What is it that makes health education research theory-based,can wellbutrin help with edema oseo,zen gardening tools - Easy Way

Health educators are social workers that strive to inform the population about high-risk factors in their lifestyles that can lead to dangerous, expensive, even deadly medical conditions. They often work with a specific population, such as children, the elderly, the obese, and smokers to deal with the medical issues each group is susceptible to BEFORE they become a problem. As healthcare costs skyrocket to 18% of the nation's GDP, healthcare providers, government agencies, and NGOs are focusing on prevention as the best way to control costs while improving the public health.
It may be cheap to educate people on the dangers of their lifestyle, but it's not easy to convince them to change their ways. According to the BLS, 51% of health educators worked in healthcare or social assistance in 2008, and 23% worked in government.
Real job opportunities for health educators will be better than even that robust projection.
According to the Bureau of Labor Statistics, candidates with clinical healthcare experience will have the best opportunities as health and wellness educators.
Some graduates of health science programs go on to teach health-related subjects at the postsecondary level.
Real job opportunities for qualified teaching candidates will be better than that estimate.
Professors made annual median wages of $58,830 in 2008, according to the Bureau of Labor Statistics. According to the Occupational Information Network, 58% of health educators aged 25-44 had bachelor's degree or higher in 2008. Health educators are not required by most states to be formally certified, but many choose to earn the CHES distinction, through the National Commission of Health Education Credentialing, Inc. As with any serious educational decision, do your research when picking an online health education or health science program: is the school accredited?
Health educators are teachers; they must be good organizers, strong communicators and active listeners. Because health educators work extensively with vulnerable groups like the poor, elderly, or immigrants, they should be sensitive to cultural and generational issues. Because health educators must sometimes do their own research and put together their own lectures and presentations, rigorous academic abilities are beneficial. Completion of a bachelor's degree in health education generally qualifies candidates for entry-level positions as Health and Wellness Educators. Advanced positions, especially those in hospitals, government service, and educational institutions may require a master's or doctoral degree in health education. The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. For at least two decades now, Ontarians a€” along with other Canadians a€” have worried about the quality and accessibility of their health care. Public opinion surveys indicate that the answers to the first two questions are probably a€?noa€? (significant minorities offer a tepid a€?yesa€?) and to the third a resounding a€?no.a€? Politically, however, the answers are a€?noa€? to all three.
Some Ontarians may grasp at the hope that economic growth or productivity gains will generate the additional wealth needed to pay the bills for health care. So if we cannot a€” in short a€” look to a€?easya€? answers to the problem, we are left with hard answers and difficult solutions.
What we need is a broad revamping of the system that makes the parts work better together, so that the whole is greater than a€” or at the very least equal to a€” the sum of the parts. The vital first step is a long-term view of how the health system should change to meet the needs of the future. But recent studies suggest that the trajectory of ever-more-costly health care will moderate only modestly if left to operate as it does now, not only in Ontario but in other provinces as well.
Aging in general will add about one per cent per year to the cost of running hospitals and community care, which, as we have seen, accounts for about two-fifths of health spending.
Aging is a significant cost driver, though its importance has been overblown in popular discourse.
There are no straightforward answers to these questions, which depend on both public attitudes and politiciansa€™ reactions. Polls offer some insight into public attitudes towards health care issues, but must be treated cautiously. Even though Ontarians seriously underestimated the true cost to government of health care, there is evidence that Canadians in general are increasingly worried about the sustainability of health care spending. Polling also reveals large gaps between how we run health care in Canada and what Canadians say they want. First, stronger productivity growth, by generating more economic growth, would make it easier to afford more health care spending. Second, we could afford more health care if we raised taxes, but tax rates would have to rise persistently to keep the new revenue received above income growth. Third, we could restrain all other government spending severely to leave more room for health care. It goes almost without saying that these are not solutions; the status quo growth path of health care spending needs to be curbed. It is easy a€” too easy a€” to restrict our focus to how much the Ontario government spends on health and where the cash goes.
Throughout this chapter, we have been referring to Ontarioa€™s collection of health care providers as a a€?system.a€? In reality, the province has a series of disjointed services working in many different silos.
