- Toronto, Ontario, Canada
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Canadians are still proud of our medicare system but every day brings shocks to our confidence. Stories about waiting lists and doctor shortages compete with those about adverse drug reactions. Prescription for Excellence outlines why... more
Canadians are still proud of our medicare system but every day brings shocks to our confidence. Stories about waiting lists and doctor shortages compete with those about adverse drug reactions. Prescription for Excellence outlines why Medicare was the right road to take and how Canadians are renewing medicare with innovation. A main theme for Prescription for Excellence is that Canadians don’t need to spend a lot more on health care to have a much more effective system. Former Saskatchewan premier and father of medicare Tommy Douglas, always noted that we have to change the way we deliver health care, the so-called "Second Stage" of Medicare.
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... Even though prioritization seems to make sense and may be necessary in certain situations, like heart surgery, it often ... British thoracic surgeon, Dr. Richard Steyn, who is also the clinical lead for wait-list reduction within the... more
... Even though prioritization seems to make sense and may be necessary in certain situations, like heart surgery, it often ... British thoracic surgeon, Dr. Richard Steyn, who is also the clinical lead for wait-list reduction within the National Health Service's Moderniza-tion ...
Research Interests: Health Care and Medicine
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Introduction Most physicians have traditionally viewed attempts to alleviate the health effects of poverty as falling outside the realm of their daily practice. In this series of articles, we have demonstrated that physicians can and... more
Introduction Most physicians have traditionally viewed attempts to alleviate the health effects of poverty as falling outside the realm of their daily practice. In this series of articles, we have demonstrated that physicians can and should address poverty as a risk factor for ill health, in the same way we target other well-accepted health risks, such as smoking and obesity. The following article examines some specific, action-oriented strategies physicians can use to mitigate the health effects of poverty. These approaches are intended for implementation with individual patients, communities, and professional organizations.
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Medicare still enjoys broad support, but Canadians have become increasingly concerned that care will not be available for them when they need it. A substantial in Public opinion is a potent catalyst for change. These widespread concerns... more
Medicare still enjoys broad support, but Canadians have become increasingly concerned that care will not be available for them when they need it. A substantial in Public opinion is a potent catalyst for change. These widespread concerns have already led to large increases in public funding for Medicare. But how those funds are used will be critical to its future.
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This document reviews the findings of studies of the clinical and economic performance of Ontario’s Health Service Organizations and makes recommendations for further evaluation. The tentative conclusions regarding HSO performance... more
This document reviews the findings of studies of the clinical and economic performance of Ontario’s Health Service Organizations and makes recommendations for further evaluation. The tentative conclusions regarding HSO performance indicate that: 1. The HSO program in total and some HSOs individually have lower rates of hospitalization of their patients. 2. The use of ambulatory care by HSO and FFS patients is about the same. 3. HSO physicians manager greater patient loads. 4. HSOs employ more non-physician health personnel. 5. Some HSOs provide higher quality of care. 6. Some HSOs are better structured to deliver preventive services to their patients. 7. HSO physicians are more likely to believe their method of remuneration favours the delivery of preventive services. 8. HSO patients are less satisfied with their care. These conclusions are tentative because there are several methodological problems with the studies on which they are based: eg. The estimation of the true size of a p...
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16. Nunes EV, Frank KA, Kornfeld DS. Psychologic treat-ment for the type A behavior pattern and for coronary heart disease: a meta-analysis. Psychosom Med. 1987;48:159-173. 17. Frasure-Smith N, Prince R. The ischemic heart disease life... more
16. Nunes EV, Frank KA, Kornfeld DS. Psychologic treat-ment for the type A behavior pattern and for coronary heart disease: a meta-analysis. Psychosom Med. 1987;48:159-173. 17. Frasure-Smith N, Prince R. The ischemic heart disease life stress monitoring program: ...
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... Even though prioritization seems to make sense and may be necessary in certain situations, like heart surgery, it often ... British thoracic surgeon, Dr. Richard Steyn, who is also the clinical lead for wait-list reduction within the... more
... Even though prioritization seems to make sense and may be necessary in certain situations, like heart surgery, it often ... British thoracic surgeon, Dr. Richard Steyn, who is also the clinical lead for wait-list reduction within the National Health Service's Moderniza-tion ...
