Tag Archives: health systems

Shaun Mehta is an Emergency Medicine Resident (R4) at the University of Toronto

 

In elementary school, I always dreaded bringing my report card home. My grades were good, but the teachers’ comments that followed could go either way — and were unfortunately of much more interest to my parents. I was often described as “disruptive,” and it seemed that relinquishing this quality was the key to making something of myself.

Two decades later, I’m finding out that being disruptive is one of my most valuable assets.

To clarify, we probably shouldn’t praise students for being disruptive in the classroom. But outside of the classroom... now, that’s an entirely different story. The health care industry is ripe for disruption; strapped for cash and bursting at the seams, we need better ways to manage today’s volume and complexity of patients. Forward-looking individuals and organizations have heeded the call and are making huge strides in health care innovation, yet patients continue to suffer as a result of systems-level issues.

By shifting our paradigm of innovation, creating an environment to foster disruption, and educating future leaders to drive change, we stand a chance at driving maleficent creatures (like hallway medicine and eternal wait times) to extinction. ...continue reading

is a fellow in paediatric infectious diseases at BC Children's Hospital in Vancouver

 

People sometimes ask me, "What’s the difference between medicine in Vancouver and medicine in Cape Town?" The answer is, quite simply, Everything.

But let’s rewind a bit. In July of this year, I flew the 20 or so hours it takes to get from South Africa to Vancouver. I arrived in the city by myself with 2 suitcases, knowing hardly a soul, and feeling completely overwhelmed. A few months earlier, I had been accepted into a 2 year paediatric (even the spelling is different) infectious diseases program at BC Children’s Hospital. Before coming I had filled out endless paperwork, done a million online courses ...continue reading

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TH - PHSPTrevor Hancock is a professor and senior scholar at the University of Victoria’s school of public health and social policy

 

Some of the fundamental principles of our health-care system — universal access to a comprehensive range of services in a system that is publicly administered — are threatened by the . But there is no smoke without fire.

Back in the 1990s, I organized study tours for Swedish health-care managers interested in learning from Canada’s health-care system. In introducing them to the system, I would point out that we do not have a national health-care system, as they do in Sweden, the U.K. or many other places.

Instead, we have ...continue reading

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TH - PHSPTrevor Hancock is a professor and senior scholar at the University of Victoria’s school of public health and social policy

 

Our health care system is not the only, and not even the most important determinant of the health of the population. But it is a determinant, and thus any threat to the proper functioning of the system is a threat to health. One such threat is the court case that started this week in the BC Supreme Court, in which and others are seeking to overturn some of the fundamental principles on which the system is based.

Day co-founded the Cambie Surgery Centre in Vancouver in 1996; in essence it's a private hospital with a number of operating rooms, offering a wide range of surgical procedures. There is nothing wrong in principle with a private hospital. Most Canadians don’t seem to realise this, but much of our care is provided through privately-owned clinics – that is what your doctor’s office is. ...continue reading

is Deputy Editor at CMAJ

 

Today, World Bank HQ hosted a round table discussion on . Heads of state of Guinea, Liberia and Sierra Leone, the three countries that still have cases of Ebola, were present and outlined their recovery plans to finance and development ministers and international partners. The event aimed to “build global support for the three Ebola-affected countries to get to and sustain zero cases, jumpstart recovery and build more resilient health systems and economies.” World Bank Group President Jim Yong Kim announced that the WB Group would be donating $650 million towards the Ebola Recovery effort; he also noted that a ‘Catastrophe, Containment and Relief’ trust fund has been set up to co-ordinate funds from other donors (fundraising continues).

Now that Ebola cases are declining, the epidemic seems to have been well-contained and the world’s media are no longer very interested in Ebola, why is so much money being pledged anew to the cause? The answer ...continue reading