After a positive mammogram, the patient is referred electronically as a a€?Category 1a€? to a breast assessment centre. What is most surprising is that both cases could happen in Ontario as it has the resources in some areas of the province, but lacks the co-ordination. We need to see the system proposed in the a€?what could happena€? scenario become the standard operating procedure for breast cancer diagnosis across the province. Ontario needs to integrate silos and reduce administrative red tape that impedes efficient and effective service. Canada has one of the costliest health care systems in the world, which may surprise people who are too accustomed to comparing our record only to that of the United States. Co-operation and Development (OECD),12 Canada had the sixth most expensive system in 2009, when it was tied with Switzerland.
Ontarians, like most Canadians, focus almost exclusively on the public component of health care, around which a robust mythology has grown. Canadaa€™s health care system is at its most public when it comes to physician and hospital services; 91 per cent of the former and 99 per cent of the latter are paid for by governments.
We also need to get past our myopic focus on health care to a broader view of health more generally.
Canadians consistently tell pollsters that they do not particularly care much about the cost of health care a€” they simply want access and quality of care.
Canada does not appear in a favourable light on a value-for-money basis relative to other countries. These statistics appear to make a definitive case that we have not only fewer doctors than elsewhere, but too few doctors in absolute terms.
Pharmaceuticals have been the fastest-growing component of health care costs in recent decades. Both sets of researchers wrestled with the issue of how fast drug costs will grow in future. In its 2010 Survey of Canada, the OECD noted that Canadian generic drug prices are the highest in the OECD, even higher than in the United States and twice as high as in Finland.
The Canadian Institute for Health Informationa€™s Health Care in Canada 2010 report discusses a number of examples of inefficiency in the Canadian health care system. Many hospital beds are occupied by patients who could get better quality care at a lower overall cost elsewhere in the system. After the death of his wife, the family of a 76-year-old man decided to move their father closer to their home, which was 250 kilometres away. The results of this inefficiency include people in hospital beds who could be better cared for elsewhere, crowding of emergency facilities, cancellations of surgeries because beds are not available and a clogging of ambulance services bringing people to and from hospitals. The OECD researchers who took a stab at measuring inefficiency costs in health care systems came to a startling conclusion about this country.
A broader perspective can be taken on efficiency of health care by considering the cost savings possible through improving various lifestyle patterns that have health implications.
Any system designed to address the needs of the majority of the population will be overwhelmed and diverted by the special needs of the truly complex and expensive cases. Interestingly, when you look at the patients that used emergency rooms (ERs) most often in the LHIN analyzed by MOHLTC the profile changes significantly. An 80-year-old woman lives alone, has diabetes, arthritis, a colostomy from a previous bout with bowel cancer and is a little forgetful.
She has trouble getting an appointment with her family physician as the phone system is tiered and confusing (a€?press 1 for this, 3 for thata€?).
The patient is identified by the family physiciana€™s office five years before as being at risk for complications due to her multiple ailments.
A registered nurse from the FHT visits once every two weeks to oversee her medications and follow progress.
As with complex cases, the effects of mental health and addiction on our health care system should not be underestimated, nor should the ripple effects felt in the justice, educational and social services sectors. Further, there is a need to link the health system and social service planning, including youth protection services, more effectively to serve mental health and addiction patients better. Canadaa€™s health system, and that of Ontario, developed to deal with acute care and largely remain in that mode. In this ideal system, payment schemes and information gathering would be aligned to support the patient-centric notion. It's expensive to treat cancer or diabetes, but it's relatively cheap to convince someone to stop smoking, eat better, and exercise before they develop dangerous conditions. That's why it's important that wellness and fitness workers of all kinds, including health educators, nutritionists and dieticians, and fitness workers, are trained as scientists and salespeople – selling a lifestyle people need but may not want. They are scholars and scientists able to make an articulate, research-supported argument for healthier living.
Because preventative education is the most cost-effective way to control rising healthcare costs, health educators are expected to enjoy a strong occupational growth rate better than the national average for all occupations. According to the O*NET, a project of the Department of Labor's Employment and Training Administration, there will be 26,000 openings for qualified health educators from 2008 to 2018.
There were about 1.7 million professors in 2008, including health and wellness educators, according to the Bureau of Labor Statistics. According to the Occupational Information Network">Occupational Information Network, there will be 552,900 job openings for professors from 2008 to 2018.



The middle 50% of the field made between $33,170 and $60,810 a year, while the bottom 10% made less than $26,210 and the top 10% of the field made more than $78,260.
The middle 50% earned between $41,600 and $83,960, while the bottom 10% of the field earned less than $28,870 and the top 10% earned more than $121,850.
