{"id":35956,"date":"2017-08-17T06:33:01","date_gmt":"2017-08-17T10:33:01","guid":{"rendered":"https:\/\/huntsville.dopperonline.ca\/?p=35956"},"modified":"2017-08-13T18:35:42","modified_gmt":"2017-08-13T22:35:42","slug":"contrary-to-what-trump-believes-globalization-is-not-going-to-be-reversed-opinion","status":"publish","type":"post","link":"https:\/\/doppleronline.ca\/huntsville\/contrary-to-what-trump-believes-globalization-is-not-going-to-be-reversed-opinion\/","title":{"rendered":"MAHC representatives should visit hospitals in higher-ranked countries ~ Opinion"},"content":{"rendered":"

By Hugh Holland<\/em><\/p>\n

Hospital Planning \u2013 2017<\/strong><\/p>\n

Healthcare planning is one of the biggest challenges in every country. In developed countries, the relentless appetite for money is driven by aging demographics and the ever-increasing list of costly new procedures, technologies, therapies and drugs.<\/p>\n

<\/broadstreet-zone><\/strong><\/div>\n

In Ontario, healthcare consumes almost 50 per cent of the provincial budget, leaving 50 per cent for everything else. Yet there are frequent reports of chronic overcrowding of hospitals. The Auditor General\u2019s report stated that (after a three-year freeze) the three per cent healthcare increase in the 2017 Ontario budget was inadequate to address the hospital situation.<\/p>\n

International healthcare comparisons sometimes show conflicting rankings based on questionable interpretation of data; however, they can provide valuable insight. The most basic indicator of a nation\u2019s health is life expectancy. Life expectancy is affected by many factors such as heredity, diet, lifestyle, and quality of healthcare. With a few exceptions, life expectancy correlates closely with economic success (GDP per capita). Canada currently ranks 11th<\/sup> among 30 countries with life expectancy over 80 years.<\/p>\n

There is an equal mix of public and private\/public systems among 20 best-performing countries. Data does not support the popular notion that private systems perform better than public. Life expectancy and costs in the public systems are similar to the private not-for-profit insurance systems. The US private for-profit system is unique and has lower life expectancy and higher cost than the top 20 countries.<\/p><\/blockquote>\n

Since healthcare per-person spending and per cent of GDP are already higher in Canada than average among the top 20 countries, it seems that improvements here should come from efficiency gains and prudent spending. The current healthcare integration work in Muskoka is a good step in that direction.<\/p>\n

That brings us to the ongoing debate on future hospital locations in Muskoka that started in 2014. It\u2019s safe to say that a referendum of the affected populations would clearly favour maintaining the two existing hospitals. MAHC was recently granted another $1 million dollars to re-engage consultants for yet another study. The leadership of MAHC seems to be leaning toward a single new site, but has promised to conduct the study with an open mind.<\/p>\n

It is difficult to believe that a single, larger, new hospital with new land and extensive infrastructure requirements would be easier to fund and would provide better care than incremental updating of convenient existing hospitals. After leaving the impressive lobby when visiting my brother in the new Barrie hospital, the halls and rooms looked no different than those in our Huntsville hospital.<\/p>\n

In health care, location-location-location really is a primary consideration. In fact it is often a matter of life or death. Huntsville is much closer to both the geographic centre and the centre of populations between the larger hospitals in Orillia and North Bay. But having to drive another 40 minutes from Bracebridge to Huntsville or vice versa would result in a serious setback in effectiveness. The 60-minute winter drive from Burk\u2019s Falls to a more-central Port Sydney location would not be a positive step.<\/p>\n

Toronto General was built in 1812, Toronto Western was built in 1895 and Sunnybrook was built in 1943. They have all been continuously updated to meet ever-changing needs. In comparison, Muskoka hospitals are relatively new. Bracebridge was built in 1963 and Huntsville in 1977, and are also updated.<\/p>\n

It is instructive to consider the examples of Orillia and North Bay. The Soldiers’ Memorial Hospital in Orillia consists of a group of buildings assembled in 1908, 1922, 1926, 1963, 1970 and 1982 as needs and technologies changed. Yet patients (including my wife who had her hip replacement in Orillia) report an excellent experience.<\/p>\n

The new North Bay hospital is the product of an exhaustive 15-year \u201cMaster Planning\u201d exercise that closed half of their beds as soon as it opened. Does this indicate that in such a rapidly evolving field as healthcare, small incremental changes might work better than large-scale disruptive change?<\/p>\n

Last fall, we had occasion to visit the small, plain-looking 10-bed hospital at Tofino on the west coast of Vancouver Island. The hospital staff, most of which were First Nations people, was so outstanding that my wife felt compelled to send a letter of thanks for the excellent care she received. It is doubtful that beautiful but remote Tofino could function without that hospital. People in Huntsville and Bracebridge feel strongly about \u201ctheir hospitals\u201d that they contributed so generously to help build and update.<\/p>\n

The point is that in health care, customer satisfaction and effectiveness depends more on convenience, timeliness, and the human touch than on the bricks and mortar. And that depends on spending always-limited funds in the right places.<\/p><\/blockquote>\n

Ontario\u2019s currently posted infrastructure plan shows 12 of 21 healthcare projects in the GTA, with Sudbury as the only project north of the GTA. The MAHC study should consider other philosophies on spacing and size of hospitals, which is very much a part of effectiveness, as well as what goes on inside.<\/p>\n

To that end, I would like to suggest that the MAHC study include a two- to four-week visit to hospitals of similar size and age in countries with similar but higher-ranked healthcare systems. Probably the UK and Sweden would be the best bets. That part of the study team should consist of two healthcare professionals from Bracebridge, two from Huntsville, and two from the consultant to organize the visit and to document the findings. Seeing is believing.<\/p>\n

Don’t miss out on Doppler! Sign up for our free, twice-weekly newsletter here<\/a><\/span>. <\/strong><\/p>\n

<\/broadstreet-zone><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

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