Tag: system

N.L. health-care system in ‘a deep, dark hole’: NLMA president


SaltWire’s Atlantic regional weather forecast for August 23, 2023 | SaltWire

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ST. JOHN’S, N.L. — How big is the backlog of surgeries in Newfoundland and Labrador right now? At a Thursday news conference about fixing that very issue, no officials nor the health minister could give reporters a number.

When pressed to describe the backlog in words instead of a number, one official offered the following: “It’s large,” said Cassie Chisholm, vice-president of transformation (health systems) for the provincial health authority.

Chisholm could offer some approximate numbers for specific categories of surgeries. For example, she said there are about 3,000 people waiting for total hip and knee joint replacements, and about 4,000 backlogged cataract surgeries.

In April last year, the Newfoundland and Labrador Medical Association (NLMA) said there were almost 6,800 backlogged surgeries at the Health Sciences Centre and St. Clare’s Mercy Hospital alone.

NLMA president Dr. Gerard Farrell. — Juanita Mercer/SaltWire
NLMA president Dr. Gerard Farrell. — Juanita Mercer/SaltWire

SaltWire asked NLMA president Dr. Gerard Farrell on Thursday whether that number has changed. He couldn’t provide a number, but he could speak subjectively from his experience working as a doctor.

“I don’t see the wait times going down,” he said.

In fact, Farrell said, over the past couple of months, even something like getting a CAT scan takes longer now than it did a year ago.

“It’s very, very difficult to get for our patients the kind of care that we think they deserve in today’s environment,” he said.

“I’ve had days when, at the end of the morning, I’ve looked at my list and I said, ‘What have I accomplished for these folks?’ Not because I’m not trying hard, but because I just can’t get them

Guest column: Wait times remain thorn in Canada’s health-care system

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By Jerry Agar

Here is the good news about the Canadian health-care system:

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As I write this, I will soon after voluntarily allow a team of trained professionals to knock me unconscious and cut me open.

They will stick pieces of metal and some other substance into my right knee in what I anticipate will ultimately bring an end to the constant pain I feel from my knee, which is operating at the moment bone-on-bone.

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The cartilage that is supposed to cushion my movements is gone. It hurts a lot. All the time.

At my pre-operative meeting with an anesthesiologist, he commented that I didn’t seem nervous. There would be no shame in being nervous over someone cutting you open and changing the interior of your body, but I am quite happy to have it done.

I trust the doctors, nurses and others as world-class health-care providers.

Anecdotally, everyone I have spoken to who has had the operation says they wish they had done it sooner and are happy with the results. They pass on advice that I need to suck it up, deal with some pain and do the required physiotherapy.

Statistically, reports I read on follow-up research say that, depending on the report, 80 to 90 per cent of people report satisfaction with the results.

Some people who are not completely happy may have had unrealistic expectations of such things as returning to their teenage glory on the ski slopes. I will be happy if I can walk to and from the grocery store with no pain.

I have spent considerable time on these pages and elsewhere complaining about the Canadian health-care system. The bad news is that, compared to other nations with some form of socialized medicine, we suffer from long

Healthcare Information System Market to See Incredible Growth during 2023-2051Philips Healthcare, NextGen Healthcare, Carestream Health, Cerner Corporation, GE Healthcare

Global Healthcare Information System Market Growth (Status and Outlook) 2022-2028

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The study has been entirely devoted to a number of the amounts of analysis – industry research (global industry trends) and Healthcare Information System possess analysis among major players, along with company profiles, and which all together consist of about the essential views regarding the market landscape; emerging and growing rapidly sections of Healthcare Information System ; growing rapidly regions; and marketplace drivers, restraints, and chances for growth.

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The research investigates the Healthcare Information System and its advancements in several industry verticals and nations. Its goal is to estimate the current market size and potential growth of the global Healthcare Information System by application and representation.

