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Articles on Health-care system

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Several factors ranging from personal spiritual beliefs to patient relationships to medical legal issues can influence whether a health-care practitioner participates in providing medical assistance in dying (MAID). (Shutterstock)

Health-care providers and MAID: The reasons why some don’t offer medically assisted death

For people to access medical assistance in dying (MAID) requires health-care professionals willing to provide the service. The reasons health-care providers choose not to participate are important.
Common approaches used to encourage internationally educated health-care professionals to work in smaller communities often focus primarily on attraction, but do not address the reasons why they tend to leave. (Shutterstock)

How rural Canada can attract and retain international health-care providers: Address discrimination, provide support

Small communities struggle to retain needed internationally educated health-care professionals. Challenges will persist until the compounding effects of social and professional isolation are addressed.
A national dental care program for low-income Canadians plans to launch coverage for children under age 12 in 2022. (Shutterstock)

7 principles to guide a national dental care program in Canada

A national dental care program is welcome news, but raises several ‘billion-dollar’ questions about how the program will work and what will be covered. Here are seven principles to guide decisions.
Paramedics and ambulances spill out of the Emergency ramp at Michael Garron Hospital in Toronto. THE CANADIAN PRESS/Frank Gunn

Tips for navigating an emergency department visit: Who you’ll see, what to ask and why it matters

Almost half of patients have poor understanding of their emergency department visit. Being aware of how the emergency department works can give patients the tools to have a smoother experience.
Most South Asian people with dementia and their care partners did not know the signs and symptoms of dementia before their diagnosis. (Shutterstock)

Navigating dementia care in the South Asian community: Overcoming barriers and stigma

People living with dementia in the South Asian community often face challenges accessing care because of a lack of culturally appropriate services, language barriers or perceived stigma about dementia
In addition to patient care, many doctors also have heavy administrative burdens, including insurance company requests and government forms that advocate for their patients’ needs, as well as all the challenges of running an office. (Shutterstock)

The doctor won’t see you now: Why access to care is in critical condition

Less than half of Canadians can see their doctor same-day, and millions don’t even have a family doctor. Improving access to care means providing doctors with the support they need to focus on patients.
Intensive care nurse Kathryn Ivey’s Tweet illustrates the impact of the pandemic on health-care workers. Used with permission. @kathryniveyy/Twitter

High rates of COVID-19 burnout could lead to shortage of health-care workers

Rates of burnout have increased alarmingly among health-care workers during the pandemic. Unless the system provides more support to its already depleted workforce, staff shortages may get worse.
With more health resources devoted to COVID-19, non-COVID patients may have unmet health-care needs, which predict poorer health in the future. (Shutterstock)

Collateral damage: The unmet health-care needs of non-COVID-19 patients

With COVID-19 placing heavy demands on the health-care system, non-COVID patients may struggle to access care, putting women, people in poor health and those without a regular doctor at risk.
Flowers sit on a bench in front of Orchard Villa care home in Pickering, Ont. on April 27, 2020. THE CANADIAN PRESS/Frank Gunn

How some OECD countries helped control COVID-19 in long-term care homes

People living in long-term care facilities have been disproportionately affected by COVID-19 in Canada. A new report analyzing long-term care around the world assesses Canada’s pandemic performance.
Although polyamorous families provide great support for themselves internally, they report experiencing marginalization within the health-care system and fear of judgment by health-care providers. Shutterstock

More romantic partners means more support, say polyamorous couples

Having multiple romantic partners also offers greater financial and logistical support when raising children, according to research with polyamorous families.
It is hard for doctors to change their clinical practise in the light of new medical evidence. Shame, loss of professional self-worth and fear of malpractice lawsuits are some of the reasons. (Shutterstock)

The new truth about Aspirin, and your doctor’s slow uptake of medical evidence

Evidence now shows that for the majority of healthy people, the risks of bleeding with a daily Aspirin outweigh any heart benefits. How long will it take for your doctor to tell you?
Clinical research has established exercise as a safe and effective intervention to counteract the adverse physical and psychological effects of cancer and its treatment. The Clinical Oncology Society of Australia is the first to recommend exercise as part of regular cancer care. (Unsplash/curtis macnewton)

Exercise is medicine, and doctors are starting to prescribe it

From weekend walks with your doctor to free gym memberships, there is a global movement afoot.
Manipulating environmental exposures to optimize a healthy microbiome may hold the promise of preventing chronic inflammatory diseases, such as Crohn’s disease and ulcerative colitis. (Shutterstock)

Why we all need to be proactive about our bowels

Halting the rapid rise in inflammatory bowel disease will require a proactive approach to medicine, and a focus on the gut.
Our rapidly aging society will place even greater pressure on the already expensive and mediocre Canadian health-care system. (Shutterstock)

How healthy is the Canadian health-care system?

Bold leadership is needed to adapt Canada’s expensive and mediocre health-care system for an aging population struggling with chronic disease.

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