Introduction Because of the lack of organization with the health care providers in Canada, the wait times are too long and can cause serious complications to any condition the patient went in for in the first place. This situation of how the health care system can resolve wait times was brought to the government but they continue to ignore the proposals brought to them. It is possible to resolve the problems of wait times without extreme change and expenses in the health care system. The solution is to be found in the reorganization of the health care providers. Lack of assistance in the emergency room can make ones illness to become worse, therefore, causes the patient to be forced to wait in emergency rooms for an extended period of time and when they are finally seen by a health care provider, the outcome is very poor due to lack of registered staff, physicians and proper assessment(Goldman & Macpherson, 2005, p.40). The objective of this paper is to discuss and critically analyze the conditions of emergency waiting rooms. The specific issue this paper intends to explore is extensive and prolonged waiting times for patients accessing health care, patients who need urgent treatment and the vulnerability of elderly patients and children. With an in-depth critique of the barriers to health care and shortcomings of emergency rooms, strategies will be provided to enhance a health care system that makes it more accessible and efficient. The issue There has been a shortage of physicians, lack of inpatient beds, problems with ambulatory services, as well as not having proper methods of dealing with patient overflow, all in the past 10 years (Cummings & francescutti, 2006, p.101). The area of concern that have been worse... ... middle of paper ... ... wait times and the problem of our physician shortages. Becoming aware of the reasons why our physicians leave Canada, will be the stepping stone to create/match the attractive deals that steal them from us. The shortage of our physicians and the long wait times in the emergency room is closely connected. The government needs to look at all propositions that have been mentioned in order to fix these issues. There are all kinds of advanced health care providers that can help with this problem by aiding in the emergency rooms and remove the burden of overworked physicians. If we organize our health care providers in a new way, the wait times in our emergency rooms could be greatly reduced. The public should take control of their health by not tolerating the present state of affairs. Their health is being harmed by extended wait times and lack of health care workers.
Monitoring staff levels is an important factor. Also leveling the flow of patients in and out institutions could help to reduce wide fluctuations in occupancy rates and prevent surges in patient visits that lead to overcrowding, poor handoffs, and delays in care. Studies show that overcrowding in areas such as the emergency rooms lead to adverse outcomes, because physicians and nurses having less time to focus on individual patients. One study found that for each additional patient with heart failure, pneumonia, or myocardial infarction assigned to a nurse, the odds of readmission increased between 6 percent and 9 percent (Hostetter and Klein, 2013). All of which costs the hospital money.
The challenges that all acute care hospitals and facilities faces are the demand for highly specialized services has increased. The US population is constantly aging and the elderly tend to need more acute care services. Because many people lack health insurance, they tend to use emergency rooms in the hospitals as their source of care. The increase demand in acute care prompted hospitals to expand their facility
In order to properly address the issue and look for a remedy, it is necessary to understand the underlying conditions that create the problem before creating the means to manage the change required to correct the problem. The Crowded Clinic has multiple issues, including social and operational, which are creating the associated inaccessibility to services. The
The number of doctors that present in the United States of America directly affects the communities that these doctors serve and plays a large role in how the country and its citizens approach health care. The United States experienced a physician surplus in the 1980s, and was affected in several ways after this. However, many experts today have said that there is currently a shortage of physicians in the United States, or, at the very least, that there will be a shortage in the near future. The nation-wide statuses of a physician surplus or shortage have many implications, some of which are quite detrimental to society. However, there are certain remedies that can be implemented in order to attempt to rectify the problems, or alleviate some of their symptoms.
As part of the 2017-2018 budget, Ontario will invest 1.3 billion dollars over a three-year period, in an effort to decrease the extreme wait times. As stated on the Government of Ontario's website, $529.7 million of the $1.3 billion dollar investment will be used for priority services within the hopsital sectors in order to improve quality-based procedures, which in turn reduce wait-times. In the last fourteen years, the Govenment has invested more than $2 billion to reduce wait times, therefore, by having the Ontario Government allocate over $1.3 billion in 2017-2018, demonstrates a significant commitment to reducing wait-times in our health care system.
Health care has become an issue because of the shortage of doctors in Canada. Many of them are either going to the U.S.A. or going to other countries to practice in hospitals and clinics. The earning cap imposed by the government has forced doctors to work fewer hours than are necessary to serve the public. Many Canadians are without a doctor to help them with their needs, and emergency rooms are filled to capacity with no available beds for those who have to be admitted to the hospital. Waiting time for specialist and specialty tests has become so long that someone diagnosed with a major illness may die before they can be properly treated.
The public health care system in Canada is still flawed, proven through the wait times that many patients have to go through. Canadians may wait up to six to nine months for “non-urgent” MRIs . The waiting list is dreary for Canadians, unlike Americans who can get their services immediately through paying out-of-pocket, the long public sector in Alberta waits up to a year for services, the wait for cataract surgery was six weeks ; these waits for some patients put the public health care system to shame, and helps push the idea of the privatized health care system a bettering option for the future of the nation. Additionally, 41 percent of adult Canadians said they experienced a difficulty in accessing hospital and physician care on weekday nights and weekends . Furthermore, it is still evident that Canadians in fact pay a higher income tax compared to Americans, due to the fact that they are paying the fund the health care system through their taxes; however, it is still significantly less to pay for a public health care system than it is privatized . Privatization is further proved as a superior choice with regards to the discharge situation many Canadians face. In Canada, it is common to see patients discharged earlier than recommended due the rising amount of patients using the free-of-charge public health care system, patients are released “quicker and sicker” because of this . Additionally, when discharged, the public health care system does not cover home care and private nurse care ; further proving the notion that there is still some forms of privatization already in the health care system in
When you suffer an injury, you may immediately think that going to the emergency room is the best option. However, this may not always be the case because going to the emergency room can involve you waiting many hours before being treated. Luckily, there are urgent care centers that are capable of addressing many of the more routine emergencies that people may experience. In particular, the following two problems can often be addressed by these facilities.
