There have been a number of Canadian reports recently which paint a gloomy picture of the future sustainability of the Canadian health care system. The reports all go something like this: health costs are inexorably rising and caring for a growing elderly population may eventually bankrupt our health care system. We clearly have choices to …
Recent media reports have highlighted the problem of neglect in nursing homes. Reports from the long-term care sector, in response, have focused on how the quality of care in nursing homes could be improved. However, measuring the quality of nursing home care can be a challenge. Rob Sargeant is a general internist at St. Michael’s …
It looks like much of the next decade or so will be taken up with managing record levels of government and household debt and spending. With an aging population requiring health care how are we going to continue to pay for necessary health services that we want and need? Thankfully, advances in telecommunications and computer …
Advance care planning is an important process by which people think about how they would like to be cared for if they are seriously ill. While most Canadians agree that having conversations about advance care planning are important, fewer than half actually do. In some jurisdictions, advance care planning is done much better than it …
Shortened hospital lengths of stay, and a growing number of people living with chronic diseases has meant that more Ontarians than ever are receiving health care services in their homes. In 2010, the Ontario Auditor General raised concerns about the quality and value of home care services, some of which remain outstanding. Resolving these issues …
In the run up to the Ontario election, the Liberal party has promised $60 million to support physician house calls. The number of doctors who make house calls has declined markedly over the past fifty years, and only a small proportion of Ontario family doctors currently provide ongoing care to patients in their homes. What …
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 …
Many politicians, doctors and the public believe that aging of the population is the main cause of increased health care costs. If this is true, this paints an exceptionally worrying picture about the sustainability of health care in the future. However, somewhat surprisingly, the majority of researchers don’t believe that aging plays a major role …
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 …