Archive for the ‘Health Delivery System’ Category

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Fixing Canadian health care with a TripAdvisor for hospitals

Friday, October 21st, 2016

… quality reports not only serve patients as a transparency tool and hospitals as a marketing tool; they also encourage hospitals to improve quality. They furthermore help public health experts and scientists to develop better clinical guidelines, and medical societies and public health authorities to analyze and address system-wide quality issues… More money has not fixed the chronic problems plaguing Canada’s health-care system. Replicating successful reforms… would provide healthy incentives

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Nursing homes must stop asking for drug fees from pharmacies

Tuesday, October 18th, 2016

… pharmacies that bid for these lucrative contracts — valued at more than $1 billion in dispensing and co-payment fees for the last five years — should be focused on providing service to the homes and reducing costs to taxpayers. And nursing homes should not be handing out contracts to the highest bidder, but to the pharmacy that can provide the best service to them and their residents.

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How stewardship might heal our health care woes

Thursday, September 29th, 2016

… stewardship – the belief that doctors (and other health care providers) don’t just have labour contracts, they also have a social contract. “It is not only our professional responsibility to be stewards and to make sound decisions about the resources we use on behalf of our patients” … “On our side of the contract, we provide compassion, availability, accountability, working for the public good and altruistic service. On the other side, we receive trust, autonomy, self-regulation and rewards,”

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How did all these opponents of two-tier health care miss it popping up everywhere around them?

Monday, September 26th, 2016

… how can people so ostensibly outraged at privilege and in favour of the common person be unaware that our system is so skewed? Or uninterested in it? And how can they denounce “two-tier” medicine, when we have at least four major tiers and lots of minor ones inside it, including famous politicians getting treatment at private for-profit clinics?

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Rewiring the brain

Thursday, September 22nd, 2016

Neuromodulation is the process of altering the brain’s circuitry by directly intervening inside the brain. Electrical, ultrasound or magnetic energy is used to change the brain’s circuitry or disrupt pathways… Discoveries from neuromodulation techniques are opening up new treatment possibilities for people with conditions such as depression, obsessive compulsive disorder, schizophrenia and anorexia nervosa.

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Our medical system needs choice to survive

Wednesday, September 7th, 2016

Many other countries — such as Sweden, New Zealand and Australia — combine some form of public and private operation, while upholding the same standards of care and accessibility as Canada… Elements of private care have penetrated many levels of the Canadian system, to be taken advantage of by those in the know… Defenders of public health care should be focused on attaining a greater level of flexibility and innovation within a guarantee that no one will be denied quality care through insufficient means.

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Forging a new deal for doctors requires a new approach

Sunday, August 28th, 2016

Doctors will no doubt blame all of these problems on inadequate resources, ignoring the fact Canada’s health care system is comparatively a high-spender with doctors who are well-paid. At least some of our poor performance internationally must be attributable to how physicians run their practices and treat their patients… The problem is that the sum of what may be best for each individual patient may not be what is best for Ontarians or Canadians as a whole.

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We have more doctors and specialists than ever – but is that good news?

Sunday, August 28th, 2016

… while there has been a recent decline in real per capita provincial government health spending, total physician costs have continued to rise. But the CD Howe Report points out that spending is also affected by physician composition – particularly specialists. Adding one specialist physician per 1,000 persons was associated with an additional $720 in real per capita provincial health spending… The number of specialists per Canadian has almost doubled since 1981.

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As healthcare overhaul looms, battlelines drawn

Thursday, August 25th, 2016

What the country needs is a holistic approach to health, as Dr. Philpott suggested this week in offering as one of several solutions a serious look at the “socio-economic” factors affecting health. The logical conclusion is that governments must at least think about embracing universal daycare, pharmacare and denticare, which certain successful European societies have long ago done… The feds will have to put their money where their social-engineering ambitions are, covering something close to half of sub-government healthcare spending, long ago slashed to the current 20 per cent or so.

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More doctors means higher health-care costs across Canada

Wednesday, August 24th, 2016

… the number of physicians in Canada grew last year as did the overall cost of their services, which rose almost 4 per cent to $25 billion… For the ninth year running, that number has increased at a faster rate than the population. There are now more doctors per person than ever before — 228 for every 100,000 Canadians… Between 2011 and 2015, the number of MD degrees awarded in Canada increased by about 12 per cent… In 2015, almost 40 per cent were female, up from 36.5 per cent in 2011.

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