access to care

Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using ‘Content here, content here’, making it look like readable English.

Are family doctors cherry picking patients?

When Anne Lyddiatt’s family doctor retired, she went looking for a new one.  The Ingersoll, Ontario resident thought she’d found one for herself, her two daughters, and her granddaughter, and they filled out application forms with their health information. But only one of the four was accepted: the daughter who had no chronic conditions. “When

How should we measure quality in home care?

Home Care

Trevor Cranney gets 60 hours of home care a month. Though he’s happy with the quality of care he’s getting, he doesn’t think it’s enough. “I suffer from ALS, and I’m unable to feed myself, brush my hair or do anything,” says the 42-year-old, who was recently given six to nine months to live. He would like

Hospital parking: health care’s controversial cost

Shalimar Novak is sick of paying for parking. The social worker has been to Toronto’s Mount Sinai once or twice a week recently for appointments related to her pregnancy, and paid about $15 every time. “It definitely adds up,” she says. “And when you have a kid coming, you’re thinking in diaper dollars. It would be nice

The hidden waste in Ontario health care

This month’s provincial budget renews a pledge to eliminate Ontario’s $12.5-billion deficit in the next four years. The commitment ensures that health care, which accounts for almost half of provincial spending, will continue to be under the microscope and the search to make the system more efficient will continue. The challenge is that much of

Keeping doctors where we need them

Maria Matthews Healthy Debate

How do we get more doctors to practice in rural communities?  This has been a long standing challenge in Canada — getting physicians to work where we need them — especially in provinces with large rural populations.  Policy makers have created and implemented some promising solutions, but until recently, there has been little evidence on

Despite Ontario’s Northern Health Travel Grant, some still pay out of pocket

Northern Travel Grant

When Nan Normand’s husband had quintuple bypass surgery, it cost them $1,500. It wasn’t the operation that was pricey, but the travel. The couple went from Kenora, a small city near the Ontario-Manitoba border, to Hamilton for the surgery. The trek included flights and a multiple-night stay. Normand was unlucky: Manitoba had temporarily stopped accepting most Ontario heart patients,

What the refugee health cuts really cost

Refugee health care cuts

Nearly two years ago, the federal government made significant cuts to its Interim Federal Health Program, which allows refugees to access essential health services, such as medical testing and treatment. As a result, many refugees have lost access to health care, medication coverage, vision and dental care. Furthermore, persecuted individuals from designated countries of origin, such as Hungary

Medical tourism is bad business for Canadian hospitals

Monika Dutt healthydebate.ca blogger

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

Stranded in the Emergency Department

Heather Murray

It’s a weekend shift in a Canadian Emergency Department. On a stretcher lies a woman in her sixties. She has, just this week, been diagnosed with an advanced cancer. Her symptoms crept up on her, unnoticed or passed off as the result of inactivity during a long cold winter.  These multiple niggling things had finally

Policy implications for the virtualization of health services

Will Falk healhtydebate.ca blogger

Virtual care (where the provider and patient are separated in space and sometimes in time) is a natural next step in technological innovation for healthcare. Increasing care virtualization has the potential to improve quality of life for patients while increasing the healthcare system’s efficiency but it presents substantial challenges for clinicians and policy makers.  The

Loan deferral during residency: a win-win solution

Loan deferral for medical students

It is no secret that Canada suffers from an inequitable distribution of health professionals. A 2012 report from the Canadian Institute for Health Information revealed that 18% of Canadians live in rural and remote areas, yet only 8% of doctors live in these regions. The lack of access to medical services in rural communities contributes

We should compensate living donors for their kidney

Kidney donation

People with end-stage kidney disease have two treatment options: dialysis or transplantation. Dialysis is the process of removing waste and excess water from the blood, by hooking up to a machine that mimics the function of the kidney. Transplantation, however, is the optimal treatment for end-stage kidney disease, because it reduces a patient’s risk of

How can we improve doctor and patient accountability in Ontario?

Doctor and patient accountability

To get better quality, timely health care, patients and providers must continue to find ways to make a patient’s regular family doctor the customary first option for non-emergency care needs. As it stands, both parties could be doing more to strengthen the patient-doctor relationship, and financial incentives on providers alone likely won’t be sufficient. Because