Archive for the ‘Health Delivery System’ Category

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New funding model a leap of faith for Canadian hospitals

Tuesday, December 16th, 2014

Canadian hospitals have been traditionally funded through annual lump-sum payments – global budgets – meant to pay for all care each institution delivers. The good thing about global budgets is that they are predictable, stable and administratively simple. The problem with global budgets, critics argue, is they lack incentives to boost efficiency, are not transparent and funding is not targeted to priority areas.

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Be careful what you wish for on doctors’ billings

Tuesday, December 16th, 2014

… go ahead and make our OHIP billings public… it’s only fair that doctors get to reveal what they take home after covering office expenses, staff salaries and benefits, and medical supplies. as a family doctor, my take-home pay is slightly more than that of your typical school teacher . . . but without the perks, the pension and the summers off. Oh, and by the way, no Freedom 55 either. And don’t even get me started on what hospital administrators and politicians are paid.

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Doctors at St. Mike’s launch project to address root causes of poor health

Monday, December 15th, 2014

Once the patient receives a prescription for income security from one of the 50 odd family health doctors at the clinic, they are booked an appointment with Tomlinson. She helps them file tax returns, figures out which benefits they are eligible for, and advises them on retraining programs that might help them land a more lucrative job… Dr. Bloch says the impact of this kind of support on patients can be more dramatic than any drug.

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Simcoe clinic in a grocery store breaks barriers for migrant farm workers

Monday, December 15th, 2014

The clinic was created to serve the more than 4,000 migrant farm workers toiling at farms and greenhouses in the region south of Brantford. Designed to eliminate some of the systemic barriers migrant workers face in getting basic health care, the pilot project has been a resounding success — reducing visits by such workers to the Norfolk General Hospital by 80 per cent… about 60 per cent are Spanish-speaking patients from Mexico, the rest from various Caribbean countries.

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Ontario should end secrecy over what doctors bill medicare

Friday, December 12th, 2014

… taxpayers funnel about $11 billion into doctors’ pockets each year but are told very little about who collects that money. This needs to change… Not only does the public have a right to know, there’s broad social benefit in disclosure… Physicians remain among the most valued and respected professionals… But when a doctor’s billings are out of step with the norm — when claims appear excessive — it’s fair for patients to be made aware of that fact and receive an explanation.

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Revealing OHIP billings not helpful

Friday, December 12th, 2014

OHIP billings reflect the increased care necessary to meet the medical needs of a growing and aging population; the reality of underserviced communities where a few physicians are working to care for an entire community; and physicians working to reduce waiting lists… Physicians are not employees, and as a result, are not afforded the benefits offered to a government employee, including: paid vacation, health and dental benefits, a pension, paid sick leave, an office and support staff.

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Ontario Faces a $1.19 Trillion Collision Course with Healthcare Costs

Thursday, December 11th, 2014

[In] a report released today from the C.D. Howe Institute… “Managing Healthcare for an Aging Population: Ontario’s Troubling Collision Course,” authors William B.P. Robson, Colin Busby and Aaron Jacobs recommend that Ontario prefund selected healthcare services and benchmark against other provinces to get better health bang for their tax bucks.

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Liberals reverse on proposal affecting dental care for low-income families

Tuesday, December 9th, 2014

The Liberal government scrambled Monday to reverse a proposal that would have resulted in thousands of children of low-income families being denied preventative dental health services… “Last year we treated over 18,000 kids in the city of Toronto. If the new restricted rules proposed in the amalgamated dental-services program had been in place, 15,000 of those kids would have been denied access to dental-health care”…

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Home care cuts undermining Medicare

Wednesday, November 26th, 2014

The story from the Ministry of Health has been that the cuts to hospital care and the downloading of ever more acute and complex hospital patients is not a cut — it is “transformation.” This is utter nonsense. It not only a cut. It is the systematic dismantling of vital hospital services that are never replaced in home care. And it is the privatization of vital hospital services to private clinics that undermine single-tier Medicare.

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Cuts to home care a myth

Monday, November 24th, 2014

… this year our government is investing an additional $270 million in home care for people in communities across the province. This substantial expansion of home care will help seniors and others receive care in their homes — where they want to receive it — rather than in a hospital. It has the benefit of providing better care for Ontarians, and providing better value for tax dollars… Our investments are also helping us meet our commitment to reduce home care wait-times to less than five days

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