Healthcare Delivery

Lung-cancer screening – primum non nocere (first, do no harm)!

Lung cancer is the number one global killer among cancers. Early detection can help patients' chance of survival but current screening measures also come with mixed benefits and risks.

Fiscal management and Minden’s unprecedented Emergency Department closure

The closure of the Minden ED has become a rallying point for us to address broader issues affecting health-care systems. Minden’s experience must serve as a nationwide warning: review the financial management and board governance of your local health-care systems.

More research needed to understand medical students’ shift from exclusively clinical to scholarship

Canadian medical students’ interest in pursuing careers in research, education and administration is on the rise, signalling future physicians’ interest in enhancing the health-care system rather than simply being a part of it. Medical schools will need to take note.

We have the tools to prevent ovarian cancer. Why aren’t we using them?

About 20 per cent of the ovarian cancer cases in Canada diagnosed each year are in people who carry a mutation and are most likely preventable. Genetic testing can become more accessible. Why are we waiting? 

Breast-milk donor models are flawed: A path forward to meet demand

The three main institutions vying for breast-milk donations have demonstrated an unwillingness to collaborate with one another. As demand for donor milk increases, the downstream effects are going to be felt most by parents and their infants.

The case for a pan-Canadian licensure model

Canada’s workforce remains in crisis. With hospital overcrowding and staff shortages putting EDs at risk, pan-Canadian licensure is a crucial part of any plan to help ease the pressure.

Episode 64 – Improving Heart Failure Outcomes and Psilocybin for Depression

How should we handle the toxic drug-supply crisis? Experts weigh in.

While political debates have muddied the water on effective policy options to address toxic drug deaths, we asked a panel of experts what they see as the best path forward to address the ongoing crisis.

Canada’s first publicly funded ‘dementia village’ is set to open next year. So, what is it?

One in four seniors aged 85 and older is diagnosed with dementia. Novel ways of caring for dementia patients are urgently needed. Dementia villages are designed to prioritize patients' safety and support without compromising their autonomy and community.

Nurses know the ‘Your Health Act’ is anything but good for your health

Bill 60 has alarmed and horrified Ontario nurses and other health-care providers. Allowing private companies to profit from people’s health-care needs will not solve the staffing crisis, it will make it worse.

Ontario’s rural towns in danger of losing access to health care as family doctors near retirement

Aging family doctors in Ontario’s smaller towns present a significant challenge to health-care access. The disproportionate distribution of doctors over age 65 in rural Ontario raises concerns about future shortages as these practitioners approach retirement age.

Lessons from Marathon: How to rebuild a broken local health-care system

What happens when small health-care systems in rural communities begin to unravel? What does it take to rebuild them when they reach a breaking point? We can look to the experience of the community of Marathon in 1996 for a glimpse of the challenge. 

Finding your energy envelope: Long COVID patients urged to ‘pace’ themselves back to health

For many long COVID patients, returning to activity can cause debilitating "crashes." But symptom management techniques like pacing can offer relief and may even help some patients slowly recover.

The placebo effect: Rarely dramatic, but surprisingly consistent and adjustable

Battles are won in the trenches: Front-line health professionals must have the power to adapt

Generals may lead wars, but battles are won in the trenches. Now, more than ever, this same doctrine must be applied to our medical professionals on the front lines.

Trust us to make our own decisions about breast-cancer screenings

The new U.S. guidance on breast-cancer screening shouldn’t be controversial or a “both sides” issue in Canada. It should serve as a model for the change we need.

What is the price of human life? Cutting off uninsured is ‘irresponsible’

We strongly recommend that the Ontario government reverse its decision to eliminate coverage for medically necessary services for uninsured individuals.

Services de première ligne et équité en santé à l’ère numérique : défis et opportunités

Bien que les soins de santé au Canada soient publics, les individus à faible revenu rencontrent trop souvent des obstacles pour accéder aux services de santé, ce qui nuit à leur santé.

‘Bogus contract’ creating gulf between doctors, patients

There are unhealthy expectations built into the "bogus contract" between doctors and patients that overemphasize the power of medicine. At the same time, we are ignoring the relative importance of the precursors to good health.

Food prescriptions – a short-sighted response to food insecurity

Food insecurity can increase the risk of a number of adverse health outcomes. Food-prescription programs are one way that health-care providers are trying to mitigate the hardships they witness, but it's barely scratching the surface.