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.

The Canadian Medical Association: From Profit to Equity

Submitted by Danyaal Raza on August 20, 2012 - 19:13

The recent annual meeting of the Canadian Medical Association was remarkable for a number of reasons. Most notably, for its explicit focus on health equity and the social determinants of health. Though the link between health and factors like education, housing and income has been well-established for some time, never before has the medical association so openly acknowledged it - and they've done so with great gusto. What is equally remarkable is how far and how quickly the organization shifted from a 'pro-profit to 'pro-people’ agenda.

Dr. Frances Kelsey and Thalidomide: Standing up for evidence based medicine

Submitted by Farhan Asrar on August 12, 2012 - 17:03

July 24 marked Dr. Frances Kelsey’s 98th birthday. Dr. Kelsey is a true medical hero from North America who became a hero within her first month of working for the FDA in 1960.

Why I had to interrupt the Minister: Don't cut refugee health care

Submitted by Tarek Loubani on July 8, 2012 - 16:59

When Minister Diane Finley spoke in London on Thursday, I stood up and
interrupted her
in the name of my fellow physicians and our refugee
patients who have long been a staple in the practice of Canadian
medicine. Here's why.

Access to Abortion in Malawi

Submitted by Danyaal Raza on June 13, 2012 - 14:53

Since January, my Fellowship in Global Health & Vulnerable Populations has taken me to St. Gabriel's Hospital, a rural district hospital in Malawi. For the past two months, I’ve been tending to the bedside of patients in St. Gabriel’s Female Ward.

Health Providers for Refugee Care: National Day of Action June 18th

Submitted by Wajid Sayeed on June 11, 2012 - 14:14

As my colleague pointed out here and here, the current federal government is going to be instituting major cuts to health services for refugees starting at the end of the month.

On June 18th, a broad alliance of physician's organizations accross Canada will be participating in public demonstrations of opposition to the cuts.

Why I'm cheering for the Québec protesters

Submitted by Wajid Sayeed on May 31, 2012 - 20:57

Reading through some of the coverage pertaining to the ongoing tuition crisis in Québec, I've noticed certain people arguing vociferously against the students' demands. Let's call them "Team Race to the Bottom."