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Cargando... Better Now: Six Big Ideas to Improve Health Care for All Canadianspor Danielle Martin
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"An important check-up on our health-care system--and what urgently needs fixing--from a respected doctor and passionate Medicare advocate. Dr. Danielle Martin sees the cracks and challenges in our health-care system every day. Much like Atul Gawande, she uses real patient stories to illustrate what works in our health-care system and what doesn't. Most importantly, she proposes bold fixes that are both achievable and affordable. Ahmad is a diabetic taxi driver who can't afford to renew his prescriptions; Jill, a 75-year old patient who went to Emergency for severe flu symptoms, ended up with a broken hip from falling down in her hospital room and then was discharged without her blood pressure meds. Sam was an active, healthy retiree who suffered a stroke from an unnecessary heart test. All of these people suffered from fixable and preventable issues that illustrate how Canadians' health needs to be better managed. And it can be done without increasing spending. One of the most urgent reforms she advocates for is a national pharmacare program, instead of the piecemeal provincial pattern of buying drugs. Canada could save billions if drugs were bought in bulk by a single body, which in turn could fund a national prescription program. Patients also need a regular GP instead of overusing hospital Emergency Clinics. Hospitals need to take into account a patient's overall medical history, at every stage from admission to discharge. And since poverty is the greatest predictor of ill health, Dr. Martin argues that a guaranteed income could prevent and alleviate many health problems, reducing pressure on the system and our wallets. Passionate, accessible, and authoritative, Dr. Martin is a fervent supporter of the best of Medicare and a persuasive critic of what needs fixing."-- No se han encontrado descripciones de biblioteca. |
Debates activosNingunoCubiertas populares  
 Google Books — Cargando...GénerosSistema Decimal Melvil (DDC)362.10971Social sciences Social problems and services; associations Social problems of & services to groups of people People with physical illnesses History, geographic treatment, biography North America CanadaClasificación de la Biblioteca del CongresoValoraciónPromedio: (4.25)
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She presents six big ideas which she feels could dramatically improve Medicare in Canada without additional funds. She believes that there is enough financial support, but we need to adopt more efficient practices and use data more effectively.
The six big ideas:
1. Patient relationship: cultivating relationship based patient care
2. Pharmacare: establishing a national prescription drug program
3. The compulsion to cure: reducing or eliminating unnecessary tests or procedures
4. Doing more with less: reorganizing our existing resources to improve care
5. Basic income for basic health: ensuring a basic income to improve health
6. The anatomy of change: building the systems we need to actually implement change instead of just talking about it.
When you read some of her examples and her solutions you have to wonder why they have not been adopted across the board. The whole idea of collecting patient data to analyze demographics and diseases in order improve outcomes is a no brainer. Improving the communications and relationship between hospitals and family doctors would be helpful. She uses the example of a patient who died after being admitted to the ER and her office was not notified. When her office called for a reminder appointment, they were surprised to find out she had died.
Her case for a national pharmacare program makes sense as it would establish a national database of patients and drugs, allowing for monitoring, reduction of duplicate prescriptions, and allowing the working poor to access better health care when they can't pay for their drugs.New Zealand is shown as the best practice for this program
Read this book and you will be surprised at how some of these relatively simple ideas, if put into practice could improve the health and dignity of Canadians. Change management and management of expectations are important themes. (