Archive for the ‘Health Delivery System’ Category

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This report is a must-read to diagnose ills of Canada’s health care

Thursday, July 23rd, 2015

… Canada’s health-care system is rife with innovation and creativity but initiatives worthy of emulation are not being embraced and scaled up by make-no-waves policy-makers… There is no system-level innovation in health care because there is a lack of working capital, an absence of expert management and little incentive for or investment in improvement… it calls for a new philosophy, one that involves Ottawa having ideas and taking action beyond cutting cheques

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New Ontario health care watchdog to investigate patient complaints

Tuesday, July 7th, 2015

The role’s creation comes after the Quality of Care Information Protection Act review committee released recommendations in December 2014 calling for a mechanism to be established to investigate critical health care incidents… the province would be asking the public to provide characteristics of an ideal candidate by the end of August… Though many hospitals already have patient relations departments… as of Sept. 1, 2015, all hospitals must have staff responsible for patient relations.

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Untrained and unemployed: Medical schools churning out doctors who can’t find residencies and full-time positions

Monday, June 15th, 2015

… individual provinces and universities determine the size of medical-school classes, the number of residencies, and how the training positions are divided between specialties — with seemingly haphazard attention to society’s needs… By 2012, enrollment had almost doubled, with a parallel increase in the number of residency positions. The country was also admitting more international medical graduates, including Canadians who earned degrees overseas… About 16 per cent of specialists graduating in 2011 and 2012 failed to find work

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A challenge for new doctors: Focus on the patient, not just the symptoms

Tuesday, June 9th, 2015

We have built a sickness care system rather than a health system… In our unrelenting quest for efficiency and measurement, we too often lose sight of what really matters… They crave a human connection. Not just care, but caring… physical woes are the least of patients’ worries. Their health problems aren’t strictly caused by mutating cells, opportunistic pathogens and poor genes, but by poverty, lack of education, poor housing, stress and social isolation.

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How to fix end-of-life care, from those who provide it

Tuesday, June 2nd, 2015

… people don’t know where and how to get the end-of-life care they want. And they don’t really understand why we fail so miserably in providing a good death. From a policy, political and medical perspective, the current situation makes no sense. Providing palliative care is cost-effective, more humane and results in greater satisfaction with the health system.

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The Case For Publicly Funded Therapy

Saturday, May 23rd, 2015

Mental illness affects one in five Canadians and costs us nearly $50-billion a year. So why aren’t we treating it like any other health-care crisis? … The treatment [Canadians] receive, and how much of it they get, will largely be decided not on evidence-based best practices but on their employment benefits and income level: Those who can afford it pay for it privately. Those who cannot are stuck on long wait lists, or have to fall back on prescription medications. Or get no help at all.

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Ontario falling short on fixing home-care mess

Sunday, May 17th, 2015

Hoskins should radically reform the overall bureaucratic structure of home and community care… Second, Hoskins should demand more money for rehab services, such as physiotherapy and speech-language pathology… Third, Hoskins should reverse a unilateral decision by CCACs that forbids charitable non-profit home-care organizations to fundraise among former clients… now is the time for bolder steps that will make a real difference in the lives of patients and caregivers around the province.

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Canada — the finest health-care chaos in the world

Monday, April 20th, 2015

… the state pays physicians fees for service while giving hospitals global budgets, so an operation rewards a surgeon with income but punishes an administrator with costs… should planners reward both doctors and hospitals for maximizing surgeries and blow the budget? Punish both and strand patients? Or give conflicting incentives and hope the tug-of-war ends up in the middle? What’s irrational is a system that leaves only such choices. Or rather, a non-system.

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Ambulance fees are unfair, dangerous obstacle to care

Monday, April 6th, 2015

A look across our provinces and territories reveals a patchwork system for financing ambulance services… All other provinces and territories in Canada — with the exception of [New Brunswick and] Yukon — charge ambulance fees… In Ontario, the cost is typically much lower at $45 per trip, but increases to $240 if the receiving physician deems it unnecessary. The reality on the ground violates the spirit, if not the letter, of the Canada Health Act…

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Canadians Losing out on Benefits of Electronic Health Records

Thursday, March 26th, 2015

Despite ambitious efforts to implement Electronic Health Record (EHR) systems, the level of health information exchanged across organizations and care settings in Canada is lagging, according to… “Missed Connections: The Adoption of Information Technology in Canadian Healthcare”… there will not be any large-scale benefits from gathering masses of health data until the information is shared among providers and institutions, such as between a family physician and a hospital.

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