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Home Policy Articles: Health Care: Health Care Professionals

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Better Business Means Better Health

This short commentary by Brian Lee Crowley discusses the issue of 'Medical Brain Drain' and the loss of skilled Canadian healthcare workers to the United States.
http://www.prairiecentre.com/pdf/sk/2003-09-15.pdf

Church’s end-of-life teaching is a gift to be shared

In this brief article, Bridget Campion describes her first case as a clinical ethicist.
http://culturalrenewal.ca/downloads/sb_culturalrenewal/campi...

Community-Based Mental Services in BC: Changes to Income, Employment, and Housing Supports

While British Columbia has been a leading province in mental health care reform and recovery treatments for people with mental illness, this has been greatly undermined in recent years.
http://www.policyalternatives.ca/documents/BC_Office_Pubs/bc...

Community-Based Mental Services in BC: Changes to Income, Employment, and Housing Supports

While British Columbia has been a leading province in mental health care reform and recovery treatments for people with mental illness, this has been greatly undermined in recent years.
http://www.policyalternatives.ca/documents/BC_Office_Pubs/bc...

Creating High-Quality Health Care Workplaces

This article by Kent V. Rondeau, Grant Schellenberg, Mieke Koehoorn and Graham Lowe asks what the key ingredients are for a “high-quality work environment in Canada’s health care sector”, and how this goal can be achieved. Taking a multi-disciplinary approach, the authors outline and summarize key research on the workplace and organizational structures.
http://www.cprn.com/documents/8984_en.PDF

Doctors Have to Make a Living Too: The Microeconomics of Physician Practice

In Doctors Have to Make a Living Too: The Microeconomics of Physician Practice, Brian Ferguson, of the Atlantic Institute for Market Studies, argues the market for medical services behaves like any other economic market. Claims that economic analysis cannot be applied to medical care, Ferguson asserts, are incorrect in the face of empirical evidence of physician practice. Ultimately, Ferguson argues, physicians are entrepreneurs who must make profit to stay afloat. For this reason, a national medical insurance policy cannot regulate the ability of physicians to charge for their services nor can it dictate where they work. If it does, Ferguson concludes, it will damage the health care system.
http://www.aims.ca/library/doctors.pdf

From Support to Isolation: The high Cost of BC’s Declining Home Support Services

In this paper Cohen, McLaren, Sharman, Murray, Hughes and Ostry examine the nature of home support within the BC health care system.
http://www.policyalternatives.ca/documents/BC_Office_Pubs/bc...

Health Care Spending, Fiscal Sustainability, and Public Investment

In his study “Health Care Spending, Fiscal Sustainability, and Public Investment,” Joe Ruggeri, Director of the Policy Studies Centre at the University of New Brunswick, analyzes three major issues on the debate on health care policy in Canada.
http://www.uregina.ca/sipp/documents/pdf/PPP%2042%20Ruggeri_...

Health Human Resource Planning in Canada: Physician and Nursing Workforce

This report by Katya Duvalko, Patricia Baranek, Lise Lamothe and Kent Rondeau, commissioned by The Commission on the Future of Health Care in Canada, tries to explain why attempts at providing more health care workers to hospitals and clinics in need of personnel “have not met with much success.” The authors find several barriers to reform. These include but are not limited to the lack of coordinated health human resources planning (which has been seen as a separate policy area), the complexity of the issue and thus the difficulty of adequate planning, differences in legislative and regulatory schemes across Canada, and diffuse accountabilities.
http://www.cprn.com/documents/14878_en.pdf

Health Human Resources Policy Initiatives for Physicians, Nurses and Pharmacists

This paper is the result of an initiative undertaken by the Health Network at the CPRN and Human Resources and Skills Development Canada to present an environmental policy scan of activity in three areas related to physicians, nurses, and pharmacists. The three areas for review were education and training incentives, recruitment and retention and workplace initiatives, and capacity to do national level health human resource planning. This paper addresses the results of data collection in these three areas.
http://www.cprn.ca/documents/32547_en.pdf

Issues in the Demand for Medical Care: Can Consumers and Doctors be Trusted to Make the Right Choices?

Published by the Atlantic Institute for Market Studies, Brian Ferguson’s paper Issues in the Demand for Medical Care: Can Consumers and Doctors be Trusted to Make the Right Choices? examines the belief that consumers of health care will suffer from an information gap in a free market. According to Ferguson, proponents of Medicare claim the information imbalance between doctor and patient could lead to unnecessary treatments and procedures prescribed under a free market system, a practice known as ‘inducing demand.’ Ferguson stresses, however, that it is important to make the distinction between ‘physician-induced demand’ and ‘physician-initiated demand.’
http://www.aims.ca/library/demand.pdf

Mapping Legislative Accountabilities

In this paper, Susan Zimmerman examines the question of “who is responsible for what” in Canadian health care legislation. While she addresses provincial, territorial, and federal legislation as it relates to health, she focuses on the provincial and territorial jurisdictions. The reason for this focus: to map how we frame accountability relationships within the health care system.
http://www.cprn.ca/documents/35190_en.pdf

Medicine, Professionalism and Conscience: Is Pluralism “One Size Fits All”?