Advanced supervisorial and specialized positions may require a health science graduate degree.
Candidates for CHES distinction generally have health education bachelor's degrees or higher. The best online health education degrees will offer a rigorous and thoughtful education as good as those offered by local ground schools in a more flexible format that may be better suited to the working student. They must have strong and comfortable command of the scientific data that supports their assertions, and be able to answer pointed or even hostile questions. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. As health has consumed a rising share of the provincial budget, the debate has increasingly focused on the sustainability of the health care system in a form that gives Ontarians what they want.
Ontarians are unlikely to want either higher new taxes on individuals or cuts to non-health programs to accommodate the relentless increase in health care spending; none will even tolerate discussions that so much as hint at moving away from the public payer nature of financing hospital care and physiciansa€™ services. As we will argue below in more detail, this is highly unlikely and, in any event, no basis on which to make policy decisions affecting the health care system years into the future.
We are left with the challenge of reforming the health care system to make it operate more efficiently and give us greater value for money. It is being carried forward by health care providers in every corner of the system who recognize far better than the politicians or the public what needs to be done and a€” perhaps more importantly a€” what no longer needs to be done. The government must set out a 20-year plan with a vision that all Ontarians can understand and accept as not only necessary but also desirable; a plan that will, though it involves tough decisions in the short term, deliver a superior health care system down the road.
Before we get to those proposals, however, we will sketch out what we regard as the most salient facts about health care and the perspectives that we bring to the issue.
It is relatively simple to extrapolate future costs by examining the factors that drive health care spending. Because the governmenta€™s drug programs are aimed at the population aged 65 and over, growth in that age cohort will add about 3.5 per cent annually to those programs. Members of the large baby boom generation now range in age from about 45 to 65; by 2018 a€” the limit of our horizon for this report a€” they will be 52 to 72.
To an economist, there is nothing particularly surprising or alarming about health care rising as a percentage of public and private budgets. In an Ontario poll done in late 2010 by the Gandalf Group for the Healthcare of Ontario Pension Plan, most people responded that they were prepared to pay more taxes and see other public spending crowded out to preserve the health care system. Beyond higher taxes or cuts to non-health spending, however, Canadians have given some thought to another way to pay for health care.
A good example is the low public coverage of health care costs other than physicians and hospitals.
Also, there now seems to be less concern that all services be delivered under public administration, as long as the bill can be covered by an OHIP card. Can fears of unsustainability a€” that the system will not remain affordable a€” be eased by proposing some of the more obvious a€” or at least most often cited a€” solutions? But even if productivity growth doubled from its low levels of the past decade, trend growth in nominal GDP would still fall far short of the projected increases in health care spending.
This might generate voter tax fatigue and would inevitably result in broader economic losses as the economic distortions induced by rising taxes magnified. But as TD Economics pointed out, status quo trends suggest that by 2030, health care would account for 80 per cent of Ontarioa€™s program spending.
At the same time, much of the Ontario health care system not only can be improved, but calls out for improvement. Health care is about so much more than money that such a blinkered approach is not helpful.
The Ministry of Health and Long-Term Care (MOHLTC) must work with its health care providers, administrators and stakeholders to co-ordinate roles, simplify the pathways of care and improve the overall patient experience. The results go to her family physician, whose office calls and asks her to come in for the next available appointment, which is a week later. The patient goes online to her own record and links to the centre, where she can find and book an appointment at a time that suits her that is also within the Category 1 window for diagnosis and treatment. Comparable systems could be developed for a host of conditions, including diabetes, chronic obstructive pulmonary disease and kidney disease.
That said, for the sake of simplicity, we will continue to use the term a€?systema€? for the remainder of this chapter.
