The Forum

The blog for global health care leaders

3 insights from Ontario's big health policy shake-up

by Paul Trigonoplos, Rachel Zuckerman, and Vidal Seegobin March 21, 2019

Earlier this month, Ontario's government introduced Bill 74, or The People's Health Care Act. The widely anticipated proposal lays the groundwork for the creation of two new-in-kind population health entities:

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How Brazil's community health agents became 'the most successful example of primary care reform in the world'

by Paul Trigonoplos and Vidal Seegobin March 15, 2019

Brazil's health care problems in the 1990s mirror the challenges that most industrialised countries are facing today. As Brazil's population boomed, hospitals did too, pushing aside traditional providers of primary care and leaving the acute sector to tend to basic health needs, often at too high a cost. As a result, millions of citizens—especially those in poor, urban settings—struggled to access the basic and preventive care that primary care provides.

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Think you can't customise care to each of your patients? Think again.

by Rachel Zuckerman and Solomon Banjo February 14, 2019

We know that a one-size-fits-all approach to health care doesn't work. Even patients with similar conditions and backgrounds can respond differently to the same intervention or treatment.

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A prescription for Ontario's 'Hallway Medicine' crisis

by Vidal Seegobin, Liz Jones, and Paul Trigonoplos February 7, 2019

The hallway medicine crisis is alive and real in Ontario. In nearly every phone call we have with executives in the province, we've heard some version of the following: "We are running at or above 100% census. We're just trying to stay afloat." And because of the magnitude and scale of this problem, the new government has made 'solving hallway medicine' their number one health priority in 2019.

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5 insights from England's move to integrated care: What we can learn from the NHS Long Term Plan

by Liz Roberts January 24, 2019

Last week, in its first major health policy release since 2014, England's National Health Service (NHS) unveiled its Long Term Plan. The much-anticipated document outlines the key strategic priorities for the health system over the next ten years. It focuses on how to bring care closer to the patient, reduce barriers to coordination, and deliver the care of tomorrow.

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The surprisingly simple approach one UK hospital used to redirect 25% of its ED visits

by Rachel Zuckerman and Liz Jones January 17, 2019

Health systems around the world are struggling with unprecedented emergency department (ED) pressures, including increasing volumes and long wait times. In response, many are turning to ambulatory emergency care to divert patients away from the ED. In fact, the new NHS Long Term Plan requires that all acute hospitals with a type 1 Accident & Emergency department move to a comprehensive model of 'Same Day Emergency Care' by 2019/20.

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Are after-hours patients turning to your ED unnecessarily? Here's how one hospital solved the problem.

by Paul Trigonoplos and Liz Jones January 10, 2019

Convenient access is a huge priority for patients seeking primary care. In fact, when we asked patients to rank 56 primary care attributes in a 2014 consumer preference survey, six of the top 10 most important ones related to access and convenience. These were things like 24/7 GP access, short wait times, same-day scheduling, and so on.

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The unusual 'prescription' that has cut ED visits by 42% (and avoided almost £650,000 in costs)

by Paul Trigonoplos and Vidal Seegobin January 3, 2019

Imagine a world where a patient visits his or her GP for diabetes complications. The GP notices that the patient is overweight and, in addition to providing a referral to a specialist, the GP 'prescribes' physical activity as a clinical intervention too. The patient then goes to an athletic centre or gym, where a physiotherapist or health coach can formally 'fill' the prescription and help conduct a workouts with the patient over the course of several months.

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