Carlyn Zwarenstein's blog

How to Fix Canada's Health Care System

Submitted by Carlyn Zwarenstein on May 24, 2013 - 22:04

Therese Stukel and David Henry, two lead authors on this week's OM paper, argue on the Huffington Post blog that Canada's health care system requires urgent reform, particularly in the area of chronic care delivery (as it's currently designed for acute, episodic care even as chronic disease accounts for an ever-greater share of health care spending). And they cite their research into the viability of using virtual multi-specialty networks as a model for delivering more coordinated care.

Making an impact: the San Francisco Declaration on Research Assessment

Submitted by Carlyn Zwarenstein on May 23, 2013 - 22:29

Open Medicine has just signed onto a brand-new, worldwide declaration called the San Francisco Declaration On Research Assessment, or DORA for short. The declaration represents a response to a widespread concern among science and other researchers about the journal impact factors that are used, in its words, "as a surrogate measure of the quality of individual research articles, to assess an individual scientist's contribution, or in hiring, promotion or funding decisions".

Improving chronic disease management

Submitted by Carlyn Zwarenstein on May 16, 2013 - 12:05

Providing better care for patients with chronic disease requires well-connected networks, each consisting of a primary care provider, specialists, and hospitals. Ideally, the combination of good care and good communication between a family doctor and specialists will reduce re-hospitalizations and improve patients’ well-being, while reducing the costs to an overburdened health care system facing ever more chronically ill patients with long-term, complex care needs.

Media release: Multispecialty physician networks in Ontario

Submitted by Carlyn Zwarenstein on May 15, 2013 - 13:20

The authors of the present study assessed the extent to which informal, existing multispecialty physician networks in Ontario could be identified. The idea was to use available health administrative data to exploit natural linkages among patients, physicians, and hospitals based on existing patient flow—that is, on where patients naturally go when they require health care.