The high cost of our health care system could perhaps be forgiven if the spending produced superior results. A 2010 report by the Commonwealth Fund15 ranked the quality of the health care systems in Australia, Canada, Germany, the Netherlands, New Zealand, Britain and the United States. The CIHI concluded that fewer physicians per capita in Canada a€?may lend insight into why Canadians continue to report difficulties in accessing health care when compared to other countries.a€?16 According to the World Health Organization, among the countries in the Commonwealth Fund report, only Australia has fewer physicians per capita. According to CIHI, the number of physicians graduating from Canadian medical schools climbed by almost 50 per cent between 1999 and 2009. But there is some evidence that on important matters Ontario has one of the best or even the best system within Canada. On the positive side, many prescription drugs will soon be coming off patent protection so some argue that cost increases will moderate. After noticing some dementia, he was moved into the family home where the dementia worsened to the point where the family brought him to the local hospital emergency department. These are classic symptoms of a system built for acute care at a time when the needs have shifted more to chronic care. In other words, efficiency gains would amount to almost 30 per cent of public-sector spending in 2010.34 Of course, measuring inefficiency, especially by comparing differing international systems, is very difficult, so we must be cautious in interpreting the OECD figure. For example, a study by the Canadian Centre for Policy Alternatives36 estimated that a national pharmacare plan would save between 10 and 42 per cent of total drug expenditures. They are people who are frequently in and out of our health care system, constantly being admitted to, discharged from, and then readmitted to hospitals. Analysis of a Local Health Integration Networka€™s (LHIN) 2006a€“07 billing data done on behalf of MOHTLC revealed that one subset of hospital inpatients accounted for 40 per cent of all hospital bed days.47 These patients were identified as a€?complex inpatients,a€? meaning they did not have just one health condition but many at once, often including mental health or addiction issues. She is visited by the nurse practitioner from the Community Care Access Centre (CCAC) and Family Health Team (FHT), and receives a full assessment of her capabilities, which are all done in her home. The patient also has a regular appointment with the FHT to see the registered nurse and the family physician, where she also sees a behavioural expert registered nurse.
Based on what we know about patients needing complex care, the physician would be quickly overwhelmed if he were left to be the lone individual responsible for co-ordinating care.
In 2000, the economic costs of mental health and addiction issues were estimated to be $33.9 billion. In June 2011, MOHLTC released a€?Open Minds, Healthy Minds, Ontarioa€™s Comprehensive Mental Health and Addictions Strategya€? in response to the Select Committeea€™s observations. First, the focus is on patching up people after a health problem has struck rather than taking a broader approach that might prevent problems or at least mitigate the effects.
It would be patient-centric and would feature co-ordination along the complete continuum of care that a patient might need.
Compensation for hospitals and physicians would be more closely tied to outcomes of health rather than to the inputs or services. The BLS predicts that the field will grow by 18%, and add 12,000 new jobs by 2018, for a new total of 78,200.
That figure includes the 12,000 new jobs the BLS predicts AND existing positions vacated by retirement, career changes, and early termination. The field is expected to add 256,900 jobs over 10 years, for a 2018 total of almost 2 million positions. That figure includes the 256,900 new jobs predicted by the BLS AND existing positions vacated by retirement, career change, promotion, and early termination.
Health educators working for colleges and universities earned $49,050, those working for local government earned $43,040, and those working for both outpatient care centers and family services earned around $46,000. Candidates with clinical healthcare experience will have the best opportunities at all levels. To maintain CHES certification, medical educators are required to complete 75 hours of continuing education over 5-years. Indeed, the Commissiona€™s own mandate forbids us from recommending higher taxes or privatization, though, as we have already noted, we believe that allows us to recommend more private- sector involvement in the delivery of health care as long as the public payer model remains intact. We cannot count on the magic bullets of faster economic growth or rapid productivity gains to finance our health care needs and wants.
This is not easy, especially not when every proposal for fundamental change is greeted in some quarters by cries that medicare will be destroyed if Proposal X or Recommendation Y or Scenario Z is adopted.
Already, they are moving the system incrementally towards the greater integration that is utterly necessary. We cannot emphasize strongly enough that quality of care and efficiency are essential to any reform. The stroke victim who cannot gain immediate access to necessary physiotherapy may suffer permanent damage, with long-term costs to the patient, the family and the health care system alike. Based on current trends, this share is likely to expand to more than 44 per cent by 2017a€“18. More people need more health care and any increases in compensation for the people who work in the health care system are cost drivers that affect all corners of the health care system. Similarly, growth in the population aged 75 and over will add about 2.5 per cent per year to the cost of supporting long-term care homes, which could mean that more long-term care beds would need to be built a€” that is, unless we can more efficiently and effectively use home care.
Even by then, most boomers will not yet have reached an age when medical costs begin to rise sharply. In recent years, such ratios have provoked concerns that the health care system is unsustainable in its present form.
It is a classic a€?luxurya€? good; as individuals and societies get richer, they wish to allocate a larger share of their rising income to health care. However, there are reasons to be skeptical of this result, which may apply more in theory than in practice. The CHSRF polling summary indicated that two-thirds of respondents were prepared to accept a contributions-based savings plan to amass money for future health costs such as long-term care and pharmaceuticals. In any case, such an aggressive assumption about productivity growth is mere wishful thinking since we have no ready answers on how to revive it. The remaining 20 per cent would not even cover the current education system, let alone any other public services.


