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Policies that advocate for the medical profession and Canadians


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Principles for providing information about prescription drugs to consumers

https://policybase.cma.ca/en/permalink/policy189
Last Reviewed
2019-03-03
Date
2003-03-01
Topics
Pharmaceuticals/ prescribing/ cannabis/ marijuana/ drugs
  1 document  
Policy Type
Policy document
Last Reviewed
2019-03-03
Date
2003-03-01
Topics
Pharmaceuticals/ prescribing/ cannabis/ marijuana/ drugs
Text
Principles For Providing Information About Prescription Drugs To Consumers Approved by the CMA Board of Directors, March 2003 Since the late 1990's expenditures on direct to consumer advertising (DTCA) of prescription drugs in the United States have increased many-fold. Though U.S.-style DTCA is not legal in Canada1, it reaches Canadians through cross-border transmission of print and broadcast media, and through the Internet. It is believed to have affected drug sales and patient behaviour in Canada. Other therapeutic products, such as vaccines and diagnostic tests, are also being marketed directly to the public. Proponents of DTCA argue that they are providing consumers with much-needed information on drugs and the conditions they treat. Others argue that the underlying intent of such advertising is to increase revenue or market share, and that it therefore cannot be interpreted as unbiased information. The CMA believes that consumers have a right to accurate information on prescription medications and other therapeutic interventions, to enable them to make informed decisions about their own health. This information is especially necessary as more and more Canadians live with chronic conditions, and as we anticipate the availability of new products that may accompany the "biological revolution", e.g. gene therapies. The CMA recommends a review of current mechanisms, including mass media communications, for providing this information to the public. CMA believes that consumer information on prescription drugs should be provided according to the following principles. 2 Principle #1: The Goal is Good Health The ultimate measure of the effectiveness of consumer drug information should be its impact on the health and well-being of Canadians and the quality of health care. Principle #2: Ready Access Canadians should have ready access to credible, high-quality information about prescription drugs. The primary purpose of this information should be education; sales of drugs must not be a concern to the originator. Principle #3: Patient Involvement Consumer drug information should help Canadians make informed decisions regarding management of their health, and facilitate informed discussion with their physicians and other health professionals. CMA encourages Canadians to become educated about their own health and health care, and to appraise health information critically. Principle #4: Evidence-Based Content Consumer drug information should be evidence based, using generally accepted prescribing guidelines as a source where available. Principle #5: Appropriate Information Consumer drug information should be based as much as possible on drug classes and use of generic names; if discussing brand-name drugs the discussion should not be limited to a single specific brand, and brand names should always be preceded by generic names. It should provide information on the following: * indications for use of the drug * contraindications * side effects * relative cost. In addition, consumer drug information should discuss the drug in the context of overall management of the condition for which it is indicated (for example, information about other therapies, lifestyle management and coping strategies). Principle #6: Objectivity of Information Sources Consumer drug information should be provided in such a way as to minimize the impact of vested commercial interests on the information content. Possible sources include health care providers, or independent research agencies. Pharmaceutical manufacturers and patient or consumer groups can be valuable partners in this process but must not be the sole providers of information. Federal and provincial/territorial governments should provide appropriate sustaining support for the development and maintenance of up-to-date consumer drug information. Principle #7: Endorsement/ Accreditation Consumer drug information should be endorsed or accredited by a reputable and unbiased body. Information that is provided to the public through mass media channels should be pre-cleared by an independent board. Principle #8: Monitoring and Revision Consumer drug information should be continually monitored to ensure that it correctly reflects current evidence, and updated when research findings dictate. Principle #9: Physicians as Partners Consumer drug information should support and encourage open patient-physician communication, so that the resulting plan of care, including drug therapy, is mutually satisfactory. Physicians play a vital role in working with patients and other health-care providers to achieve optimal drug therapy, not only through writing prescriptions but through discussing proposed drugs and their use in the context of the overall management of the patient's condition. In addition, physicians and other health care providers, and their associations, can play a valuable part in disseminating drug and other health information to the public. Principle #10: Research and Evaluation Ongoing research should be conducted into the impact of drug information and DTCA on the health care system, with particular emphasis on its effect on appropriateness of prescribing, and on health outcomes. 1 DTCA is not legal in Canada, except for notification of price, quantity and the name of the drug. However, "information-seeking" advertisements for prescription drugs, which may provide the name of the drug without mentioning its indications, or announce that treatments are available for specific indications without mentioning drugs by name, have appeared in Canadian mass media. 2 Though the paper applies primarily to prescription drug information, its principles are also applicable to health information in general.
Documents
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Strengthening public health system

