In the year since Healthy Debate published Fewer hospital staff on weekends put some patients at risk, evidence of a “weekend effect” at hospitals has continued to mount. Today, the Canadian Institute of Health Information released a new report which further reinforces that for some patients admitted to hospital on the weekend, there is a …
June 16th, 2014 will mark the 3rd National Day of Action to Stop Cuts to Refugee Health Care in Canada. Concerned members of the Canadian public and healthcare providers across the country will again join forces to protest the changes that were made to the Interim Federal Health Program (IFHP) in 2012. The IFHP was …
I recently attended a briefing of Ontario health system stakeholders by representatives of the famed Kaiser Permanente Health System, often called America’s leading nonprofit integrated health plan. Kaiser Permanente representatives are regularly invited to Ontario to provide advice (and maybe hope) to the rest of us that health system reforms could produce the same sort …
There’s a common catch phrase used by those championing efforts to prevent childhood obesity: “This may be the first generation of kids to not outlive their parents.” Sounds terrifying – except that so far, there is little evidence to support this idea. Over the past several decades we have seen a remarkable increase in adult …
The last time I was in Israel, I went on some home visits with a palliative care physician in the town of Sfat near the Sea of Galilee. My colleague, a devout Jewish doctor, took me to several homes to offer advice on managing his most serious, terminally ill patients. One older Chassidic Rabbi was …
When the human genome was mapped in the 90s, everybody from scientists to Silicon Valley CEOs believed it would revolutionize medicine by making it personalized. This carried enormous medical and financial opportunities, as well as ethical and legal challenges. But after decades of research, it has become evident that our genome is not nearly as …
As the United States attempts to overhaul health care and improve access for more of its citizens a US Senate committee recently met in Washington and invited several international experts to share perspectives on their own health care systems. Toronto physician Dr. Danielle Martin very nicely represented the Canadian perspective. It was an articulate presentation …
When I was a medical student in the mid-2000s, I witnessed the early phases of mobile apps designed to help deliver healthcare. They were mostly electronic books, in the form of preloaded web pages. We’ve come a long way: I’m now a practicing physician and I find myself using an increasing number of mobile health …
Vaccines do not cause autism. Yet when one peer-reviewed paper suggested otherwise, on the basis of results that were both wrong and fraudulent, there were terrible consequences. It launched 15 years of unnecessary studies to confirm what we already knew – and sowed confusion, eliminated rational debate about the merits and risks of vaccination, and …
Across Canada, health system leaders are recognizing the need to provide more effective and more efficient care to the highest users of the health care system. In December 2012, the Ontario government launched an ambitious Health Links strategy to better address the needs of the top 5% of health system users, who consume two thirds …
The Canadian health care system is inefficient. It will come to no one’s surprise. Most Canadians agree that we need to improve the efficiency of the health system and get better value from the dollars invested in health care. In fact, all countries struggle with this challenge. We were interested in getting a better understanding …
For the other side of the debate, read Monika Dutt’s Medical tourism is bad business for Canadian hospitals In recent weeks a few people have written about international patients in Canadian hospitals, “medical tourism” and the “slippery slope” that the writers all seem to believe will inevitably lead to two-tiered medicine. We are responsible for the …
For the other side of this debate, see Marnie Escaff & Nizar Mahomed’s Caring for international patients improves care for Canadians Sunnybrook Hospital in Toronto has recently been in the news for its new method of revenue generation: offering care to wealthy foreign patients – aka “medical tourists” – who are able to pay out-of-pocket for …
Five years after her life irreversibly changed, Danielle Boyd won her case and received one of the highest medical malpractice payouts in Canadian history. The agreed-upon facts: Dr. Edington, a rural family physician who also practices anesthesia, obstetrics, and emergency medicine, saw then 24 year-old patient Ms. Boyd in the Hanover ER at a little …
During this week’s The Rounds Table, Amol Verma (a senior medical resident) mentions that he thinks that the introduction of a new class of blood thinners – New Oral Anticoagulants (NOAC) – is the most important pharmaceutical advance that he has seen to date in his career. I was a bit surprised by that, but …
In January, Ontario’s Liberal government approved legislation that would increase the minimum wage by 75 cents to $11/hour. And in March, Saskatchewan followed by increasing theirs by 20 cents to $10.20/hour. While this has ramifications for labor and the economy, it also impacts the patients in our healthcare system. This minimum wage rise came right …
If you or one of your family members come down with an illness (such as pneumonia) and require hospitalization, you are likely to encounter two issues. First, you will more likely than not be looked after by a “hospitalist”, and second you will likely notice a need for more efficiency as a result of significant …
Read Healthy Debate’s analysis on Regulating the ‘wild west’ of e-cigarettes. As respirologists, we are frequently asked for our opinion on e-cigarettes. At first glance there appears to be some potential positives. While one study suggested that there could be a role for these devices in helping active smokers quit tobacco, a more recent small study …
Poverty is a significant public health concern affecting approximately 10% of Canadians. Recommendations to eliminate poverty have focused on areas of income, housing, access to food, and early childhood development. Calls for government action and provision of resources to healthcare professionals have been issued. Notably, educating medical trainees to address poverty has been absent from the discussion. …
This is a story about Mr. D, a lovely 85-year-old gentleman who I cared for on our General Internal Medicine service. He suffered significant cognitive impairment due to both dementia and the deposition of protein in his brain caused by chronic inflammation (known as cerebral amyloidosis). He also had advance prostate cancer. As a consequence …