Social Determinants

Episode 44 – Tranexamic Acid in Non-Cardiac Surgery and Post-ICU Syndrome

New PSA has potential, but devil is in the capitation details

The new Physician Services Agreement adds a complexity modifier to capitation-based primary care models in Ontario, which could be an important step toward equity. Done right, it could incentivize physicians to serve those who most need care and address ongoing health gaps. But the devil is in the details.

Call the ‘brown doctor’: A case for language-sensitive delivery of health care

In a multicultural city like Toronto, it only makes ethical and financial sense to provide language-sensitive care in hospitals. Without it, culturally sensitive communication is incomplete.

‘Data is powerful’: Demographic questionnaire adds transparency to Match Day

This year, the Canadian Resident Matching Service (CaRMS) with the support of Dalhousie University, rolled out its pilot questionnaire to collect much-needed demographic data on residency placements across the country. Information gathered on race and Indigeneity, immigration, ability, gender, sexual orientation and household income of students could go a long way in ensuring equity among med students.

10 paid days of sick leave. A basic right for all workers

As a provincial election nears in Ontario, the Ontario Medical Students Association joins advocates across the province calling for a comprehensive paid sick-days program that supports all workers.

Improved paid sick leave, minimum wage necessary for our patients’ health

The public health order to “stay home when sick” without 10 paid sick days was impossible for countless workers. Precarious workers who perform essential, yet low-paying jobs shared the greatest burden of the pandemic. Now is the time for the government to act.

Long COVID – a public health crisis taking out women at the height of their lives

Long COVID symptoms now dominate my life, hopes and dreams. As soon as I realized that I wasn’t getting better after my COVID infection, I went looking for answers.

The right to die: Should MAiD apply to those whose sole condition is mental illness?

With the expansion of medical assistance in dying (MAiD) to include those whose sole condition is mental illness fast approaching, we asked a panel of experts whether they felt this was a move in the right direction — and what they hope to see moving forward.

Access to virtual care highlights urban/rural divide

The move to virtual care is leaving some communities behind. For rural Canadians, especially those in remote and Indigenous communities, there are obstacles to seeing a doctor both in person and online.

‘They’ve grown up disconnected’: Saskatchewan programs aim to reunite Indigenous families, support vulnerable mothers-to-be

The Cowessess First Nation's family care system reunites Indigenous parents with their children, restores cultural connections and helps expectant and new mothers gain labour skills, financial literacy and find housing.

Quit your job, go home and prepare to die: Surviving the AIDS epidemic

In 1986, I left Toronto and moved to New York. I fell head over heels for a man in 1988. We wanted to make sure we didn’t transmit HIV to each other, so we got tested. I felt healthy as ever. However, my test came back: HIV positive.

To tackle food insecurity, school adds hunting and fishing to reading, ‘riting and ‘rithmetic

Faced with rampant food insecurity in the Eel Ground First Nation, New Brunswick, one elementary school principal started the Kelulk Mijipjewe food program to provide nutritious meals and teach students about Indigenous food culture.

‘As a matter of policy, kids were hungry in residential schools’: The dark history of Canada’s food guide

Canada's Food Guide has its roots in controversial experiments conducted on Indigenous children and adults in the 1940's and 50's.

Born with a disease that kills but not at death’s door: Living in that in between

As a child with cystic fibrosis, I was hit with this adult issue of mortality – something no 5-year-old should be worrying about. When I was born in 1971, the median survival rate for women with CF was 20 years old. I’ve chased that median age of survival my whole life.

‘This is a place of healing’: The power of a sweat-lodge ceremony

Once a custom practised mainly by the Lakota Indigenous tribes, sweat lodges are growing in popularity in British Columbia, cropping up on many rural properties and Indigenous lands as group gatherings and tourists promise to return now that the pandemic is receding.

The Time is Now for LGBT+ Health Equity

Creating inclusive environments for LGBT+ clients has not occurred on a broad scale in Canada or elsewhere. The onus is on the health-care system and its leaders, from the local level to the federal government, to address LGBT+ health inequity. The lives of millions of people depend on it.

Nunavut struggling with crisis that ‘won’t go away’

Food insecurity in Nunavut has been called “among the longest-lasting public health crises faced by a Canadian population.”

College must act to ensure equitable health-care outcomes for women, marginalized communities

Differences in surgical outcomes between men and women may be part of a larger gendered public health crisis.

Lessons learned in the collection of disaggregated ethno-racial data

COVID-19’s disproportionate impact on racialized groups has catalyzed calls for the systematic collection of data disaggregated by race. So we're sharing five key lessons we learned from collecting ethno-racial data for COVID-19 case management in B.C.

‘We will not hide out of fear’: Open letter speaks out against harassment

Physicians and other health-care workers have been subject to harassment and intimidation for doing their day-to-day work during the pandemic explains Dr. Kaplan-Myrth, who recently penned an open letter asserting why health professionals should not hide out of fear of violence from hate-fueled convoys.