https://policybase.cma.ca/en/permalink/policy101
Last Reviewed
2017-03-04
Date
2003-08-20
Topics
Population health/ health equity/ public health
Resolution
GC03-10
That Canadian Medical Association call on the federal government to develop a plan to respond to the National Advisory Committee on SARS and Public Health recommendations in order to create a strong and well-resourced public health system with adequate surge capacity and sufficient highly qualified public health professionals.
Policy Type
Policy resolution
Last Reviewed
2017-03-04
Date
2003-08-20
Topics
Population health/ health equity/ public health
Resolution
GC03-10
That Canadian Medical Association call on the federal government to develop a plan to respond to the National Advisory Committee on SARS and Public Health recommendations in order to create a strong and well-resourced public health system with adequate surge capacity and sufficient highly qualified public health professionals.
Text
That Canadian Medical Association call on the federal government to develop a plan to respond to the National Advisory Committee on SARS and Public Health recommendations in order to create a strong and well-resourced public health system with adequate surge capacity and sufficient highly qualified public health professionals.
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Health status of Canadians

https://policybase.cma.ca/en/permalink/policy102
Last Reviewed
2017-03-04
Date
2003-08-20
Topics
Population health/ health equity/ public health
Resolution
GC03-11
That Canadian Medical Association call on the federal government to commit to the goal of establishing Canada as the top country worldwide, regarding the health status of its citizens, within ten years.
Policy Type
Policy resolution
Last Reviewed
2017-03-04
Date
2003-08-20
Topics
Population health/ health equity/ public health
Resolution
GC03-11
That Canadian Medical Association call on the federal government to commit to the goal of establishing Canada as the top country worldwide, regarding the health status of its citizens, within ten years.
Text
That Canadian Medical Association call on the federal government to commit to the goal of establishing Canada as the top country worldwide, regarding the health status of its citizens, within ten years.
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Primary care renewal

https://policybase.cma.ca/en/permalink/policy110
Last Reviewed
2017-03-04
Date
2003-08-20
Topics
Health systems, system funding and performance
Resolution
GC03-23
That Canadian Medical Association strongly advocate to federal/provincial/territorial governments and their agents that any new policy on primary care renewal/reform be based on evidence from valid studies that are formally, independently and objectively evaluated through pilot projects.
Policy Type
Policy resolution
Last Reviewed
2017-03-04
Date
2003-08-20
Topics
Health systems, system funding and performance
Resolution
GC03-23
That Canadian Medical Association strongly advocate to federal/provincial/territorial governments and their agents that any new policy on primary care renewal/reform be based on evidence from valid studies that are formally, independently and objectively evaluated through pilot projects.
Text
That Canadian Medical Association strongly advocate to federal/provincial/territorial governments and their agents that any new policy on primary care renewal/reform be based on evidence from valid studies that are formally, independently and objectively evaluated through pilot projects.
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Tax allocation for medicare