These tools offer a comprehensive evaluation of the micro- and macroenvironmental factors influencing market growth during the predicted period. The Healthcare Information System report has had consistent growth in recent years and is expected to continue on its upward trajectory until 2030. Another key market development for Healthcare Information System is enhanced technological integration to improve product quality and efficiency. AI, machine learning, and blockchain technologies are being leveraged to produce innovative goods that outperform existing options in terms of efficacy and efficiency.

   Key Players in the Healthcare Information System market:

Philips Healthcare
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This research gives an in-depth examination of the Global Healthcare Information System Market. The report’s market estimations are based on extensive additional research, secondary evaluations, and in-house expert reviews. These market projections

Agency releases snapshot of national health care system – with notable gaps

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The Lakeshore General Hospital in Montreal on June 1. Quebec is not participating in a new Canadian Institute for Health Information report that provided a snapshot of the state of health care in Canada’s provinces.Ryan Remiorz/The Canadian Press

Canada’s health information agency has released its first snapshot of the national data available to begin assessing a federal health care plan unveiled earlier this year – but Quebec’s figures are conspicuously absent from the effort.

The province’s refusal to participate in the new Canadian Institute for Health Information report, published Wednesday, underscores the fact that the jurisdiction is the only one that hasn’t signed a bilateral health care deal with Ottawa.

While negotiations continue between the federal and Quebec governments, CIHI had to settle for gathering existing data from the other provinces and territories to serve as a rough starting point for the national health system performance data it plans to produce on four priority topics, including primary care and mental-health care.

“At CIHI, we’ve had excellent working relationships with Quebec and are able to include Quebec in many reports that we do,” said Kathleen Morris, the agency’s vice-president for research and analysis. “In this particular instance, because Quebec has yet to sign the agreement, they’ve asked to be excluded from this report, but it’s entirely possible that they could be part of future reporting.”

The new CIHI report stems from a health care funding offer that Prime Minister Justin Trudeau extended to the premiers in February. The federal government proposed sending a total of $196-billion to the provinces and territories earmarked for health over the next decade, a figure which included $25-billion for bespoke agreements tailored to the needs of each province and a $2-billion unconditional top-up to the Canada Health Transfer

As boomers veer toward 80, health care system hangs in the balance

First of all, no matter what you’ve been reading online, you will not live to be 200 years old.

This is a myth propagated by science fiction writers and investment firms that want you to commit for the long term.

Breastfeeding experts want official role in Quebec health-care system

Lactation consultants’ petition to the National Assembly demands that their profession be one people can get a tax deduction for using.

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A breastfeeding clinic in Notre-Dame-de-Grâce is expected to close at the end of July due to a lack of funding, and experts say that closure is a symptom of a much larger problem that costs Quebec’s cash-strapped health system and hurts infant health.

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Mi’kmaw health navigators hope to incorporate Indigenous practices into P.E.I.’s health-care system

Shelby Arsenault-Ellands is providing health care just a few roads away from where she grew up.

Arsenault-Ellands, a registered nurse, is a member of Lennox Island First Nation. She’s now working at the Lennox Island Health Centre as a Mi’kmaw health systems navigator, helping people in her community access services.

“I do a little bit of everything,” Arsenault-Ellands said. “But I guess the biggest parts would be helping Indigenous people from everywhere navigate the health-care system.

“That could be mental health, surgery, long-term care, addictions, socioeconomic stuff as well. And just helping people get connected to the services they need.” 

Working as navigator, Arsenault-Ellands said she can attend appointments with people who might want an “extra set of ears” in the room when dealing with a physician.

She’s been in that position since September. This March, Health P.E.I. signed an agreement to fund half of her position and one more like it.

A drone view of Lennox Island
The Lennox Island First Nation, located off P.E.I.’s northwest shore, has had Shelby Arsenault-Ellands working as a Mi’kmaw health navigator since last September. ( Shane Hennessey/CBC)

The positions also get funding from the federal government.

“I think it is really needed for the Indigenous community to make sure, especially being so rural, … that services are connected,” Arsenault-Ellands said.

