Teams: Primary Care Should Be Key

Friday, September 27th, 2019

The idea that in a well-functioning healthcare system, patients must have an accountable provider serving as their medical home is more convincing than ever, and a patient enrollment model based on capitation is by far the most logical basis for such a system… The right way for the Ontario government to go at this point is… to use capitated primary-care providers as the backbone of the new OHTs.

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Overview of the Second Report of the Premier’s Council on Improving Healthcare and Ending Hallway Medicine: Part III

Friday, September 20th, 2019

… the Council suggests that accurately capturing patient experience in all aspects of the health care system is paramount. When assessing value for money, the Council advises the government to  work to develop indicators that measure patient and overall population health outcomes against the cost of administering and delivering services in the most efficient way.

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Ford’s slogans aren’t fixing health care

Sunday, September 8th, 2019

This past June was the worst June on record for hospital overcrowding since the province began collecting statistics in 2008 to track so-called “hallway medicine.” … the immediate needs of Ontario’s home care system, long-term care homes and hospitals are largely being ignored while the government focuses on a much-publicized but little-understood overhaul of health care.

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Worst June on record for ‘hallway medicine’ at Ontario hospitals

Friday, September 6th, 2019

Hospital overcrowding for the month of June hit a record high this year, according to the Ontario Hospital Association… the sector has been in austerity mode for more than a decade… At the same time, more than 4,500 patients were occupying hospital beds during the month even though they no longer required hospital care.

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Are Ontario Health Teams designed for failure?

Wednesday, September 4th, 2019

The ministry has left it to the teams to describe how OHT’s will plan and decide on regional service delivery. There is no requirement for community or patient/family engagement in service planning… Rather than community integration led by public demand for services in mental health or community care, OHT’s seem at risk for becoming hospital-driven organizations, where the strength of the hospital board governs decisions in the region.

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State of emergency, Part 1: How to fix Ontario ERs? We ask a paramedic

Thursday, August 22nd, 2019

Once an ambulance loads a patient, the paramedic crew becomes responsible for that patient’s care, and they remain solely responsible for that patient until they are admitted by the ER. Non-urgent patients then wait on stretchers under the watchful gaze of well-trained paramedics, who are legally compelled to remain with them no matter how long it takes. Paramedic crews, and their valuable ambulances, can sit idle for many hours.

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Health Minister Christine Elliott promises transparency in new health care system

Saturday, August 10th, 2019

Once… Ontario Health is fully making the decisions on all aspects of those issues that were dealt with by the LHINs before, then they will be having public meetings.”… the Ontario Health Teams — alliances of local health providers that will oversee most aspects of health care within their jurisdictions — will be required to hold public meetings and publicly post minutes.

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Early interventions needed in mental health care

Friday, August 9th, 2019

… funding has fallen by over 50 per cent over the past 25 years at a time when demand is exploding. Without political intervention, the gap between demand and supply will continue to grow. To counter this shortage of care, we need more practitioners… Interprofessional care teams are more efficient and allow our most specialized and expensive interventions to be matched to patients with the most significant needs.

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OMA should stop fear-mongering on nurse practitioners

Thursday, August 8th, 2019

They provide top-quality health care for tens of thousands of people without a family doctor; they free up doctors to focus on serious illnesses; and they stretch the province’s healthcare dollars… if we are to improve the quality and sustainability of our healthcare system. It’s time the OMA started to actively support nurse practitioners – and ended its self-serving “turf wars.”

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New Weapons Against Cancer: Millions of Bacteria Programmed to Kill

Sunday, July 21st, 2019

Scientists have used genetically reprogrammed bacteria to destroy tumors in mice. The innovative method one day may lead to cancer therapies that treat the disease more precisely, without the side effects of conventional drugs… an additional benefit. After they killed off one tumor with bacteria, other tumors in the mice also shrank. It is possible that the bacteria helped the immune system learn to recognize other cancer cells.

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