Archive for the ‘Health Delivery System’ Category

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Our health-care system is broken. More of the same won’t fix it

Monday, January 16th, 2023

In fact, Canadian medicare is more costly than ever, and more expensive than in other countries with universal health care, yet less responsive to patient needs. What’s the remedy? … medicare has long relied on private operators who take payment from the government – not the patient – to deliver those services… voters will tire of the ideological rigidity that conflates medicare’s commendable values with a system that doesn’t always deliver measurable value for money.

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What the rest of the country can learn from Ontario’s family doctor payment model

Tuesday, January 3rd, 2023

The Canadian Medical Association has named “expanding team-based care” as one of its top recommendations for solving the country’s health care crisis…  The most important lesson of Ontario’s primary-care reforms… is this: if a government is going to change the way it pays family doctors, and pay them more in the process, it needs to put clear and enforceable rules in its physician services agreement.

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As pediatric emergency rooms stretch to breaking, nurses have real solutions for health crisis

Monday, January 2nd, 2023

Provinces can legislate to reduce workloads by implementing safe nurse-to-patient ratios and make targeted investments in retention initiatives. The federal government should also be making direct investments to support return and recruitment initiatives, including mental health programming… Nurses are also recommending the federal government establish a collaborative health workforce council of provincial and territorial health ministries.

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‘A dangerous time for public medicare’: False promise of privatization won’t solve health-care crisis

Sunday, November 6th, 2022

Pro-privatization doctors and associated businesses are pushing hard to take advantage of Canadians’ fears and frustration that their loved ones will suffer with unmet health needs. But the promises of reduced wait times through privatization ring false for most Canadians… We need to apply pressure to both levels of government to attend to this crisis now. Provinces need to take bold steps, including…

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Ontario science table details plan to improve primary care

Wednesday, October 5th, 2022

… family doctors want to work as part of a primary care team, with other healthcare professionals such as nurses, pharmacists and social workers. The brief urges a comprehensive strategy to deal with some of these concerns, suggesting primary care delivery is currently a patchwork. And it urges action to develop primary care teams. 

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Seeking clarity on Ontario’s autism therapy

Monday, October 3rd, 2022

According to the government’s own statistics, more than 56,000 kids are now registered with the program, and the vast majority have not received funding for core clinical services… Given the understandable lack of trust families have in the program, it’s important the government seek to repair the relationship by increasing, rather than decreasing, transparency and outreach.

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With family doctors heading for the exits, addressing the crisis in primary care is key to easing pressure on emergency rooms

Friday, September 9th, 2022

Ontario has done better than most areas of Canada with the introduction of family health teams in 2005, with team-based primary care reporting better outcomes for both patients and providers. But no new family health teams have been funded since 2012, which is a problem… Political will is required to invest in the entire health-care system and not ignore the fact that primary care represents a very large part of this system.

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Canada to implement 988 suicide crisis line starting in fall 2023

Wednesday, August 31st, 2022

starting at the end of November 2023, Canadians will be able to call 988 to be connected to a mental health crisis or suicide prevention service, free of charge. The Public Health Agency of Canada will decide which group will provide the service, along with the scope of care it will offer. The move will bring Canada in line with the United States, which launched its 988 service last month.

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Ontario is going to lean on private health facilities. Here’s what that could mean for our system

Saturday, August 20th, 2022

“What happens when you inject private money into the health-care system, there is a short term boost in capital … but that doesn’t last very long, and the costs will go up… systems with higher rates of private financing are negatively associated with universality, equity, accessibility and quality of care, as has previously been found in international literature reviews”

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Doug Ford hasn’t revealed a plan to dismantle public health care — or one to fix it

Saturday, August 20th, 2022

It’s too easy to get bogged down on jurisdictional and ideological debates. Federal transfer payments are a chimera, just as privatization is a panacea if not done judiciously… Medicare never proscribed the private delivery of services — whether by doctors, pharmacies or clinics — it merely prescribed the public accessibility of medically necessary services without extra billing. Rather than fixate over privatization, let’s focus on innovation.

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