It is easy to be smug when we compare ourselves with the United States, which spends far more than Canada relative to both its population and its GDP, yet in 2010 left almost 50 million people a€” over 16 per cent of its population a€” uncovered by health insurance.10 If we compare ourselves to countries other than the United States, however, we often come up short.
Still, a few observations about spending on health care and the resources devoted to it will establish some context before we broaden our approach to non-financial issues. At the appointment, the family physician says the results are positive for cancer and that she will arrange for a needle aspiration. Through this online portal, the patient is also told how to prepare and what to expect at her appointment. If a highly public system is a virtue, Canada looks good only relative to the United States.
The Senate Subcommittee on Population Health14 estimated that only 25 per cent of the populationa€™s health outcomes can be attributed to the health care system on which we lavish such attention. At 19 physicians per 10,000 people, Canada compares unfavourably to the United States at 27 and especially to the continental European G7 countries where most are well into the 30s. Indeed, at less than five per cent, drug costs had one of the lowest rates of increase in 2010 in many decades.
In 2008a€“09, five per cent of hospitalizations and 13 per cent of all hospital days were ALC.31 It is understandable to a degree that patients would end up classified as ALC near the end of their hospital stay. It must be noted that in Ontario, which has one of the countrya€™s highest levels of ALC (such patients occupy seven per cent of hospital beds, compared with five per cent nationally), the government introduced its Aging at Home Strategy in 2007, designed in part to reduce the number of ALC patients. Further, it simply may not be feasible to eliminate or even substantially reduce the figure. In the CHSRGa€™s analysis, these were most likely patients with circulatory and respiratory system issues, cancer, injuries or poisoning (frequently from post-surgical complications resulting from either infections or device failures). These a€?at-riska€? patients accounted for 20 per cent of all ER visits and made over four visits a year, some over 20 in one year. An occupational therapist visits and arranges for a variety of changes to the apartment to reduce risk and increase safety. Interprofessional team-based care, with care managers for the most complex patients, is essential to ensure that appropriate transition and supports are in place to mitigate the risk of readmission. The strategy includes a plan to focus on quality improvement, early intervention and improved service integration for mental health and addiction patients. Primary care would be the main point of contact with patients, with much of the co-ordination across caregiving done through the administration of regional health authorities.
Many create presentations, often utilizing technology like Microsoft PowerPoint, Publisher, and Excel. Nor, apparently, can we accept higher taxes, a reduction in other government services or greater privatization to square the health care fiscal accounts. Better care delivered smoothly and briskly across a range of needs will benefit patients and providers alike; it will also save money in the long run. In 2010a€“11, the latest fiscal year, health spending expanded by only 3.7 per cent, its lowest annual rate of growth in a decade. In Denmark, where one-fifth of the population is over age 60, the government stopped creating new long-term care beds in the late 1980s and instead focused on building a wide variety of dwellings that are adapted for older people. It is important to remember that the population ages gradually and health care costs also rise gradually with patientsa€™ age.
Most people substantially underestimated both the public cost of health care and the rate at which it is increasing. In 2006, 91 per cent of respondents said that publicly insured services should be extended to home care, long-term care, mental health care and drug benefits. Wishful thinking, needless to say, cannot be the foundation of a policy response to the sustainability issue. The family physician has trouble finding a radiologist to do the needle aspiration and it takes three weeks to have it performed. When the patient arrives at the breast assessment centre within the proper time-frame set out by best practice guidelines, she sees a nurse practitioner expert and has her blood work done, a needle aspiration and an examination by doctor, all in one appointment. Half can be explained by socio-economic factors such as education and income; another 15 per cent relates to biology and genetics, while the physical environment accounts for the remaining 10 per cent. On the basis of raw data, Canada is in the middle of the OECD pack on physicians per capita.
However, drug use is heavily concentrated in the elderly, and new drug discoveries could push the cost curve back up.
He was admitted directly to a hospital unit where steps for placement into a long-term care facility were taken. The issue was hardly raised during the 2011 federal election, nor did it emerge in any of the many provincial elections over the remainder of 2011. Even more intriguing is the level of severity of their medical issues (also known as a€?acuitya€? in ERs).
