Medication adherence monitoring: implications for patients and providers

2018 ◽  
Vol 31 (3) ◽  
pp. 108-111 ◽  
Author(s):  
Bobby Gheorghiu ◽  
Seema Nayani
Keyword(s):  
Clinical Practice ◽  
Medication Adherence ◽  
Health System ◽  
Healthcare System ◽  
Patient Outcomes ◽  
Ethical Dilemma ◽  
Adherence To Medication ◽  
Adherence Monitoring ◽  
Canadian Healthcare System ◽  
Canadian Healthcare

Non-adherence to medication is a key worldwide issue and can lead to adverse patient outcomes and increased health system costs. Would a process facilitating notification of non-adherence infringe upon the autonomy of individuals or breach expectations of privacy? In contrast, patients who are not taking their medication could unknowingly be putting themselves at risk and all the while prescribers are unaware and without the opportunity to intervene. With the advent of electronic methods of medication adherence monitoring, this ethical dilemma now involves a new layer of complexity. We present two scenarios encountered in clinical practice that reflect issues occurring regularly in the Canadian healthcare system.

scholarly journals An analysis of the French healthcare system in the context of geriatric care

2017 ◽  
Vol 86 (2) ◽  
pp. 70-72
Author(s):  
Hong Yu (Andrew) Su ◽  
Lilian Jade Robinson
Keyword(s):  
Healthcare System ◽  
Wait Time ◽  
Geriatric Care ◽  
Healthcare Outcomes ◽  
Geriatric Population ◽  
Positive Elements ◽  
Long Run ◽  
Per Capita ◽  
Canadian Healthcare System ◽  
Canadian Healthcare

The geriatric population occupy a progressively greater portion of the Canadian demographic spectrum. They often present with multiple comorbidities and utilize a disproportionate amount of healthcare resources per capita. Keeping current Canadian healthcare practices may become unsustainable in the long run, and comparison with the French healthcare system may help with the identification of current shortfalls. The Canadian healthcare system lags behind the French counterpart in several key healthcare indicators, including per capita spending, growth in expenditure, and specialist wait time. The French healthcare system is characterized by a mix of public and private healthcare choices, greater emphasis on preventative health and an nationwide integration. All of these may have contributed to the French healthcare system’s better fiscal spending practices and healthcare outcomes. The Canadian healthcare system should take note of these differences and integrate positive elements to create a model better prepared for geriatric care in the foreseeable future. More in-depth studies may be needed to better assess the extent of adaptation for each of the aforementioned areas.

scholarly journals Value-Based Health Care Supported by Data Science

2018 ◽  
pp. 193-212 ◽  
Author(s):  
Tiffany I. Leung ◽  
G. G. van Merode
Keyword(s):  
Health Care ◽  
Service Delivery ◽  
Health System ◽  
Healthcare System ◽  
Patient Outcomes ◽  
Data Science ◽  
Costs Of Care ◽  
Learning Health System ◽  
Measuring Outcomes ◽  
Cost Measurement

AbstractThe value agenda involves measuring outcomes that matter and costs of care to optimize patient outcomes per dollar spent. Outcome and cost measurement in the value-based health care framework, centered around a patient condition or segment of the population, depends on data in every step towards healthcare system redesign. Technological and service delivery innovations are key components of driving transformation towards high-value health care. The learning health system and network-based thinking are complementary frameworks to the value agenda. Health care and medicine exist in a data-rich environment, and learning about how data can be used to measure and improve value of care for patients is and increasingly essential skill for current and future clinicians.

scholarly journals Defining Health Profession Regulators’ Roles in the Canadian Healthcare System

2017 ◽  
Vol 16 (4) ◽  
pp. 4-7
Author(s):  
Joshua Tepper ◽  
Humayun Ahmed ◽  
Adalsteinn Brown
Keyword(s):  
Healthcare System ◽  
Health Profession ◽  
Canadian Healthcare System ◽  
Canadian Healthcare

scholarly journals Modelling change and cultural safety: A case study in northern British Columbia health system transformation

2018 ◽  
Vol 32 (1) ◽  
pp. 11-14 ◽  
Author(s):  
Margo Greenwood
Keyword(s):  
Health System ◽  
Indigenous Peoples ◽  
Cultural Safety ◽  
System Transformation ◽  
Health System Change ◽  
Health Authorities ◽  
The Relationship ◽  
Canadian Healthcare System ◽  
Canadian Healthcare

The relationship that Indigenous Peoples have to the Canadian healthcare system makes the system’s weaknesses and complexities obvious. The long-standing lack of consideration to the historical and contemporary realities of Indigenous Peoples has resulted in miscommunication, misunderstanding, mistrust and racism. Health leaders, including health authorities, across the province are thus challenged to ensure that culturally safe environments are available and culturally safe practices are being used. This article begins with an overview of contemporary social political contexts in which Indigenous individual and collective realities are situated. Following is a conceptual discussion focused on health system change and the experiences of Indigenous Peoples. Change at structural, systemic and individual levels is the focus of the change model presented in this article. Throughout this exploration, examples of concrete actions currently underway in a health authority are offered. The article concludes with visions for future change.

A focus group qualitative study of HIV stigma in the Canadian healthcare system

2016 ◽  
Vol 25 (1) ◽  
pp. 61-71 ◽  
Author(s):  
Anne C. Wagner ◽  
Kelly E. McShane ◽  
Trevor A. Hart ◽  
Shari Margolese
Keyword(s):  
Focus Group ◽  
Qualitative Study ◽  
Healthcare System ◽  
Hiv Stigma ◽  
Canadian Healthcare System ◽  
Canadian Healthcare
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