Getting the Foundations Right: Alberta's Approach to Healthcare Reform
Alberta is a relatively high-spending province in terms of age–gender adjusted per capita public health expenditure (based on CIHI data). But its health-adjusted life expectancy is below the Canadian average, ...
Mount Sinai Hospital’s Approach to Ontario’s Health System Funding Reform
Mount Sinai Hospital recognized that moving from global funding to a “patient-based” model would have substantial operational and clinical implications. This article outlines the hospital’s approach and highlights key lessons ...
Frailty a better gauge for healthcare funding
The Trudeau government should craft a new arrangement for health-care funding based on the precise and evidence-based concept of frailty
Checklist to Meet Ethical and Legal Obligations to Critically Ill Patients at the End of Life
Despite improvements in communication, errors in end-of-life care continue to be made. For example, healthcare professionals may take direction from the wrong substitute decision-maker, or from family members when the ...
Legal Developments in End-of-Life Issues
The Supreme Court of Canada in its October 2013 judgment in Cuthbertson v. Rasouli, provides an opinion that can arguably be relied on anywhere in Canada to deter efforts to ...
Transfers of LTC Residents to Hospital EDs: An Ethics Quality Improvement Project to Minimize Non-beneficial and Unwanted Hospital Transfers and Maximize System Efficiency
The authors describe three quality improvement projects intended to ensure LTC residents received the care they want and that benefits them.
A Better Prescription: Advice for a National Strategy on Pharmaceutical Policy in Canada
Canada needs a national strategy to fulfill its obligation to ensure universal access to necessary healthcare, including prescription drugs. Building on published research and international frameworks, the authors propose that ...
Still-Born Autonomy Insurance Plan in Quebec: Example of a Public Long-Term Care Insurance System in Canada
The Autonomy Insurance (AI) plan developed in Quebec was an attempt to introduce public long-term care insurance into the healthcare system. The AI benefit was based on an assessment of ...
Yes, Doctors, You Were Right. The Data Were Wrong: One Organization’s Data Quality Journey
In 2012, publicly released reports indicated that the health outcomes at St. Joseph’s Health Centre, Toronto (SJHC), may not be of the same quality when compared with those at peer ...
Examining Privacy Regulatory Frameworks in Canada in the Context of HIV
In the process of receiving perinatal care, women living with HIV (WLWH) in Canada have experienced disclosure of their HIV status without their express consent. This paper is a critical ...