Archive for the ‘Health Delivery System’ Category

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Making preventive care fair: New approaches like self-testing at home can save lives and promote health equity

Wednesday, October 11th, 2023

We could start with preventive care in redesigning health care for those who need it the most… Governments and large health-care institutions have all made grand statements about the need to tackle sexism, racism, ableism and other forms of discrimination. It is long past time for those institutions to fund and support specific actions to help those who have been disadvantaged by previous inaction.

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This is why you don’t have a family doctor

Monday, September 4th, 2023

The process of becoming a doctor in Canada is… entrusted to numerous ministries, universities, colleges, councils, professional organizations and accrediting agencies… In the absence of consolidated oversight for the final product, the sheer number of participants in the process makes it very difficult to achieve significant reform. We are, in fact, facing… an unwillingness to abandon previously successful practices. 

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What would you rather have: Too many doctors, or too few?

Friday, August 18th, 2023

There’s more than just supply and demand…  There is no perfect system. There is no getting around the need for incentives and management to discourage abuses and encourage good service…  To save medicare, we must get the incentives right.

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Ontario’s solution to the health care crisis is to hire nurses through agencies — and the cost has now quadrupled

Thursday, July 27th, 2023

What was bad last year is worse this year. That’s because there’s still no plan to tackle the root causes of burnout and turnover. Hospitals are still so short-staffed, nurses are simply thrown at the labour crisis of the day, some not even able to take pre-scheduled vacations, know when or how long they are going to work on any given day, or what kind of work they will be asked to do. Shift the lens to child care, long-term care and other forms of health care, and the same story emerges.

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Nightmarish Commercial Simply Wrong: Healthcare Outsourcing is not Privatization

Friday, July 14th, 2023

The government of Ontario should think about how to contract for insured services with private clinics without causing staffing problems for traditional providers, but should  begin experimenting with this model in the specialties and places where the prospects seem most promising. And it should carefully monitor outcomes.

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An Unparalleled and Urgent Task Faces Premiers Next Week

Friday, July 7th, 2023

At the top of the list is helping the 6.5 million people without access to primary care… Equally urgent is the need to beef up home and community care to make it possible for our rapidly aging population to age both well and where they want to, whether in their own homes or in a community setting. These actions on primary and senior care would ease the pressure on beleaguered hospitals and their emergency rooms.

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Private health care in Alta. is harming the public system – new report 

Friday, May 19th, 2023

The expansion of private health care in Alberta has lead to longer wait times in the public system and fewer surgeries overall… The rest of Canada, and especially Ontario, should pay close attention to what Parkland has to tell us about the validity of the idea of resorting to the private sector to cut healthcare wait times.  The bottom line is that the private health care appears to be a false Messiah when it claims it can miraculously cure what ails our public health system.

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Heath care will only succeed through collaboration, not through competition

Wednesday, April 19th, 2023

Competition is… what happens in the most dysfunctional parts of our Canadian health systems, where value for money is most elusive and frustration is highest…  Service backlogs. Human resources shortages. Mental health impacts. The co-ordinated effort required to manage recovery will probably dwarf what we have just achieved. More competition and fragmentation is the last thing we need. Collaboration is our only hope.

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Supreme Court of Canada won’t hear appeal involving private health care

Thursday, April 6th, 2023

Two Vancouver private health facilities and four patients argued that provisions of the Medicare Protection Act violate their constitutional rights due to long waits for care in B.C.’s publicly funded system… Justice John Steeves said in the original court ruling that while long waits for care might increase the risk to some patients, the provisions were justified by the overall objective of supporting a system where access to health care is based on need, not the ability to pay.

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An Ontario doctor’s wait-list database is saving patient lives. It’s madness a doctor had to do it himself

Saturday, March 25th, 2023

It’s a searchable database of specialists and procedures, by location and wait times. Yet by simply showing the full extent of available specialists in his community, this young family doctor vividly saw how access could be speeded up, reducing patient anguish and hardship… Qamar and his partners hope the province will see the database’s value and step in to fund the minimal costs of updating it.

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