Patients First : Closing the Health Care Gap in Canada

by Terrence J Montague

• ISBN13: 9780470157480
• ISBN10: 0470157488
• Format: eBook
• Copyright: 2008-03-01
• Publisher: Wiley

Summary

PATIENTS FIRSTCLOSING THE HEALTH CARE GAP IN CANADA"This book is a must read for those who are interested in our health care system and who want to make it better. Dr. Montague provides an interesting overview of his journey through hospital wards, clinical trials, patient registries, patient health management and chronic disease management programs. Drawing on his diverse and unique background, he gives an important history of the past, analysis of the present and a glimpse of our future."-David Johnstone, MDPresident, Canadian Cardiovascular Society"Based on significant practice and research experience in the public, private and academic worlds, over many regions of Canada, Dr. Montague reveals to the reader, consumer, decision maker and patient an evolving and, until now, largely overlooked dimension in optimizing care and outcome. This optimization is important not only within the context of an individual's care, but within the scope of an entire practice, community or even nation."-Ross Tsuyuki, PharmDDirector, The Epidemiology Coordinating andResearch Centre, University of Alberta"Listen to Dr. Montague. He well understands both the problem and the solution, which is to pull out all the stops and to put patients first. He advocates patient health management to close the many care gaps. This will result in improved health for millions of Canadians and then, if we do it right, by emphasizing research and evidence-based health care and not merely budgets, our health care system will become more cost effective and our population healthier and more productive."-Mark Poznansky, PhDPresident, Robarts Research Institute

Table of Contents

Forewordby Mark Poznansky, President, Robarts Research Institute.by Ross Tsuyuki, BSc (Pharm), MSC, PharmD, Director, The Epidemiology Coordinating and Research Centre (EPICORE), University of Alberta

Acknowledgements

Introduction

The Theory

How We Got to Where We Are

Defining Quality of Care

The Care Gap and Its Causes

The Prescribing Gap

The Compliance, Concordance and Adherence Gaps: Challenges and Opportunities

Access, Health and the Economy: Can We Afford Access Gaps?

The Care Gap Gorilla: Bigger Gaps for Older Patients

The Practice-Patient Health Management (PHM)

Background and Rationale of Patient Health Management

Learning Experiences: The Epidemiology Coordinating and Research Centre (EPICORE), the Heart Function Clinic and the Clinical Quality Improvement Network (CQIN)

A Pivotal Experience: Improving Cardiovascular Outcomes in Nova Scotia (ICONS)

Other Experiences in Patient Health Management

What Have We Learned So Far?

What Works: The Action Plan

What Doesn't Work?

Vision for the future

The Strategic Alternatives

Skate to Where the Puck Will Be: Wayne Gretzky's Strategic Plan

Appendices

Guiding Principles for Public/Private Partnerships: Disease Management and Outcomes Research

Patient Management Template, Heart Function Clinic, circa 1994

CQIN Mission, Goals and Objectives

Representative CQIN Partnership/Governance Structure for the Project Entitled: Mortality risk and patterns of practice in 4,606 acute care patients with congestive heart failure

The relative importance of age, sex and medical therapy

Physician Order Sheet for Management of Patients with Heart Attack from a Representative CQIN Hospital, Circa 1992-1996

ICONS Members and Affiliations

ICONS CARE Map: Management of Anticoagulation in Atrial Fibrillation

ICONS Care Map: Management of Heart Failure

ICONS Standardized Discharge Order Sheet

ICONS Provider Newsletter

ROCQ Project Outline

CURATE Treatment Algorithm for Osteoarthritis Patients

Examples of Diabetes Hamilton Newsletters

Bibliography

Index

Table of Contents provided by Publisher. All Rights Reserved.