https://policybase.cma.ca/en/permalink/policy111
Last Reviewed
2017-03-04
Date
2003-08-20
Topics
Health systems, system funding and performance
Resolution
GC03-24
That Canadian Medical Association call on the federal government to segregate a specific tax allocation from the Consolidated Revenue Fund to fund medicare as defined in the Canada Health Act, and that these funds be transferred to the provinces and territories to assure predictability, sustainability and accountability for medical services.
Policy Type
Policy resolution
Last Reviewed
2017-03-04
Date
2003-08-20
Topics
Health systems, system funding and performance
Resolution
GC03-24
That Canadian Medical Association call on the federal government to segregate a specific tax allocation from the Consolidated Revenue Fund to fund medicare as defined in the Canada Health Act, and that these funds be transferred to the provinces and territories to assure predictability, sustainability and accountability for medical services.
Text
That Canadian Medical Association call on the federal government to segregate a specific tax allocation from the Consolidated Revenue Fund to fund medicare as defined in the Canada Health Act, and that these funds be transferred to the provinces and territories to assure predictability, sustainability and accountability for medical services.
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Primary care renewal

https://policybase.cma.ca/en/permalink/policy114
Last Reviewed
2017-03-04
Date
2003-08-20
Topics
Health care and patient safety
Resolution
GC03-27
That Canadian Medical Association encourage proper evaluation of primary care renewal to ensure that the renewal is improving access and health care.
Policy Type
Policy resolution
Last Reviewed
2017-03-04
Date
2003-08-20
Topics
Health care and patient safety
Resolution
GC03-27
That Canadian Medical Association encourage proper evaluation of primary care renewal to ensure that the renewal is improving access and health care.
Text
That Canadian Medical Association encourage proper evaluation of primary care renewal to ensure that the renewal is improving access and health care.
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Resources for health emergencies

https://policybase.cma.ca/en/permalink/policy115
Last Reviewed
2017-03-04
Date
2003-08-20
Topics
Health systems, system funding and performance
Resolution
GC03-28
That Canadian Medical Association urge governments at all levels to ensure adequate investments in the human infrastructure and training resources needed to maintain an effective, co-ordinated system for detecting and preventing and responding to health emergencies.
Policy Type
Policy resolution
Last Reviewed
2017-03-04
Date
2003-08-20
Topics
Health systems, system funding and performance
Resolution
GC03-28
That Canadian Medical Association urge governments at all levels to ensure adequate investments in the human infrastructure and training resources needed to maintain an effective, co-ordinated system for detecting and preventing and responding to health emergencies.
Text
That Canadian Medical Association urge governments at all levels to ensure adequate investments in the human infrastructure and training resources needed to maintain an effective, co-ordinated system for detecting and preventing and responding to health emergencies.
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Recruitment to general specialty training

https://policybase.cma.ca/en/permalink/policy116
Last Reviewed
2017-03-04
Date
2003-08-20
Topics
Health human resources
Resolution
GC03-29
That Canadian Medical Association, with the relevant national medical associations, study the reduced enrollment in the general specialty training programs (family medicine, general surgery, general obstetrics and gynecology, general internal medicine and general pediatrics) and propose strategies to reverse this trend.
Policy Type
Policy resolution
Last Reviewed
2017-03-04
Date
2003-08-20
Topics
Health human resources
Resolution
GC03-29
That Canadian Medical Association, with the relevant national medical associations, study the reduced enrollment in the general specialty training programs (family medicine, general surgery, general obstetrics and gynecology, general internal medicine and general pediatrics) and propose strategies to reverse this trend.
Text
That Canadian Medical Association, with the relevant national medical associations, study the reduced enrollment in the general specialty training programs (family medicine, general surgery, general obstetrics and gynecology, general internal medicine and general pediatrics) and propose strategies to reverse this trend.
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National locum licence

https://policybase.cma.ca/en/permalink/policy120
Last Reviewed
2017-03-04
Date
2003-08-20
Topics
Physician practice/ compensation/ forms
Health human resources
Resolution
GC03-65
That Canadian Medical Association and the Divisions work with the Federation of Medical Licensing Authorities of Canada and the provincial/territorial licensing bodies to develop a national locum licence.
Policy Type
Policy resolution
Last Reviewed
2017-03-04
Date
2003-08-20
Topics
Physician practice/ compensation/ forms
Health human resources
Resolution
GC03-65
That Canadian Medical Association and the Divisions work with the Federation of Medical Licensing Authorities of Canada and the provincial/territorial licensing bodies to develop a national locum licence.
Text
That Canadian Medical Association and the Divisions work with the Federation of Medical Licensing Authorities of Canada and the provincial/territorial licensing bodies to develop a national locum licence.
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Physician stress and burnout

