Taking again well being care | Queen’s Gazette


Photograph of Jane Philpott, dean of Queen's Health Sciences
Jane Philpott is the co-author of a brand new report that’s urging Canadians to ask extra from their well being methods.

Well being care is likely one of the most urgent matters in Canada at this time. With a proposal for vital new federal spending just lately introduced, there’s lots of debate about how greatest to enhance a system in disaster.

Jane Philpott, Dean of Queen’s Well being Sciences, is taking part in an necessary function on this ongoing dialogue. She has been a nationwide voice on the subject and acquired widespread media consideration for the report she has co-authored with different leaders of well being care, postsecondary schooling, and the personal sector. Taking Again Well being Care, which has been launched as a part of The Public Coverage Discussion board’s Way forward for Well being Care initiative, identifies many areas of the Canadian well being system that should be modernized, together with entry to care, information technique, and efficiency requirements. The report additionally makes the case that the renewal of the well being care system must be pushed by the expectations of Canadians above all.

The Queen’s Gazette spoke with Dr. Philpott concerning the new report and the function of universities in contributing to vary.

Taking Again Well being Care seems to be at many alternative sides of the well being care system, and it’s calling for transformational change. Why are you making this case now?

Folks in Canada have at all times been happy with our well being care methods, however the strains of the pandemic have highlighted the shortcomings, such because the scarcity of major care suppliers, outdated approaches to expertise and affected person information, and overly lengthy wait instances for procedures. All these issues have intensified through the previous few years, leaving us with well being care methods in disaster and struggling to fulfill our wants. Canadians have gotten more and more conscious that one thing must be accomplished. If we wish to save our care methods, we are able to’t wait any longer.

To make significant modifications, we have to perceive that the issue isn’t an absence of funding. Canada spends extra on well being care than most high-income nations whereas falling brief on fairness and excellence. The issue is that we don’t have clear expectations for a way our well being methods ought to work and what they need to obtain. Taking Again Well being Care begins a dialog about how Canadians must ask for extra from our well being methods. As a result of they belong to all of us, not simply governments and policymakers.

You will have seen well being care methods from all kinds of views, together with chief of household medication at a hospital, federal well being minister, and dean. What are a few of the key modifications that you just imagine may dramatically enhance our well being care methods?

One of many main issues we’re seeing is that many individuals in Canada wouldn’t have entry to major care. We have to make it an expectation that each particular person has entry to a major care staff inside half-hour of their dwelling or administrative center. We will join considerably extra folks to major care by rethinking the mannequin of supply we use now, which is essentially small companies offering physician-led care. We have to spend money on creating major care groups that draw on the experience of various well being professionals past household docs, equivalent to nurses, physiotherapists, occupational therapists, and pharmacists. These groups will allow us to serve many extra sufferers and assist alleviate downstream points, equivalent to delayed analysis and hospital overcrowding.

One other vital change we have to make is giving folks well timed, correct details about their very own well being. By increasing entry to information, we will help create user-empowered well being care methods, through which folks can use their information to assist them make knowledgeable choices about their care. It is going to additionally assist sufferers share their information with totally different care suppliers in numerous establishments and areas, one thing that may be unreasonably tough within the present method the place information is saved in service silos accessible solely to sure suppliers.

With a lot that must be rethought about our methods, is there a task for the postsecondary schooling sector to prepared the ground in making these modifications?

Postsecondary schooling goes to be essential as we transfer ahead, as it’s uniquely positioned to foster transformative concepts and prepare the well being care leaders of tomorrow. At Queen’s Well being Sciences, we determined we wished to seek out methods to guide Canadian well being methods into the long run after we launched a brand new strategic plan, Radical Collaboration for a More healthy World, which requires a revolution in educational well being sciences. One aim we lay out within the plan is to change into extra conscious of the wants of sufferers and communities. That’s the form of pondering that well being methods might want to embrace to supply folks throughout Canada the care they deserve.

Our tenet for the plan is radical collaboration. An enormous a part of that’s transferring in direction of interprofessional and cross-disciplinary schooling, the place college students in our Faculties of Drugs, Nursing, and Rehabilitation Remedy could have extra alternatives for team-based studying to advertise a tradition of mutual respect. This mannequin of coaching means college students might be nicely ready to work within the major well being care groups that may probably change into a staple of our methods sooner or later. By 2026, 20 per cent of curricula in our applications will convey college students collectively throughout disciplines and professions to study and clear up issues as groups.

It’s been slightly greater than a yr for the reason that school launched the brand new strategic plan. Are you able to share a few of the progress that’s been made thus far?

One in all our strategic priorities is ‘scientific influence locally and past’ and we’re at present engaged on plenty of daring and distinctive initiatives to assist this (you may study extra about our progress in our Yr 1 Report). Lately, we introduced our partnership with the Weeneebayko Space Well being Authority (WAHA) and assist of the Mastercard Basis to create a brand new Well being Training Program that might be delivered within the WAHA area. We’re working collectively to create a decolonized, interprofessional curriculum to coach Indigenous youth in medication, nursing, physiotherapy, occupational remedy, midwifery, and paramedicine. It’s thrilling to assume how this will help tackle the well being care challenges dealing with Northern communities, together with the necessity for culturally-safe care and growing Indigenous illustration inside well being professions.

In September, we plan to welcome the primary college students in a brand new program that may prepare much-needed household physicians at a regional campus based mostly at Lakeridge Well being in Durham Area. We’re constructing a community-based curriculum solely targeted on educating those that intend to work as a household physician of their local people. This initiative helps tackle the crucial scarcity of major care physicians that negatively impacts our total well being care methods in Canada. We are also utilizing this as a chance to upend the established order by being extra productive and efficient at coaching household docs and growing new fashions of care.

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