Tag: patient centred care

9 Weeks to Health – America…Patient History

Every clinical encounter begins with the taking of a patient history. But what sort of patient history do we use?  American carers are increasingly acknowledging the needs of the whole patient in planning their care. A number of the federally qualified health centres I have visited begin their patient interaction with the usual questions, weights […]

9 Weeks to Health – America…Equity in Care

The Affordable Care Act, commonly known as Obama Care, has injected huge amounts of funding into the healthcare system for the poor.  Organisations as divergent as Denver Health, a government run group and the University of Pittsburgh Medical Centre (UPMC), a strictly private affair, have found common ground and greater capacity in their responses to […]

9 Weeks to Health – America…Who Delivers Primary Care?

Around the world we all struggle with primary care’s place in the health and business world.  In comparison to both spheres, primary care is often referred to as a “cottage industry”.  The widely distributed ownership, poor management capability and under investment in systems means that primary care is a sitting duck for any government, insurer […]

9 Weeks to Health – Canada Part 5…Who Cares?

When travelling you always come across new terms and phrases.  In Canada, they refer to the Emergency Department as “emerge”.  When you couple this novel term with the Canadian accent it is always amusing to be told a patient was sent to “emerge”.  Fortunately, they have good data on how many patients emerge after a […]

9 Weeks to Health – Canada Part 4…The Real Face of Healthcare

I was reminded the other day of some wisdom from JFK when he was trying to motivate the USA to embrace change.  “There are costs and risks to a program of action, but they are far less than the long term risks and costs of comfortable inaction”.  Healthcare is a changeable landscape which has increased […]

9 Weeks to Health – Canada Part 3…Integrated Care

The evolution of integrated care in the Canadian provinces is as variable as the languages spoken across this great country.  Each provincial area has the power to determine its own healthcare priorities.  These are largely reflective of the income base of the respective jurisdiction and the presence or absence of some of the larger and […]

9 Weeks to Health – Canada Part 2…The Human Face of Health

It will come as no surprise to you that Canada is a cold place.  It came as a surprise to us that Ottowa, our main study destination, is the second coldest capital in the world.  Now in extreme climates and circumstances cultures have two choices, to become brutal outposts of “survivalism” or special tribes who […]