The continuum of patient-centred care could include a consistency of health care professionals familiar with a patient's case and who are buttressed by the flow of relevant patient history and investigations. Patient centredness by the professional care-giver would target care, communication and common ground or a shared understanding between those receiving the care and those providing it.
Employers want their drug plans to be as competitive as those offered by other employers. So what happens when the norm is to cover all new drugs at any cost, even if the drugs do not provide additional therapeutic value? Well, the end result is that everyone buys "generous" plans instead of increasing employee compensation. Everyone we spoke with agrees about the need to educate employees and employers alike. And in fact, everyone agrees (even insurers) that exorbitant drug costs are a big issue for Canadians.
Last week in Berlin more than 15 countries pledged over US$7.5 billion to buy vaccines for the children of the world's poorest countries for the next five years. While this is great news for the millions of children living in the 73 countries supported by Gavi, there were other big winners: the pharmaceutical companies that benefit from the soaring vaccine prices they charge for vaccines worldwide.
Although advertising of prescription medicines to the public is generally banned in Canada on public health grounds, shifts in administrative policy have allowed two types of ads since late 2000: "reminder" ads that mention a brand name, but make no health claims; and "help-seeking" ads that mention a condition, but do not state a brand or company name. We have identified six main weaknesses in how Health Canada regulates this advertising.
Many doctors who work in group practices are now paid a flat fee, per patient, per year. It essentially means the physician gets the same amount regardless of whether you have just one appointment or 10 appointments a year. So a doctor paid on that basis doesn't really lose money if a patient misses an appointment. However, protecting the doctor's income is not the sole motivation for imposing a "no-show" fee.
Rather than placing a tax on health needs -- as income-based drug plans do -- Ontario should consider a more positive road to universal pharmacare. Specifically, it should consider tax financing a universal drug benefit program that would give non-seniors the same coverage elderly residents enjoy today.
For those studying this unique branch of terrestrial life, the identification of resistance genes in the environment suggested there had to be antimicrobials out there. If this was the case, the Archaea were going to play a role. The only question they couldn't answer was the nature of this role. This past week, a team of researchers from Vanderbilt University may have provided the answer: Horizontal Gene Transfer (HGT).
Research shows that more than half of all Canadian households do not regularly check the expiry dates of medications, and if they do, they only do it right before taking the product. Given it's now cold and flu season, it's the perfect time to clean out your medicine cabinet. To make sure your medicine cabinet is stocked and ready at all times, follow these simple steps.
Dr. Mel Borins wants to you to be healthy and he wants you equipped with more than just your family doctor's orders. A family physician and associate professor of medicine at the University of Toronto, Borins is a leading expert in health and wellness who has advocated evidence-based, alternative medicine for decades.
This past week, the Supreme Court of Canada has been hearing an appeal by the BC Civil Liberties Association that could grant terminally ill Canadians the right to assisted suicide. The Court faces a daunting task. Palliative care cannot eliminate every facet of end-of life suffering. Preserving dignity for patients at the end of life requires a steadfast commitment to non-abandonment, meticulous management of suffering and a tone of care marked by kindness. In response to this dignity conserving approach, the former head of the Hemlock Society conceded that "if most individuals with a terminal illness were treated this way, the incentive to end their lives would be greatly reduced."
Statistically, when it comes to more Ebola cases arriving in North America, the question is not if, but when. While I still believe there is no cause for a general panic over Ebola, I feel that the approach being taken at present by our public health authorities is overconfident, dogmatic, and inflexible, with an unwillingness to consider that current containment measures may not be adequate. As a front line health care worker, I feel that my own safety is already at risk.
Antibiotics were the first and still are the go-to means of microbial distraction. However, in light of the continuing rise of antibiotic resistance, their usefulness is limited and we need to explore other options. One such ally is a living organism known to have just as much of a hatred for infectious bacteria: the bacteriophage.
A new study published in the journal Neurology suggests that a simple test measuring how fast people walk and whether they have cognitive complaints can predict later problems with dementia. The developed assesment will potentially allow for many more people to know whether they are at risk without complex testing.
The value of good germs has been known for decades. This was epitomized last month when an international group of researchers illustrated how the use of genetically modified probiotics could prevent chronic disease. Using only a specifically designed bacterium, they could prevent obesity in mice giving them a healthier life.
Instead of falling for false comparators, how can we have a broader, proactive conversation on the future of Canadian health care? Boston's book highlights how isolated and frustrating the experience of a patient seeking treatment for a life-altering disease can be. She describes much of her frustration as stemming from rushed appointments that left little time for asking questions. What improvements in system efficiency or changes to compensation models would enable physicians to spend more time providing quality, patient-focused care?
As with many scientific and medical breakthroughs, the discovery of the link between gum and cardiovascular diseases started off rather unexpectedly. Back in 1989, a group in Finland wanted to find out if heart disease could be linked to other chronic diseases. They did the usual blood analysis to detect heart problems and also conducted other medical examinations not unlike what a family doctor might do. They expected something but never imagined they would find a link between the inevitably fatal problems with a rather common condition many of us have: gum disease.
The implications of this being -- if one believes that gluten is the source of one's intestinal issues, it is very likely one will feel subjectively better when that particular agent is removed, or if one believes a given detox/cleanse will make one feel more vitality, it probably will -- if for no other reason than placebo effect.
Recently, a scathing report on the United States' health care system was issued. Surprisingly, little was made of this report in Canada. This was a shocking oversight, given that our performance on this same report was abysmal. Our health care system ranked second last in the study. How did our once-vaunted health care system become such a very expensive failure?