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	<title>Comments on: More On Comparing Health Care Systems</title>
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	<link>http://www.epmonthly.com/whitecoat/2009/03/more-on-comparing-health-care-systems/</link>
	<description>A blog from inside the emergency department</description>
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		<title>By: Sarah</title>
		<link>http://www.epmonthly.com/whitecoat/2009/03/more-on-comparing-health-care-systems/#comment-7555</link>
		<dc:creator>Sarah</dc:creator>
		<pubDate>Thu, 26 Mar 2009 08:40:20 +0000</pubDate>
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		<description>Please keep in mind that the Canadian health care system is different in different provinces.  Alberta has been &#039;oil rich&#039; for many years with a growing population but the government there has chosen not to invest in health care infrastructure.  This is now biting them in the ass (one of the ways that we Canadians keep our politicians in line - especially on health care - is via the media spotlight so often the picture painted in the media is pretty doom and gloom).

In Ontario, wait times became an issue a while back so now the government runs a website http://www.health.gov.on.ca/transformation/length_of_stay/index.html
You can look up how well your local hospital is doing in comparison to the provincial targets and averages.  The hospital that I work at manages to get 9 out of 10 &quot;Minor or uncomplicated conditions/requiring less time for diagnosis, treatment or observation&quot; seen and out the door in 5.3 hours or less - which means we&#039;re not meeting the provincial average and target.  We&#039;re working on this - we&#039;ve proposed new strategies to the ministry of health and received additional funding to implement them.  For &quot;Complex conditions/requiring more time for diagnosis, treatment or hospital bed admission&quot; we&#039;re also not meeting the average or target, and again, we&#039;re working on it.  Apparently we&#039;re doing better than Calgary though: our &#039;total time&#039;* for 9 out of 10 patients is 14.3 hours.

I suppose any health care system is only as good as it&#039;s weakest link - I just don&#039;t want the assumption to be that the entire Canadian health care system is a mess.  Or that we&#039;re not trying to get any better.

Sarah, Your lowly ward pharmacist, fine purveyor of quality drug information, medication counsellings, med histories, and renal dosing calculations.  Also known as the antibiotic over-treatment dragon-lady.

*“Total Time Spent in the ER” is the maximum amount of time 9 out of 10 patients spend in an ER receiving care or waiting for admission to a hospital bed. It begins when a patient registers until the patient is discharged or is admitted to a hospital bed.
							BTW I love your blog!</description>
		<content:encoded><![CDATA[<p>Please keep in mind that the Canadian health care system is different in different provinces.  Alberta has been &#8216;oil rich&#8217; for many years with a growing population but the government there has chosen not to invest in health care infrastructure.  This is now biting them in the ass (one of the ways that we Canadians keep our politicians in line &#8211; especially on health care &#8211; is via the media spotlight so often the picture painted in the media is pretty doom and gloom).</p>
<p>In Ontario, wait times became an issue a while back so now the government runs a website <a href="http://www.health.gov.on.ca/transformation/length_of_stay/index.html" rel="nofollow">http://www.health.gov.on.ca/transformation/length_of_stay/index.html</a><br />
You can look up how well your local hospital is doing in comparison to the provincial targets and averages.  The hospital that I work at manages to get 9 out of 10 &#8220;Minor or uncomplicated conditions/requiring less time for diagnosis, treatment or observation&#8221; seen and out the door in 5.3 hours or less &#8211; which means we&#8217;re not meeting the provincial average and target.  We&#8217;re working on this &#8211; we&#8217;ve proposed new strategies to the ministry of health and received additional funding to implement them.  For &#8220;Complex conditions/requiring more time for diagnosis, treatment or hospital bed admission&#8221; we&#8217;re also not meeting the average or target, and again, we&#8217;re working on it.  Apparently we&#8217;re doing better than Calgary though: our &#8216;total time&#8217;* for 9 out of 10 patients is 14.3 hours.</p>
<p>I suppose any health care system is only as good as it&#8217;s weakest link &#8211; I just don&#8217;t want the assumption to be that the entire Canadian health care system is a mess.  Or that we&#8217;re not trying to get any better.</p>
<p>Sarah, Your lowly ward pharmacist, fine purveyor of quality drug information, medication counsellings, med histories, and renal dosing calculations.  Also known as the antibiotic over-treatment dragon-lady.</p>
<p>*“Total Time Spent in the ER” is the maximum amount of time 9 out of 10 patients spend in an ER receiving care or waiting for admission to a hospital bed. It begins when a patient registers until the patient is discharged or is admitted to a hospital bed.<br />
							BTW I love your blog!</p>
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		<title>By: Sarah</title>
		<link>http://www.epmonthly.com/whitecoat/2009/03/more-on-comparing-health-care-systems/#comment-7548</link>
		<dc:creator>Sarah</dc:creator>
		<pubDate>Thu, 26 Mar 2009 00:05:07 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=2269#comment-7548</guid>
		<description>Please keep in mind that the Canadian health care system is different in different provinces.  Alberta has been &#039;oil rich&#039; for many years with a growing population but the government there has chosen not to invest in health care infrastructure.  This is now biting them in the ass (one of the ways that we Canadians keep our politicians in line - especially on health care - is via the media spotlight so often the picture painted in the media is pretty doom and gloom).

