A newly created Primary Care Action Team has a lofty goal: to ensure all Ontarians have access to primary health care within five years. Here are five principals to consider to help achieve it.
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Articles on Health-care system
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As a standalone statistic, the rate of ‘low risk’ caesarean births lacks the nuance needed to inform and improve individual care. Childbirth metrics must adopt a broader, patient-centred perspective.
Most people would prefer to die at home than in hospital. If dying at home could be made more feasible and well resourced, both the dying and the living would benefit.
The Canadian Medical Association’s apology for harms to Indigenous Peoples is an opportunity to reflect on the gap between apologies and the work of true repair necessary for reconciliation.
Cancer diagnoses in adolescents in young adults are rising. These patients are not only navigating the challenges of a life-altering diagnosis, but also other challenges distinct to their life stage.
De-centring medical expertise means fostering skillsets that reduce disparities in health outcomes. Medical expertise alone is great for those with social privilege, but not enough for the rest.
New simulation tools open the door for objective nurse workload management — a missing key to a healthy health-care system.
Surveying more than 5,500 nurses about the realities of their work lives highlights how a shortage of nursing staff could compromise Canadians’ ability to access safe, compassionate care.
Research partnerships with the people and communities affected help to challenge health inequities, and support person-centred care in health systems.
In addition to asking health-care systems to prepare to end suffering of mental illness through Medical Assistance in Dying (MAID), we must ask policymakers to support better lives for families.
Future AI large language models like Google’s AMIE might prove to fill gaps in health-care delivery, however, they must be adopted with caution.
Canada has spent billions on health-care software that does not even communicate province to province. Free and open-source software would be a technically superior and far less expensive option.
Not only is the health sector feminized, but women — particularly racialized women — are more likely to be in jobs at the low end of the pay scale, but that require prolonged contact with patients.
The shortage of family doctors affects not only patients, but the entire health-care system. A strong primary care foundation increases average lifespan, improves overall health and reduces costs.
A national procurement program for essential medicines could provide a principled, evidence-based solution to the current challenges facing a national pharmacare program in Canada.
Education has a role to play in addressing the shortage of family doctors. A new program is designed specifically for comprehensive, community-based family practice.
Each encounter that health-care students have with patients and families helps them understand real-world patient needs. That means all Canadians have a role in educating future health-care providers.
Now is the time to learn from the COVID-19 response through an action-oriented independent inquiry focused on accountability. Reforms to data generation, access and use are essential.
Recruiting internationally educated health workers is a key part of Canada’s proposed solution to the health worker crisis. But there are ethical questions about recruiting from foreign countries.
Bill C-7 has created ethical tensions between MAID providers and palliative care, between transparency and patient privacy, and between offering a dignified death rather than a dignified life.
Top contributors
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Associate Professor, Nursing, MacEwan University
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MD (Internal Medicine Resident) & PhD candidate (Focus on Geriatrics), Dalhousie University
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Associate Professor, Family Medicine, Queen's University, Ontario
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Midwifery Student, McMaster University
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Professor of Medicine (Cardiology), Queen's University, Ontario
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Assistant Professor, Daphne Cockwell School of Nursing, Toronto Metropolitan University
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Canada Research Chair in Health Justice, University of Toronto
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Professor of Health Services and Policy Research, University of British Columbia
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Professor of Geriatric Medicine, Dalhousie University
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PhD Candidate, Faculty of Health, University of Waterloo
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Student Midwife, McMaster University
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Professor, School of Sociological and Anthropological Studies, L’Université d’Ottawa/University of Ottawa
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PhD in Health Candidate, Dalhousie University
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Professor of Family Medicine, Queen's University, Ontario
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Professor of Health Services and Policy Research, Queen's University, Ontario