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Canadians are still proud of our medicare system but every day brings shocks to our confidence. Stories about waiting lists and doctor shortages compete with those about adverse drug reactions. Prescription for Excellence outlines why... more
Canadians are still proud of our medicare system but every day brings shocks to our confidence. Stories about waiting lists and doctor shortages compete with those about adverse drug reactions. Prescription for Excellence outlines why Medicare was the right road to take and how Canadians are renewing medicare with innovation.
A main theme for Prescription for Excellence is that Canadians don’t need to spend a lot more on health care to have a much more effective system. Former Saskatchewan premier and father of medicare Tommy Douglas, always noted that we have to change the way we deliver health care, the so-called "Second Stage" of Medicare.
A main theme for Prescription for Excellence is that Canadians don’t need to spend a lot more on health care to have a much more effective system. Former Saskatchewan premier and father of medicare Tommy Douglas, always noted that we have to change the way we deliver health care, the so-called "Second Stage" of Medicare.
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Money is important to healthcare; many of the problems of the past decade are a result of capricious decisions by government, slashing funding and then pouring it into the system. Healthcare needs stable, predictable funding. But,... more
Money is important to healthcare; many of the problems of the past decade are a result of capricious decisions by government, slashing funding and then pouring it into the system. Healthcare needs stable, predictable funding. But, overall, Canada's health system has neither been a glutton for funding nor has it been starved. The real problems in our system relate to quality of care.
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"Medicare" has two meanings for Canadians: the entire range of health care services, or only those (mainly physicians and hospitals) mandated and governed by the Canada Health Act (CHA). This paper focuses on the narrower legal... more
"Medicare" has two meanings for Canadians: the entire range of health care services, or only those (mainly physicians and hospitals) mandated and governed by the Canada Health Act (CHA). This paper focuses on the narrower legal meaning of Medicare, as does the recent Alberta proposal to fund CHA-mandated services delivered on an overnight stay basis in privately owned and operated
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... Second opinion: What's wrong with Canada's health-care system and how to fix it. Post a Comment. CONTRIBUTORS: Author: Rachlis, Michael. Author: Kushner, Carol. PUBLISHER: Collins (Toronto). SERIES TITLE: YEAR: 1989. PUB... more
... Second opinion: What's wrong with Canada's health-care system and how to fix it. Post a Comment. CONTRIBUTORS: Author: Rachlis, Michael. Author: Kushner, Carol. PUBLISHER: Collins (Toronto). SERIES TITLE: YEAR: 1989. PUB TYPE: Book (ISBN 0002154412 ). ...
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Discussions of quality assurance mechanisms for health professions are increasing in Canada. In their roles of protecting the public from incompetent or unsafe health care, and enhancing the quality of care provided by practitioners,... more
Discussions of quality assurance mechanisms for health professions are increasing in Canada. In their roles of protecting the public from incompetent or unsafe health care, and enhancing the quality of care provided by practitioners, provincial licensing organizations are taking an interest in quality assurance programmes. The paper reports the results from a national survey of five self-regulating health professions (dentistry, medicine, nursing, optometry and pharmacy) in Canada. The study found two types of activities in place--a complaints programme and a routine audit programme. Both programmes use a similar approach to identifying poor performers within a health profession. The paper discusses the results of the study, the advantages and disadvantages of the approach used, and suggests a second approach to quality assurance which could be used in conjunction with current activities.
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... Second opinion: What's wrong with Canada's health-care system and how to fix it. Post a Comment. CONTRIBUTORS: Author: Rachlis, Michael. Author: Kushner, Carol. PUBLISHER: Collins (Toronto). SERIES TITLE: YEAR: 1989. PUB... more
... Second opinion: What's wrong with Canada's health-care system and how to fix it. Post a Comment. CONTRIBUTORS: Author: Rachlis, Michael. Author: Kushner, Carol. PUBLISHER: Collins (Toronto). SERIES TITLE: YEAR: 1989. PUB TYPE: Book (ISBN 0002154412 ). ...