In Ontario, wait times became an issue a while back so now the government runs a website http://www.health.gov.on.ca/transformation/length_of_stay/index.html
You can look up how well your local hospital is doing in comparison to the provincial targets and averages.  The hospital that I work at manages to get 9 out of 10 &quot;Minor or uncomplicated conditions/requiring less time for diagnosis, treatment or observation&quot; seen and out the door in 5.3 hours or less - which means we&#039;re not meeting the provincial average and target.  We&#039;re working on this - we&#039;ve proposed new strategies to the ministry of health and received additional funding to implement them.  For &quot;Complex conditions/requiring more time for diagnosis, treatment or hospital bed admission&quot; we&#039;re also not meeting the average or target, and again, we&#039;re working on it.  Apparently we&#039;re doing better than Calgary though: our &#039;total time&#039;* for 9 out of 10 patients is 14.3 hours.

I suppose any health care system is only as good as it&#039;s weakest link - I just don&#039;t want the assumption to be that the entire Canadian health care system is a mess.  Or that we&#039;re not trying to get any better.

Sarah, Your lowly ward pharmacist, fine purveyor of quality drug information, medication counsellings, med histories, and renal dosing calculations.  Also known as the antibiotic over-treatment dragon-lady.

*“Total Time Spent in the ER” is the maximum amount of time 9 out of 10 patients spend in an ER receiving care or waiting for admission to a hospital bed. It begins when a patient registers until the patient is discharged or is admitted to a hospital bed.</description>
		<content:encoded><![CDATA[<p>Please keep in mind that the Canadian health care system is different in different provinces.  Alberta has been &#8216;oil rich&#8217; for many years with a growing population but the government there has chosen not to invest in health care infrastructure.  This is now biting them in the ass (one of the ways that we Canadians keep our politicians in line &#8211; especially on health care &#8211; is via the media spotlight so often the picture painted in the media is pretty doom and gloom).</p>
<p>In Ontario, wait times became an issue a while back so now the government runs a website <a href="http://www.health.gov.on.ca/transformation/length_of_stay/index.html" rel="nofollow">http://www.health.gov.on.ca/transformation/length_of_stay/index.html</a><br />
You can look up how well your local hospital is doing in comparison to the provincial targets and averages.  The hospital that I work at manages to get 9 out of 10 &#8220;Minor or uncomplicated conditions/requiring less time for diagnosis, treatment or observation&#8221; seen and out the door in 5.3 hours or less &#8211; which means we&#8217;re not meeting the provincial average and target.  We&#8217;re working on this &#8211; we&#8217;ve proposed new strategies to the ministry of health and received additional funding to implement them.  For &#8220;Complex conditions/requiring more time for diagnosis, treatment or hospital bed admission&#8221; we&#8217;re also not meeting the average or target, and again, we&#8217;re working on it.  Apparently we&#8217;re doing better than Calgary though: our &#8216;total time&#8217;* for 9 out of 10 patients is 14.3 hours.</p>
<p>I suppose any health care system is only as good as it&#8217;s weakest link &#8211; I just don&#8217;t want the assumption to be that the entire Canadian health care system is a mess.  Or that we&#8217;re not trying to get any better.</p>
<p>Sarah, Your lowly ward pharmacist, fine purveyor of quality drug information, medication counsellings, med histories, and renal dosing calculations.  Also known as the antibiotic over-treatment dragon-lady.</p>
<p>*“Total Time Spent in the ER” is the maximum amount of time 9 out of 10 patients spend in an ER receiving care or waiting for admission to a hospital bed. It begins when a patient registers until the patient is discharged or is admitted to a hospital bed.</p>
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		<title>By: Carey</title>
		<link>http://www.epmonthly.com/whitecoat/2009/03/more-on-comparing-health-care-systems/#comment-7544</link>
		<dc:creator>Carey</dc:creator>
		<pubDate>Wed, 25 Mar 2009 20:30:43 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=2269#comment-7544</guid>
		<description>Thank you for the insightful post comparing health care systems. So much of this informs and calls into question some of the solutions we have attempted to generate like universal healthcare; comparative effectiveness research; electronic medical records and empowered patients. Aside from the question of what exactly is the issue we are trying to address or “solve&quot; with such initiatives your post reminds me of an article/interview by KevinMD in USA Today talking about the difficulty of actually thinking any sort of reform through. That is, how will we actually achieve a new system in practice? Just mentioning the term &quot;universal&quot; demands a tremendous amount of generating and filling positions, educating professionals, fair pay, responsible collaboration, effective decision making and so on that seems to often get overlooked...Thanks again, I enjoy reading your thoughts about the life of an emergency departments in particular and healthcare in general...</description>
		<content:encoded><![CDATA[<p>Thank you for the insightful post comparing health care systems. So much of this informs and calls into question some of the solutions we have attempted to generate like universal healthcare; comparative effectiveness research; electronic medical records and empowered patients. Aside from the question of what exactly is the issue we are trying to address or “solve&#8221; with such initiatives your post reminds me of an article/interview by KevinMD in USA Today talking about the difficulty of actually thinking any sort of reform through. That is, how will we actually achieve a new system in practice? Just mentioning the term &#8220;universal&#8221; demands a tremendous amount of generating and filling positions, educating professionals, fair pay, responsible collaboration, effective decision making and so on that seems to often get overlooked&#8230;Thanks again, I enjoy reading your thoughts about the life of an emergency departments in particular and healthcare in general&#8230;</p>
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