July 19, 2019

Joel Lexchin weighs in on Choosing Wisely Canada and the last 5 years

Choosing Wisely Canada is making an important contribution to ensuring that Canadian doctors use resources in the best interest of their patients’ health. However, one area that has been neglected so far is the influence of the pharmaceutical industry on the way that doctors prescribe. Marketing of drugs such as rofecoxib and long-acting oxycodone has been linked to significant morbidity and mortality. Companies aggressively promote their products to doctors through sales representatives and giving away free samples. Both of these tactics are linked to poorer prescribing. In addition to promotion, companies also influence doctors by controlling the knowledge that doctors receive. Companies are responsible for almost all clinical trials, and their sponsorship is much more likely to produce positive results and conclusions compared to any other source of funding. ...

Full Commentary available in Healthcare Papers


As we wait for September and the new season of Breakfast with the Chiefs revisit the speakers from 2018-2019


Brett Belchetz, CEO & Co-founder, Maple
The Un-Closable Hospital

Brian O'Rourke, President & CEO, CADTH
Transforming How We Manage Health Technologies in Support of Better Health

Sudip Saha,  Senior Medical Director for Long Term Care, Region of Peel & Chief and Medical Director of the Seniors Health System at William Osler
Dementia Care: Current Challenges, Future Opportunities

Kevin Smith, President & CEO, UHN
How to Improve Safety and Quality in an Overburdened Health System

Arden Krystal, President & CEO, Southlake Regional Health Centre
Brendan Carr, President & CEO, William Osler Health Centre
Will Falk (Moderator), Senior Fellow, CD Howe Institute
Health System Reform and Lessons from BC

Helen Angus, Deputy Minister, Ontario Ministry of Health and Long-Term Care
Ontario Health

Barb Collins, President & CEO, Humber River Hospital
Healthcare’s Digital Future – Creating a Better Tomorrow

Bernard Lord, Chief Executive Officer, Medavie
Reshaping Healthcare Service and Delivery to Meet Changing Needs

Mark Britnell, Global Chairman & Senior Partner, Healthcare, Government & Infrastructure, KPMG International
Human: Solving the Global Workforce Crisis in Healthcare




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Editor's Picks

Editors Picks

Overuse is a significant and long-standing issue within Canadian healthcare. Previous efforts to curb overuse have relied predominantly on top-down mechanisms to shape clinician behaviour. In 2014, the Choosing Wisely Canada campaign was launched, with a refreshing, grassroots approach premised on clinicians taking leadership on overuse. Five years later, and by many accounts, Choosing Wisely Canada has fulfilled that original mission, with significant penetration among clinicians. However, the [...]



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