Archive for the ‘Health Delivery System’ Category
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Breaking silos best medicine for ineffecient healthcare system
That silo mentality is systemic — from technology to treatment to the way healthcare professionals and providers are paid… We really don’t reward or incentivize continuity of care across providers”… a more sustainable and efficient system requires a move away from the “curative” model used today to a preventative model. That would involve a much broader group of stakeholders, including education, unemployment and social services. Doing that would help to address some of the socioeconomic issues at the root cause of healthcare problems today.
Tags: budget, featured, Health, ideology, mental Health
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The hidden health-care crisis
Today, employers struggle to understand why they should pay some of the highest prices in the world for drugs while their own provincial government pays less. Further, individual Canadians struggle to understand why a particular lifesaving drug is not covered for them, but is for their friends or family in another province. Meanwhile, the increasing number of very expensive drugs that treat relatively rare diseases threatens the financial sustainability of the entire system.
Tags: budget, featured, Health, ideology, mental Health, pharmaceutical, standard of living
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Are we getting value for our health-care dollars?
… the whole system is structured around impossible measures of productivity that have been in place for 50 years… There have been monumental changes in chronic disease management, communications and diagnostic tools… Since the 1960s, much of the available care that once took place only in hospital can now be delivered in the community or at home, yet the current system is illequipped to support newer healthcare delivery methods.
Tags: budget, Health, mental Health, standard of living, tax
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The Canadian medical profession is facing major upheaval
Physician income has climbed steadily in recent years; in some parts of the profession, gross income is up 30 per cent over the past decade… [but] Health-care systems in Canada and elsewhere are moving away from the traditional medical model. Patients (and payers) are demanding more patient- and family-centred care and a lot less paternalism. Care is shifting out of hospitals…
Tags: budget, featured, Health, ideology, standard of living
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Trouble ahead for health costs: Doctors working less, making more
… expansion in the number of billing physicians is itself a driver of health system spending. Yet, physician numbers contribute less to spending increases than do increasing fees and service volumes… many of our doctors are working fewer hours than generations past… This, while according to CIHI, payments to physicians for their services continue to grow… the recent trend toward doing less for more is not a sustainable option.
Tags: budget, economy, Health, jurisdiction, standard of living
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Retooling the health-care system
Fragmentation and poor co-ordination result in serious gaps in quality of care. Chronic disease management programs require a multidisciplinary approach… Self-organizing multidisciplinary networks could form the basis of “systems of care” that collectively serve their large panels of patients. They are sufficiently large to provide a range of health-care services, implement system improvements, and be held accountable for results… The time for reform is now.
Tags: budget, disabilities, Health, mental Health, standard of living
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The real problem with Canadian health care
The Canadian health-care system was originally designed around hospitals and, to a fault, it remains so today — a system whose hospitals struggle to cope with changing patient demand, an aging population… higher costs, global budgets imposed by provincial capitals, fast-developing technologies, rigid rules, new drugs and the social inequities that lead to poor health… medical personnel spend as much time discussing patients’ social and economic conditions as their physical health needs. What often brought patients to the internal medicine ward were the results of their unsatisfactory social and economic conditions.
Tags: disabilities, economy, featured, Health, housing, mental Health, poverty
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Canada has second-worst birth-day mortality rate: study
… 2.4 per 1,000 births – ending in early tragedy… driven higher by the mortality rate for aboriginal infants… some First Nations populations register mortality rates of up to four times the national average… “We’re an affluent country, but at a systems level we’re still not distributing all of our health and social resources equally to all groups… the social imbalance that sees aboriginals struggling with higher than average levels of poverty is compounded by the country’s geography.
Tags: Health, Indigenous, poverty, standard of living
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Ontario’s reform could help seniors get better access to physiotherapy
… the current system, based on a model of private clinics clustered mostly in the Toronto and Hamilton region, just isn’t meeting the needs of seniors across the province… For roughly 40 years, most physiotherapy for seniors has been paid (through OHIP) to for-profit clinics that had a stranglehold on the system… Now, Health Minister Deb Matthews says she’s going to… send the money to the Local Integrated Health Networks, which will pay physiotherapists to care for seniors in home care or living in long-term care.
Tags: budget, Health, participation, standard of living
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A new health-care model with premiers in the lead
Jan. 20, 2013
A task force led by Saskatchewan Premier Brad Wall and Prince Edward Island Premier Robert Ghiz had found a way to save, they say, $100 million with a bulk buy of six generic drugs in this country… But beyond $100 million in drug costs savings, this was also a first step in health-care delivery in this country without the federal government leading the way. It’s an act of ownership in the health-care system by those who deliver the care, the provinces.
Tags: budget, Health, ideology, mental Health, pharmaceutical, tax
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