“Obviously we have the Western medicine side of things, but we also have [the] traditional side of things as well that we can help incorporate into people’s care plans so that they feel like they’re getting the holistic care that they deserve.”

Making health care accessible

Shelly MacLean, a smiling woman with short blond hair, stands in front of a Mi'kmaw emblem painted on a wall.
Shelly McLean, the director of health services for Lennox Island First Nation,​​​​​​​said members of Indigenous communities have often felt uncomfortable accessing health services outside their community “because of racism in the past.” (Tony Davis/CBC)

Shelly McLean is Lennox Island’s director of health services.

N.S. exploring whether to add psychiatric nurses to health-care system

Nova Scotia was part of a recent 12-month feasibility study aimed at determining if registered psychiatric nurses could help to improve health-care in the Maritimes.

These nurses already play a role in other provinces in Canada but can’t practice in jurisdictions like the Maritimes where they aren’t regulated.

The study was a collaboration between the Registered Psychiatric Nurse Regulators of Canada and provincial health bodies in Nova Scotia, New Brunswick and P.E.I.

Cindy MacQuarrie, the senior director of interprofessional practice and learning at Nova Scotia Health, spoke to CBC Radio’s Information Morning Nova Scotia host Portia Clark about registered psychiatric nurses and the regulatory changes needed for them to play a role in Nova Scotia.

Their conversation has been edited for clarity and length.

Information Morning – NS6:47Study looks at possible role for registered psychiatric nurses in N.S.

Nova Scotia , New Brunswick and P.E.I. are currently exploring whether registered psychiatric nurses (RPNs) could help to augment health-care systems in the Maritimes. Cindy MacQuarrie, the senior director of interprofessional practice and learning at Nova Scotia Health spoke to Portia about a recent study done on the issue.

What’s the difference between a registered nurse and a registered psychiatric nurse?

Registered psychiatric nurses work side by side with other nurses — registered nurses, licensed practical nurses and nurse practitioners — in various practice settings and are especially concerned with individuals with mental health and addictions concerns.

It’s really critical as well to understand that psychiatric nursing education is considered a specialty.

This type of program prepares graduates to meet national entry level competencies from a nursing perspective, but they have an in-depth and a much broader depth of knowledge that focuses on mental health, addictions and advanced therapeutic relationships and communications in psychiatric nursing education.

How did the study

How do we fix our broken health-care system? York Region hears from head of Ontario Medical Association

COLUMN: System is not showing doctors enough respect

‘We need to try everything to cut the costs of health care … Carrying on as we have been doing threatens to bankrupt public finances,’ says columnist

Your car’s water pump is leaking. There are several ways to look how it might be fixed.

You expect to sell the car soon, so you opt for cheap, aftermarket parts, installed by an independent garage. Cash deal.

Perhaps you intend to keep the car for several years, so you insist on original equipment parts, installed by a trusted dealership offering a no-quibble guarantee.

Or maybe you operate a taxi company and need the vehicle on the road tomorrow — time is money, after all! You have the parts installed by a garage which does the work overnight.

You can apply similar logic to Ontario’s health-care system.

A. The employer (the Ontario government) wants nurses working 100 per cent of the time. To achieve this, there must be a “waiting list.” This means delayed procedures: diagnostic MRIs, “elective surgery” such as cataracts and hip replacement, cancer care, etc. But delay may increase the cost of treatment.

B. For the patient, an effective system means timely, rapid treatment, plus skilled, kindly care.

C. Patients do not arrive in hospitals at a steady rate. Sometimes things are “slow,” sometimes frantic. Perhaps hospitals should operate at below full capacity. That would allow them to deal with surges without so-called “hallway medicine” or delays to scheduled treatments and surgeries.

D. “Taxpayers” have a variety of opinions. Some wish to fund hospitals generously so they are available if they need health care. Others believe politicians claiming they can lower taxes but keep services untouched through (never specified) “efficiencies.”

E. Nurses checking intravenous drips or changing wound dressings would like time to sympathize with patients’ nausea or reassuring them

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