CANADA'S FAILURE

PEDIATRICS ◽  
1994 ◽  
Vol 93 (4) ◽  
pp. 569-569
Author(s):  
J. F. L.

The direct costs of Canada's national health insurance are not as troublesome as the distortive effect they have on health care delivery. Health care facilities have been forced to cut back severely on their capital expenditures, thus depleting the availability of advanced medical equipment. As a result, many patients must seek advanced treatment elsewhere. According to a recent study reported in the New England Journal of Medicine, nearly one-third of Canada's doctors have sent patients outside the country for treatment during the past five years. About 10% of all British Columbia residents requiring cancer therapy have been sent to the U.S. In Toronto, because the government doesn't provide enough money for personnel, 3,000 beds have been removed from service, while thousands of patients are on waiting lists for admission. Even where advanced equipment is available, bureaucratic absurdities prevent proper use. According to the April issue of "Fraser Forum," dogs at York Central Hospital in metropolitan Toronto were able to get CAT scans immediately while humans were put on a waiting list. The reason? Canadian patients are not allowed to pay for CAT scans, and the procedure costs too much to operate more than a few hours a day for nonpaying customers. Dog owners, on the other hand, were permitted to pay to use it. The user fees paid by the dog owners allowed the machine to operate longer, thus more human patients could be scanned. When this information was released, instead of considering user fees for humans, the Canadian government banned the tests for dogs!

2020 ◽  
Vol 7 (5) ◽  
pp. 653-656
Author(s):  
Dani Bradley ◽  
Arianna Blaine ◽  
Neel Shah ◽  
Ateev Mehrotra ◽  
Rahul Gupta ◽  
...  

The experience of pregnant and postpartum patients continues to evolve during the COVID-19 pandemic. Limited clinical data and the unknown nature of the virus’ impact and transmission routes have forced constant changes to traditional care delivery. Dependence on telehealth technology such as telephonic and videoconferencing has surged, and patients’ willingness to visit traditional health care facilities has plummeted. We set out to create an ongoing surveillance system to monitor changes to prenatal and obstetric care and the patient experience during the COVID-19 pandemic.


1994 ◽  
Vol 7 (1) ◽  
pp. 32-37
Author(s):  
R. Cercone ◽  
D. McDonald ◽  
L. Tarrant ◽  
K. Tremblay

Several approaches to organizational renewal have been described, but few are reported for health care institutions in Canada. In contrast, approaches to strategic planning in health care facilities have been well documented. From our experience over the past six years, the theory and practice of organizational renewal complement the focused activities of strategic planning. This combination can be an effective means to enhance organizational performance, employee commitment and a shared vision among the various stakeholders within the hospital and community. This article outlines the process and benefits that can accrue through such efforts. It demonstrates how the investment of organizational renewal strategies can produce sustainable, operational and strategic planning benefits for community hospitals.


2020 ◽  
Vol 32 (2 (Supp)) ◽  
pp. 273-276
Author(s):  
Shrikala Baliga ◽  
Suchitra Shenoy ◽  
Pooja Rao

The COVID 19 Pandemic is the most defining health care crisis of the present times. It has challenged the health care facilities, overwhelmed the health care personnel and baffled the scientists and researchers. There is no quick fix in a pandemic of this proportion. The past four months has seen many new aspects of this disease, and newer evolving strategies to rein in the pandemic. This commentary seeks to deal with the various aspects of laboratory diagnosis, safety and testing strategies adopted by different countries.


2018 ◽  
Vol 12 (1) ◽  
Author(s):  
Carolyn Briody ◽  
Leonard Rubenstein ◽  
Les Roberts ◽  
Eamon Penney ◽  
William Keenan ◽  
...  

2016 ◽  
Vol 4 (1) ◽  
pp. 54
Author(s):  
Julia Paul Nangombe ◽  
Hans Justus Amukugo

This paper is focuses on the description of the guidelines for implantation of a quality improvement training programme for health professionals. The formulation of the guidelines also borrowed the CDC (2001) steps and UNFPA phases of developing the guidelines for successful implementation of the training programme at the health care facilities in the MoHSS. The facilitator(s) and implementers of the training programme are advised to first understand the background and the development process of the training programme for successful implementation. These guidelines have been developed to assist quality manager(s) and facilitator(s) with the implementation of the quality improvement training programme for health professionals at the health care facilities (MoHSS).The guidelines enhance consistency in steps and methods to be followed during the implementation of the programme. The guidelines were derived from the conceptual framework that was developed during the exploratory and situation analysis of quality health care delivery at the health care facilities. Two prominent theories were adapted in developing these guidelines. Firstly, Deming’s PDSA model of quality improvement and secondly, Kolb’s experiential learning theory. These theories were used to understand the teaching and learning styles. The guidelines outlined the process, activities, and elements required to implement the such programme.