In this paper Cristina Alarcon explores “the false dichotomy and growing lack of tolerance towards religious belief that permeates the medical profession in Western society.”
http://www.culturalrenewal.ca/downloads/sb_culturalrenewal/o...

Our Health, Our Future: Creating Quality Workplaces for Canadian Nurses

This report is a follow-up to an August 2002 report issued by the Canadian Nursing Advisory Committee (CNAC), also entitled Our Health, Our Future: Creating Quality Workplaces for Canadian Nurses. The CNAC report included 51 recommendations for improving the quality of work life for nurses. CPRN was engaged in late 2003 to learn what actions had been taken across the country to implement the CNAC recommendations. This paper, by Maslove and Fooks, represent those findings.
http://www.cprn.ca/documents/30762_en.pdf

Payment is Powerful: Overcoming Canada’s Shortage of GPs by Increasing Family Practice Compensation

Ida Rayson examines inefficiencies in the delivery of primary health care: she argues that one of the main problems is that Canada faces difficulties recruiting medical graduates to practice family medicine. She also suggests that the range of services currently offered by general practitioners (GPs) is shrinking. Rayson points to poor working conditions, a consequence of the existing remuneration systems, as a contributor to this shortage.
http://www.aims.ca/library/Rayson.pdf

Report on the Citizens’ Dialogue on the Future of Health Care in Canada

This report by by Pierre-Gerlier Forest, Karen Jackson, Barbara Legowski, Larissa Lozowchuk, Judith Maxwell and Steven Rosell, in partnership with The Commission on the Future of Health Care in Canada, attempts to evaluate what Canadians value in their health care system in a period where “difficult trade-offs” are necessary. The primary research involved dialogue with Canadians in the format of 12 sessions, each involving 40 participants who were presented with alternative means of dealing with health care issues.
http://www.cprn.com/documents/12704_en.PDF

The Ethical Recruitment of Internationally Trained Health Professionals: Lessons from Abroad and Options for Canada

Tom McIntosh, Renée Togerson, and Nathan Klassen discuss the ethical dilemma surrounding the recruitment of internationally educated health professionals (IEHPs) from developing countries to fill the gaps they perceive in Canada’s health care system.
http://www.cprn.com/documents/46781_en.pdf

The Future of Homecare in Canada

This report focuses on the role of home and community care within the larger system of health care in Canada.
http://www.ppforum.ca/common/assets/publications/en/future_h...

The Hidden Costs of Health Care Wage Cuts in BC

This study, by Marc Lee and Marcy Cohen, looks at the personal, family, and organizational impacts of wage cuts in British Columbia’s health care sector. The data comes from a survey of Hospital Employees’ Union (HEU) workers, who received a 15 percent hourly wage cut in 2004. The HEU covers a wide variety of job categories which employ mostly women, and many from visible minority and immigrant backgrounds.
http://www.policyalternatives.ca/documents/BC_Office_Pubs/bc...

The Physician Services Committee: The Relationship Between the Ontario Medical Association and the Ontario Ministry of Health and Long-Term Care

Archibald and Flood’s paper is part of the working paper series entitled Defining the Medicare Basket: Health Care Decision Making in Canada.
http://www.irpp.org/miscpubs/archive/medicare_basket/wp2004-...

The Right to Strike and the Provision of Emergency Services in Canadian Health Care

The Right to Strike and the Provision of Emergency Services in Canadian Health Care examines what authors Larry Haiven and Judy Haiven term a Canadian ‘crisis of health care employment.’ When the issue of striking health care workers arises, Haiven and Haiven assert that two rights are inextricably in collision: 1) the right of health care users to access care, and 2) the right of those who deliver care to have decent working conditions. Inevitably, the authors point out, this leads to a dispute over the right of health care workers to strike at all.
http://www.policyalternatives.ca/documents/Nova_Scotia_Pubs/...

Turning to the private sector in health care: The Swedish example

In this Economic Note the authors present Sweden as an example of how Canada can use market mechanisms to increase the efficiency of Canada’s ailing health care system.
http://www.iedm.org/uploaded/pdf/sweden.pdf

Viewpoints 2002: Focus on the Health Care Sector

This article briefly looks as issues of skilled labour shortages as they pertain to the healthcare sector. Some possible solutions to this problem are considered.
http://www.clbc.ca/files/Reports/viewpoints02_health_focus_e...

Where Does the Money Go? A Study of Worker Pay in Ontario's Hospitals

This brief Fraser Alert, written by Mark Mullins, examines the issue of how Ontario’s dollars are spent within the health care system.
http://www.fraserinstitute.ca/admin/books/files/WhereTheMone...

Why Competition is Essential in the Delivery of Publicly Funded Health Care Services

In this report, Kirby and Keon argue the most important structural weakness in Canada’s health care system is its lack of incentive to increase productivity.
http://www.irpp.org/pm/archive/pmvol5no8.pdf