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.

Charging patients for services: much confusion, little consensus

The Ontario Health Insurance Plan (OHIP) does not cover all health services that can be provided by a doctor. These “uninsured” services include telephone renewal of prescriptions, writing sick notes for work or school and transferring medical records. Doctors can offer patients the option of paying for a set of uninsured services with a single

Need & access to bariatric surgery in Ontario

The frequency of obesity has skyrocketed across Canada, and its treatment is a major challenge to the health care system.  Bariatric surgery is an effective treatment for obesity that appears to be good value for money.  Although Ontario is expanding bariatric surgery capacity, some are concerned that capacity remains below current needs.  What is bariatric

Why don’t more doctors do house calls?

Over the last fifty years, doctors have been making fewer and fewer house calls. There is little doubt that patients value physician house calls, particularly from a doctor with whom they have an ongoing relationship.  Lack of appropriate training and mentors, financial disincentives, and the changing culture of family medicine are all barriers to increasing

The risks of emergency department overcrowding

Each year one in five Ontarians visits one of the province’s 163 emergency departments.  A recent study has shown that those who present to emergency departments when waiting times are longer have worse outcomes. Since 2008, Ontario has spent a lot of money and effort to reduce waiting times and improve the quality of care

Achieving better health for the homeless

Walking through the streets of any large city, one sees many homeless people. Nearly two in three have a history of some form of mental illness. Hospitals have become the place where homeless people with serious mental illness go during a crisis, but hospitals are poorly equipped to meet their needs. How can society improve

Waiting for long-term care in Ontario

Waiting for long-term care in Ontario

The Ontario Health Quality council reported in 2010 that wait times for a long-term care bed in Ontario have tripled since 2005.   A substantial number of people who are waiting for long-term care – and some who are currently in long-term care – could be cared for at home or in “assisted living” facilities

What is Healthy Debate?

Healthy Debate

Our health and the health of our loved ones is more important to us than almost anything else. We all have stories about how our health care system has provided excellent care, and how it has let us down. Despite the personal and societal importance of health care, it is our belief that many Canadians

Gridlock in Ontario’s hospitals

About one in six beds in Ontario’s hospitals are occupied by patients who no longer need hospital care. These beds are called Alternate Level of Care (ALC) beds. Because ALC beds are not available for sick patients in the emergency department, ALC beds are an important cause of emergency department overcrowding. The term ‘gridlock’, used