2021 ◽  
Vol 2 (6) ◽  
pp. 2260-2266
Author(s):  
Rini Susanti ◽  
Victor E. D Palapessy

BPJS and Non BPJS dependent patients have the same rights as other general patients to receive satisfying services just like other health care facilities. Considering that, this new program from the government in the health sector is aimed at controlling the quality and costs of health, so that it can be accessed by all levels of society, as well as having good prospects for hospitals and other health care facilities. Thus, hospitals are responsible for being able to provide satisfying and quality services so that they can be chosen by the community, both BPJS and non BPJS participants. The purpose of this study was to compare the quality of BPJS and Non BPJS dependent health services on the satisfaction of inpatients in health care facilities in the Riau Archipelago. This type of research is quantitative using a cross-sectional approach. The sample in this study was 60 people. The instrument used is a questionnaire. Data analysis in this study used the independent t-test. The results of the study found that there were significant differences between the quality of health services for the BPJS and Non BPJS respondent groups. And there is a significant difference between the satisfaction of inpatients in the BPJS and Non BPJS respondent groups. It is hoped that this research can be a reference for future research.


2021 ◽  
Vol 4 (1) ◽  
pp. 17-32
Author(s):  
Muhammad Sena Nugraha Pamungkas

This study aims to identify the concept and utilization of waqf in establishing and running health care facilities in Islamic civilization and evaluating if the same concept is applied in Indonesia. By using the documentary research method this study examining and exploring various secondary sources related to the research topic. This research concludes that the use of waqf in supporting and maintaining the sustainability of healthcare facilities has become a part of Islamic civilization. The concept of using waqf in operating and supporting health facilities is also not against the prevailing laws and regulations. In fact, the concept is in the same line with article 170 of Law No. 36 of 2009 concerning Health and Presidential Decree No.59 of 2017 concerning Sustainable Development. With the harmony between the concept of waqf and the prevailing law and regulations, it is expected that the government could realizing development a sustainable and inclusive healthcare facilities based on waqf.


2020 ◽  
Author(s):  
◽  
Ashley Pervorse

Network adequacy is a set of regulations a provider’s office must follow. Requirements are dependent on what funding they are receiving from the government, insurance companies, and other paying entities. Network adequacy at a provider’s office should be able to prove that they are providing their patients reasonable access to care. Generating these reports is currently a timely and costly process. Using GIS can improve the efficiency of generating and turning in their network adequacy reports to the required entities which would help save time and money. Having a way for providers offices to spend less time on these reports would allow for them to have more time to give to patients. Utilizing GIS to see the providers accessibility to patients can also show health care facilities where there are underserved areas, which would allow them to build new locations and add new providers. This paper shows the benefit of integrating GIS into the health field and how both provider facilities and patients can gain from this integration. Using the two-step floating catchment area method combined with ArcGIS Pro proved to be beneficial to calculating network adequacy and can be seen in the results of this paper.


Author(s):  
Chitra A. ◽  
Sakthimarieswari G. M. ◽  
Kaleeswaran S. ◽  
Indhira V. R. ◽  
Mythili Menon Pathiyil ◽  
...  

Background: Transgender people are those who by definition, have a gender identity or gender expression that differs from their assigned sex at birth. The Government of Tamil Nadu was the first Indian state to pioneer welfare schemes for transgenders such as formation of transgender welfare board, creation of a third column for gender in college application forms. The study aims to assess the discrimination faced by the transgenders in health care facilities. Methods: A cross sectional study was carried out among 50 transgenders using a self-administered questionnaire. Results: Among 47 responendents, 17.6% of the transgenders had delayed going to hospital fearing discrimination. Harassment either in physical or verbal form experienced by 41.2% and 37.5% faced discrimination in form of judgemental looks or comments, while 5.9% of the transgenders were denied treatment altogether in the hospital. Denial of equal treatment experienced by 52.9% of the study participants.  Conclusions: The study highlights that transgenders even today face considerable discrimination which refrains them from assessing health care facilities. Even though we in Tamil Nadu have pioneered with the formation of transgender board, free sex re-assignment surgery in government health care facilities, the utilisation by the transgenders are far from behind. This may be attributed due to the discrimination faced by the transgenders.  


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