Taking this step further, complex patients need to be engaged through their care providers to develop strategies to cope with loss of ability, set goals for recovery, and prepare them to rebuild their lives. There would be much less emphasis on treating patients in hospitals, which are costly and expose people to contagious diseases while yielding poor patient satisfaction. Health educators are experts in their fields (however specialized they may be), and are able to confidently field pointed questions. You'll be able to find the answers to many of these questions on this family of Web sites, but don't be afraid to ask your admissions counselor the tough questions. If not, are we willing to squeeze out spending on all other public services a€” including education at all levels, social services, justice, infrastructure and economic development a€” to make room for rising health care costs? The elderly person who is stuck in an acute care hospital bed is not getting the best care, which would be possible if he or she should instead be transferred to a long-term care facility or sent home with appropriate support. New drugs and related technology will add another 1.5 per cent to the cost of the drug programs. At the time the poll was conducted, health care accounted for just over 40 per cent of Ontarioa€™s program spending. Such moves have been recommended in many health care reports, including the 2002 Romanow Commission and 2004 Kirby Senate Committee Report. The radiologist then has difficulty finding the mammogram as it was done somewhere other than in his clinic, creating further delay. The patient then books her own followup appointment for four days later, which happens to be an early evening appointment so she can go after work. To bring about meaningful reform, we must bring all these environmental factors into the equation. Yet in a 2008 report,17 the Fraser Institute calculated that adjusting for population age, Canada tied for 23rd out of 28 comparable OECD countries on physicians per capita. Suppose that a full set of electronic records enabled an elderly person to stop making multiple visits to different doctors, explaining his or her ailments again and again. The most common reasons for patients being in ALC status is that they seek palliative care (34 per cent), are waiting for admission to another adequate facility (27 per cent) or seek physical therapy (11 per cent). He was in an ALC hospital bed for 115 days awaiting placement because the long-term care homes did not consider him suitable despite the fact that they had empty beds. As a comparison, the average stay for a non-complex patient was 6.3 days over the same period. Helping complex patients to live with the fewest restrictions and least risk is central to maintaining their dignity and connections with their community.
To a much greater degree, care would be provided by primary care facilities, through better information and, in the case of chronic health issues, in the home or long-term care facilities. If not, are we willing to shift a significant portion of health care spending to individuals, regardless of their ability to pay? Yet another three per cent in annual cost increases will come from the more intense use of health care, as new treatments become available. Fogel estimates that, in the long run, for every one per cent increase in income in the United States, people will consume 1.6 per cent more health services.
The aspiration shows suspicious cells and the family physiciana€™s office calls the patient back and asks her to make another appointment to discuss the results. At the followup appointment, her results are discussed and are also available to the patient online, with email and text access to a registered nurse. For example, strategic education interventions may be more effective in reducing future health care costs than investments in hospitals today.
Over half of these patients also tend to be over age 75 and one-third are discharged from the hospital to another facility (most likely a long-term care home). The CCAC and community social service agencies, in co-ordination with the FHT, provide a variety of services to assist with bathing, meals and social interaction and provide an alarm system in case of trouble. The system would allow all professionals to exercise the full scope of their skills in their work; nurses, for example, would do what they could competently do, like administer vaccines, and nurse practitioners could provide high-quality management of chronic illnesses like diabetes and high blood pressure.
And how do they want to pay for what they want a€” from their own pockets or through their tax dollars?
That followup appointment avoids the unnecessary MRI and the patient is booked for biopsy.
Yet amazingly, three-quarters of the influences that account for health outcomes barely register in the health care debate.
The Commonwealth Fund report found that only 37 per cent of Canadian physicians used electronic records to serve their patients, the lowest rate among the 11 countries studied.
These and other changes could free up enough physiciansa€™ time, perhaps by enough to reduce, if not eliminate, any a€?shortagea€? of doctors.
Another third are discharged to the community without support services.49 Similar interventions to those mentioned above could have a great impact when caring for these patients. Due to a mixture of pain medications, sleeplessness and unfamiliarity, the patient gets confused and is prescribed anti-psychotics.
Would their views change if confronted with the reality of what the current health system costs? Adding to this issue are other social determinants of health such as poverty, social isolation and illiteracy, which can further increase the need for intervention.
When the MRI is done, the patient is again called back to the family physiciana€™s office where the doctor tries to find a breast cancer surgeon to perform a biopsy as her preferred surgeon is on holiday.



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