Government more recently has thrown money at the problem. Believing that money can solve any problem. The ministry of health consulted with physicians and health care stakeholders to create initiates to help attract more physicians to Saskatchewan (“Physician Recruitment,”2010). The government signed new contracts with emergency rooms doctors in hope that higher salaries will help recruit more physicians (“Saskatchewan ER,” 2013). The expected salaries range from about 300,000 to 400,0000 yearly (“Saskatchewan ER,” 2013). The government has also committed a total of 3.5 million dollars to a new strategy (“Physician Recruitment”, 2010). Government grants also seemed to be a new and innovative way of combating the lack of doctors (Kaul, 2013). Medical students in Saskatchewan or licensed physicians can access special funds to start their own clinic with the expectation that they stay for 3 to 5 years (Kaul, 2013). This seemed like a great idea until 5 doctors decided that they would flee the country while owning 300,000 tax payer dollars (Kaul, 2013). The retention of doctors is still a problem with a turn over rate of 18 in rural areas and 12.5 in urban areas (“Annual Report,” 2012).
Primary health care is the essential step to the Canadian health system. It is often associated with other specialized health care sectors, and community services. Many patients visit various services under primary health care such as family doctors' offices, mental health facilities, nurse practitioners' offices; they make phone calls to health information lines, for example, Tele-health; and receive suggestions from physicians and pharmacists (First Ministers; meeting on healthcare, n.d.). This service can prevent patients from visiting the emergency department, when all that is required is some guidance and advice. Having primary care services can reduce the consumption of acute beds, where only seriously ill patients can use the acute beds when it is available. Primary care not only deals with sickness care, but it helps patients receive preventable measures; it promotes healthy choices (Primary health care, n.d.). The focus on appropriate health care services, when and where they are needed, enhanced the ability of individuals to access primary care in various settings: at home, in a hospital or any number of family health care venues, such as Family Health Teams (FHTs), Community Health Centres (CHCs), or Nurse Practitioner- led clinics. This paper will look at the litigious heated argument in the Romanow Report concerning primary care. It will begin with a discussion of the outcome of the Accord on Health Care Renewal (2003) and The First Ministers' Meeting on the Future of Health in Canada (2004), both referring to primary care, which will then be followed with an assessment and analysis of the different ways in which the accords have been addressed in support of primary care. Followed by a discussion about the changes on ...
Nevertheless, when patients arrive at the A&E Department, a trained triage nurse will help determine the relative priority due to the patient's condition. There are five categories for nurses to classify, such as critical (immediate treatment), emergency (waiting time within 15 minutes), urgent (waiting time within a half hour), semi-urgent and non-urgent. Yet, it trend to treat the triage nurse as a McDonald’s Customer Service Ambassador in charge of the system carries out smoothly and conveniently. Apart from that, specialist out-patient clinics also have the same problem. In general, patients visit general out-patient clinics or private family doctors which make referrals due to special cases.
The first content being analyzed is a book, which covers an aspect of health care that deals the “focus on wait times” for patients in Canada. This book begins by recognized the detect in Canada’s healthcare, as it pertains to wait time. Canada has a history of delayed wait times that great surpass that of other countries. The book offers an example that support this claim, through a contrast done in 2010 with 11 different nations proved that Canada is among the least efficient countries with regard to wait times. In addition,Canadian have the longest waits for specialists, with 41% of people having holds up of two months minimum. Nevertheless, Canadians have said to find the wait times worthy, though the global measures show otherwise. Furthermore,the
As long as the AMA restricts the number of new physicians being trained, and leaving the U.S. unable significantly increase the supply of physicians to meet the changing demographics and the additional people receiving health care from the ACA, health care costs will rise. Several alternatives have been proposed to lessen the effects of the shortage of physicians. First, physicians could reduce the average time spent with patients, allowing them to see more patients. Second, nurse practitioners and physician assistants could be utilized more efficiently to reduce the burden on physicians and provide health care to greater numbers of people.
Public voice will be heard. In the single-payer system for the all country they follow, congress has explicit provisions for public accountability and transparency. Public are subject to accountability and demand for the transparency. If Public does not follow or violate the rules they we be held to the account. Single-payer system will ensure that everyone has access to a single tier of high-quality care, based on medical need, not ability to pay. It will be first come first serve. There will be long wait times for non-urgent procedures, e.g. hip replacements in Canada, are often cited by opponents of single-payer reform as an inevitable consequence of universal, publicly financed health systems. They are not. Wait times are a function of a health system’s capacity and its ability to monitor and manage patient flow. In recent years Canada has shortened, wait times for non-urgent procedures by using better queuing techniques. In the case of urgent care, wait times have never been an issue. Moreover, we spend twice as much per person as Canada does; enough to assure that we would not have waits in our single payer system. On the other side, In America patients are not used to of waiting they demand service to be provided as soon as they enter facility.
With a lack of transportation, lack of access to primary care physicians, loss of income due to time taken off to see a physician, and numerous other factors affecting these families, the emergency department becomes the only option. As a volunteer in an emergency room, I have seen this fact hold true on far too may occasions. Witnessing first hand such a short coming in medicine provided me with a sense of drive and purpose. While I knew I wanted to be a physician, I did not know what type of physician I wanted to be. As a primary care physician, I would be able to reach out to underserved parts of the community that are underserved, and provide them with care that they all