Archive for the ‘Health Delivery System’ Category

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Shifting to clinics is right prescription for Ontario

Sunday, January 20th, 2013

Jan. 18, 2013.
It makes medical and economic sense to move routine procedures from hospitals to not-for-profit clinics. Patients get served faster in a less stressful environment, at lower cost. Best of all, studies have shown the results are as good or better… Matthews is recreating the old model of medical boutiques, but replacing small hospitals with specialized clinics… modest in scale and backed up by credible evidence.

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Annual physicals in Ontario need an update

Thursday, December 20th, 2012

Dec. 19, 2012
… our “free” physical isn’t significantly useful in predicting our big three killers: heart attack, stroke and cancer, nor does it let doctors catch diabetes early… new tests would keep patients out of the hospital by detecting a heart condition rather than dealing with a heart attack in the ER… true personalized medicine begins not with a medical history of your family, but with a genetics test .. they [will] save a lot more money and lives…

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Shilling for private health care

Tuesday, December 11th, 2012

Dec. 10, 2012
Some hospital procedures are paid by OHIP. Most are paid out of global budgets. Each and every procedure is paid for by OHIP in a private clinic — an incentive to do more than medically necessary. In the lab world this means government pays about 50 per cent more to have tests done in the private sector than in a hospital according to a 2008 consultants report.

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Specialty medical clinics must be part of new health-care system

Tuesday, December 11th, 2012

Dec. 08, 2012
Obviously not everything can or should be done in a specialty clinic and not everybody is a candidate to have a procedure in this environment. It will require better, evidence-based quality oversight. Failure to provide quality must have severe consequences. The same type of scrutiny and consequence should also apply to hospitals.

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What do clinic findings say about Ontario’s move to private health care?

Friday, December 7th, 2012

Dec. 7, 2012
A 2011 survey by the College of Physicians and Surgeons found that of the 104 private clinics it inspected, 48 were substandard (including three that failed outright). This year’s college survey of 251 private clinics found 73 to be substandard (including nine that failed outright)… Why not stick with non-profit public hospitals and clinics? We know they practice good medicine. And we already pay for them.

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The best health-care system? The numbers say otherwise

Friday, November 23rd, 2012

Nov. 23 2012
A host of studies shows the Canadian health-care system middle-of-the-pack at best, except for cost (private and public), where it ranks near the top… No single one is determinant, but most point in the same direction: The myth about Canadian medicare is just that, a myth.

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The health-care spending law of Wildavsky and Harper

Saturday, November 3rd, 2012

Oct. 31 2012
After 10 years of average annual growth in public health spending of 7 per cent, the increase levelled off in 2011 to 3.3 per cent, and to 2.9 per cent this year, according to the Canadian Institute for Health Information… And, unlike in the early 1990s, when a virtual freeze on new spending led to bed closures, layoffs and a general stasis in the system, cost control didn’t depend on program or employment cuts.

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Generic drug use must be a priority

Friday, November 2nd, 2012

Nov. 01 2012
It’s estimated that, for every 1-per-cent increase in generic drug utilization in Canada, Canadians save an additional $260-million. . While Canada’s generic pharmaceutical industry supports efforts to reduce trade barriers, the EU’s drug patent demands will increase trade barriers for Canadian generic pharmaceutical exports while increasing prescription drug costs by as much as $3-billion annually.

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Medicare’s front door, primary health care, needs a remodel

Thursday, November 1st, 2012

Oct. 31 2012
… if I could cite just one change that would make health care more sustainable, it would be transforming the front door to the health-care system – primary health care… more attention must be paid by policy-makers to that first contact, and the early intervention, co-ordination and ongoing support that might prevent the need for acute care.

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eHealth Ontario back on track

Thursday, November 1st, 2012

October 31, 2012
Today two out of three Ontarians have an electronic health record… Over 65 per cent of all primary care physicians use those records to provide better care to their patients. Today, more Ontario doctors use electronic health records than in all other provinces combined… We are making steady progress — continuous improvement that starts with primary care physicians and EMR adoption.

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