Primary care is one of the most common ways people access mental health treatment in this country. But with limited access to primary care providers, more patients are likely to slip through the cracks. Integrating social workers into primary health care teams could help.
Without the right combination of medication, housing and community, patients can receive treatment only to find themselves lonely, disconnected, homeless, incarcerated or back in hospital again. Housing communities may offer help.
During the early years of the pandemic, it was often said that the children would be resilient. But perhaps that was more of a comfortable refrain than a reality. High schoolers are not okay. We need to find solutions to help them thrive.
Food insecurity impacts nearly 7 million Canadians. There may not be a single “best” approach to addressing household food insecurity, but it is time for a more comprehensive approach to one of our most complex and urgent societal problems.
How important is air ventilation and filtration in classrooms? Is air quality something that should be a budgetary priority for school boards and provincial and federal governments? This is what the experts had to say.
Vanessa’s Law,” mandates hospitals to report serious adverse events that may have originated from medications and medical devices. This year it was expanded to include Natural Health Products, a move that should have been made long ago.
As antimicrobial stewardship clinicians, we implement system-level interventions and engage with prescribers to promote behaviour change in antimicrobial use. It's not too late to turn back the tide on antimicrobial resistance, but we must start now.
The Israeli-Palestinian conflict is undoubtedly complex, but the path forward is not as convoluted as it may seem. The solution is simple (perhaps too simple for those in power who aim to confuse us): Stop killing children and lead with love for children while upholding their rights under international law.
The last guideline on prostate-cancer screening was published in 2014. At the time, the task force approached the Canadian Urologic Association (CUA) and asked that it provide an expert panel of “stakeholders” to provide input....We found that the task force guideline utilized only data from a small number of randomized trials and ignored scores of other relevant studies. The analysis of the studies that were reviewed was superficial and the guideline was flawed.
The Canadian Ophthalmological Society, which represents all ophthalmologists in Canada, recognizes the importance of guidelines but also appreciates the challenges around them. For guidelines to be effective, they need to involve a variety of stakeholders with varying expertise from the beginning to ensure inclusion of all the evidence and consideration of issues where there may not be published data.
One would expect that the priority of the Canadian Task Force on Preventive Health Care on breast-cancer screening would be to recommend practices that would maximally reduce mortality and morbidity from disease. In the case of breast cancer, this suggests focusing on effective guidelines for those who are at increased probability of developing disease or increased risk of late diagnosis and the consequent higher likelihood of premature death or morbidity associated with treating advanced disease.
Most assume that the Canadian task force guidelines are led by content expert specialist clinicians. But this is not the case. The task force says it excludes content experts from genuine involvement in guideline development to avoid conflicts of interest. However, in the Canadian health-care context, this is not a valid argument.
In 2022, the Canadian Task Force on Preventive Health Care released recommendations against using a tool (the Edinburgh Postnatal Depression Scale – EPDS) to screen for depression during pregnancy and the postpartum. These recommendations do not agree with those made by experts in B.C. and Ontario; and around the world in Australia, the United States, England and Scotland. It is important that we look closely at these recommendations and try to understand why they differ.
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