Archive for the ‘Health Delivery System’ Category

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Canada lags behind peers in number of doctors per capita: report

Saturday, February 1st, 2020

Canada lags well behind all but the United States among 11 of the wealthiest countries when it comes to the number of doctors per capita, a new report indicates… Canadians have 2.7 practising physicians for every 1,000 people, compared with 2.6 for the U.S. Norway has the most at 4.8. At the same time, Canadians are average in terms of their physician visits each year… [with] higher than average hospital stays combined with a lower than average per capita number of hospital beds

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Some of Ontario’s biggest hospitals are filled beyond capacity nearly every day, new data reveals

Thursday, January 23rd, 2020

On any day, one out of six hospital beds is occupied by a patient who doesn’t need to be in hospital, but cannot be safely discharged home. This is a long-running phenomenon in health systems across Canada known as “alternate level of care” (ALC). Lengthy waits for long-term care spaces are the chief cause, but a lack of available home care and other forms of continuing care also contributes.

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Ontario hospitals ask for nearly $1 billion to ease hallway health-care problem

Saturday, January 18th, 2020

“Ontario hospitals are the most efficient in the entire country”… the additional $922 million sought for 141 publicly-funded hospitals represents an increase of 4.85 per cent. “You can’t expect to end hallway health care and keep asking hospitals to cut their expenditures and become more efficient given what the data shows. Our backs are against the wall here.”

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Updates on the Ontario Health Agency

Thursday, January 16th, 2020

In the past few months, steps have been taken towards expanding and further prescribing the role of Ontario Health… [and] implementing Ontario Health’s mandate. These steps include new regulations under the CCA and a number of transfer orders issued by the Minister of Health (the “Minister”). This bulletin provides a summary of the recent developments.

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The elimination of regional leadership in Ontario’s health system

Wednesday, November 27th, 2019

The health team design principles suggest that regional leadership of the system is not important if local care is better integrated. This may be true but having experience in working with the LHINs to implement change in Ontario, I worry about the loss of a regional leadership structure, which demonstrably improved quality in Ontario health care.

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OPP have saved more than 100 lives with naloxone

Monday, November 18th, 2019

The OPP say calls regarding overdoses rose 121 per cent between 2016 and 2018. Further, OPP data collected between September 2017 to November 2019 shows: The majority (66 per cent) of naloxone recipients were male and 34 per cent were female; The average age of naloxone recipients was 31.5 for females and 32 for males; Most incidences occurred inside a residence

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Video visits with doctors are a smart idea

Friday, November 15th, 2019

There are three much bigger issues the government needs to tackle to reduce the average wait time to be admitted to hospital from an emergency department. It now tops a sickening 16 hours. Those are a lack of nursing home and long-term health care beds and a shortage of home-care services. And they won’t be solved by the $3 million the province plans to spend on video visits and other digital innovations.

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Ontario axing 9 execs in bid to save money, increase efficiencies in health care

Wednesday, November 13th, 2019

A health ministry official said no other employees other than the head of the LHINs, which provide local health care planning, are being laid off now and no offices are closing, but in future there will be “significant” savings as real estate assets are consolidated… Under the plan, between 30 and 50 “Ontario Health Teams” will form across the province to co-ordinate all levels of care, from doctor visits to hospitals stays and home care.

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Home-care agencies seek key role in Doug Ford’s health reforms

Wednesday, November 13th, 2019

… the government’s restructuring of the health system and the creation of the Ontario Health Teams (OHTs) can make it easier for people to be cared for at home and can shift the burden of care away from hospitals when patients truly don’t need to be hospitalized… “Many of the solutions to hospital overcrowding lie outside hospital walls,”

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Why being a salaried doctor benefits my patients and the health care system

Sunday, November 10th, 2019

As the Ontario government bolsters its oversight of OHIP, I would like to see physician accountability move away from billing practices to emphasize quality of care and population health indicators that incentivize following best practices and address the real needs of people and communities… now is the time for her and the provincial Ministry of Health to start thinking about a transition in the current compensation model.

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