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I am delighted that "Jonah K." is now live to order at amazon.ca/Jonah-K-Dr-Bob…
All proceeds from book sales to Indigenous Health Program @uhnfoundation
Book launch announcement to follow soon.
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Bob Bell
6.6K posts
Bob Bell
@drbobbell
Former surgeon and health system leader. Current grandpa. Advocate for universal, sustainable and excellent care that will be there for our grandchildren.
Toronto, Ontario Katılım Aralık 2018
852 Takip Edilen8.4K Takipçiler
Important article on terrible risks of community surgery centres that are not subject to hospital not-for-profit quality programs.
Surgery needs unbiased quality oversight.
For profit centres can't provide unbiased quality assessment.
Ontario beware.
nytimes.com/2023/07/15/hea…
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Thx for your leadership @kwame_mckenzie
Dr. Kwame McKenzie@kwame_mckenzie
Ontario first Black Health Plan is out! Health equity for the population which helped build the province and were essential workers through covid-19 is overdue. Honoured to co-chair the plan and kudos to OH and the community of people who built the plan. ontariohealth.ca/about-us/our-p…
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To keep them working in the public system, Canadian nurses need better support and working conditions.
Important article.
Nurses have profoundly lost trust in health care leadership theglobeandmail.com/opinion/articl…
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Bob Bell retweetledi
@drbobbell @uhnfoundation Thank you for the books you share.
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Important commentary from Keith Ambachtsheer.
A sustainable 🇨🇦 health system requires that seniors have sufficient income.
This article describes how that can happen.
theglobeandmail.com/business/comme…
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@MareadelPortill @Kapur_AK @diana_murphy613 What you suggest is just silly.
No one would advocate to "restrict women" paying for their own surgery if that is their choice.
However, the same sanctions should apply with CHT $$ reductions to provinces that allow for-profit surgery on out of province patients.
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@Kapur_AK @diana_murphy613 @drbobbell Dr. Bell would appear to be advocating for a law that would prohibit women with breast cancer from seeking breast cancer surgery in another Province or, perhaps, out of country if the surgery is to be performed in a private clinic.
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Bob - what would you do if your wife, daughter, sister, aunt, close family friend had to wait 2 years for life saving cancer tx?
Would you honestly NOT try and get them into the private clinic in Quebec?
Look forward to your answer.
Until there is a solution - hands off!
Bob Bell@drbobbell
Important article by @egpayne regarding inter-provincial for-profit surgery. @jyduclos should examine this loophole in the Canada Health Act. ottawacitizen.com/news/local-new…
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@MareadelPortill @diana_murphy613 In 1991 I was a simple surgeon, not DM.
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@drbobbell @diana_murphy613 "Faster care for rich people" has been available to rich people since October 1, 1991 when OHIP essentially ended OHIP elective out of country coverage for all people. You were the Deputy Minister. Why did you not re-establish coverage for all people?
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TY @johnmalcolm18
Your view certainly agrees with the surgery literature which demonstrates faster throughput in community operating rooms versus in-hospital ORs.
To be clear, community ORs should still be managed not-for-profit- ideally by a hospital.
ncbi.nlm.nih.gov/pmc/articles/P…
john malcom@johnmalcom18
Using the ORs in our 3 community hospitals as surgery centres,leaving the Regional for major cases,helped keep Cape Breton surgical wait times some of the best in NS,pre covid.Doing more in community settings is almost always a winner for patients
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👏👏👏
David Rouselle@DRouselle
Groundbreaking pilot project for health professions discipline tribunals. Started by @cpso_ca and now expanding to other healthcare regulators in Ontario. Separation of regulatory colleges that prosecute disciplinary charges from the tribunals that adjudicate them is key.
ART
Two immediate fixes to shorten surgery wait lists:
1) e-referral and common triage surgery referrals;
2) move surgery out of hospitals to not-for-profit community surgery centres.
Adopting these two measures would shorten waits by 30%.
For everyone.
Diana Murphy@diana_murphy613
@drbobbell Imagine.... What's your problem with people's ability to access more timely care? I don't get your position. It doesn't harm anyone on the wait list, rather it helps them move up. Come up with an answer to fix the long waits instead of taking options away.
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People who think the average Canadian can pay thirty thousand $$s for cancer surgery are either out of touch or out of compassion.
Ramunas Saplys@RSaplys
@drbobbell @egpayne @jyduclos Lol... And cause even more suffering ? The beatings will not stop until morale improves !!!
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Important article by @egpayne regarding inter-provincial for-profit surgery.
@jyduclos should examine this loophole in the Canada Health Act.
ottawacitizen.com/news/local-new…
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Bob Bell retweetledi
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Excellent review of seniors care in Oz & useful comparisons to 🇨🇦 from @NIAgeing & @DrSamirSinha team.
Occupancy in 🇦🇺 LTC is only 85%. More seniors are institutionalized than in 🇨🇦- but ALC rates in acute care are lower in 🇦🇺.
Well worth a read.
static1.squarespace.com/static/5c2fa7b…
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Bob Bell retweetledi
@drbobbell I’m trying to be unbiased, plan is to try to attract private money to increase access. But “Gone is the requirement that clinics be inspected by the Ontario College of Physicians and Surgeons. No new inspecting authority is identified.” I think that’s a risk.
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Bob Bell retweetledi
BC got it right, its Court of Appeal got it right & now the Supreme of Canada got it right. Canadians want universal #healthcare. If any government violates the #CanadaHealthAct, a class action law suit by a team of lawyers from every political stripe is necessary. plsrt!l
Gerry Kupferschmidt@GerryKupfersch1
Finally some clarity on the issue of private healthcare from our highest court. Now it is time for the politicians to follow suit. BC is leading the way. Ontario better reconsider its approach. @jyduclos @JustinTrudeau @fordnation cbc.ca/news/canada/br…
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With respect there are plenty of ON examples of not-for-profit community surgical centres doing many more cases. Kensington Eye Centre is great example, London's HULC, TOH Riverside. Community surgery works best with not-for-profit leadership- and that can come from a hospital.
Ramunas Saplys@RSaplys
@drbobbell Misinformation. Privately managed centres (FP)can make money by doing more cases ... kind of the whole point. There's no incentive for hosp's(NFP) to do more cases...there just isn't.
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🇨🇦 needs to move surgeries to community centres- shown safe & ⬆️es patient volumes by 25-30%.
NFP surgery centre goal is: ⬆️ quality & ⬇️ cost.
For-profit surgery centre goal is: ⬆️ profit.
Why pay more to FP centres when we can have NFP centres?
thestar.com/opinion/contri…
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@Carolyn00104733 So you mean with garbage piling up in streets due to general strikes?
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@drbobbell Why don’t we look like France right now??
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Important concerns raised in this article.
Especially since the contracts awarded to for-profit cataract centres pay the Herzig Clinic about 20% more per case than ON hospitals.
Tax payers inevitably pay more in for-profit surgery centres.
thestar.com/opinion/contri…
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