https://policybase.cma.ca/en/permalink/policy123
Last Reviewed
2017-03-04
Date
2003-08-20
Topics
Health human resources
Resolution
GC03-68
That Canadian Medical Association work with divisions, affiliates and other stakeholders, through the Canadian Medical Association Centre for Physician Health and Well-Being, to address issues of physician stress and burn-out.
Policy Type
Policy resolution
Last Reviewed
2017-03-04
Date
2003-08-20
Topics
Health human resources
Resolution
GC03-68
That Canadian Medical Association work with divisions, affiliates and other stakeholders, through the Canadian Medical Association Centre for Physician Health and Well-Being, to address issues of physician stress and burn-out.
Text
That Canadian Medical Association work with divisions, affiliates and other stakeholders, through the Canadian Medical Association Centre for Physician Health and Well-Being, to address issues of physician stress and burn-out.
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Shortage of primary care physicians

https://policybase.cma.ca/en/permalink/policy124
Last Reviewed
2017-03-04
Date
2003-08-20
Topics
Health systems, system funding and performance
Health human resources
Resolution
GC03-69
That Canadian Medical Association in its strategic planning process identify as a priority the crisis in primary medical care delivery and study the ongoing loss of physicians providing comprehensive primary medical care and develop a strategy to reverse this pattern.
Policy Type
Policy resolution
Last Reviewed
2017-03-04
Date
2003-08-20
Topics
Health systems, system funding and performance
Health human resources
Resolution
GC03-69
That Canadian Medical Association in its strategic planning process identify as a priority the crisis in primary medical care delivery and study the ongoing loss of physicians providing comprehensive primary medical care and develop a strategy to reverse this pattern.
Text
That Canadian Medical Association in its strategic planning process identify as a priority the crisis in primary medical care delivery and study the ongoing loss of physicians providing comprehensive primary medical care and develop a strategy to reverse this pattern.
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Smoking cessation in hospitals

https://policybase.cma.ca/en/permalink/policy129
Last Reviewed
2017-03-04
Date
2003-08-20
Topics
Health care and patient safety
Population health/ health equity/ public health
Resolution
GC03-31
That Canadian Medical Association call upon the provincial and territorial governments to provide resources for every hospital to offer smoking cessation, counseling support including medication to every smoking patient in hospital and as needed after discharge.
Policy Type
Policy resolution
Last Reviewed
2017-03-04
Date
2003-08-20
Topics
Health care and patient safety
Population health/ health equity/ public health
Resolution
GC03-31
That Canadian Medical Association call upon the provincial and territorial governments to provide resources for every hospital to offer smoking cessation, counseling support including medication to every smoking patient in hospital and as needed after discharge.
Text
That Canadian Medical Association call upon the provincial and territorial governments to provide resources for every hospital to offer smoking cessation, counseling support including medication to every smoking patient in hospital and as needed after discharge.
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Driver education and testing

https://policybase.cma.ca/en/permalink/policy130
Last Reviewed
2017-03-04
Date
2003-08-20
Topics
Population health/ health equity/ public health
Resolution
GC03-32
That Canadian Medical Association demand that provincial and territorial governments develop a program including improved driver education, expanded driver testing requirements and differential licensing to address many injuries and deaths caused by motor vehicle decisions in Canada.
Policy Type
Policy resolution
Last Reviewed
2017-03-04
Date
2003-08-20
Topics
Population health/ health equity/ public health
Resolution
GC03-32
That Canadian Medical Association demand that provincial and territorial governments develop a program including improved driver education, expanded driver testing requirements and differential licensing to address many injuries and deaths caused by motor vehicle decisions in Canada.
Text
That Canadian Medical Association demand that provincial and territorial governments develop a program including improved driver education, expanded driver testing requirements and differential licensing to address many injuries and deaths caused by motor vehicle decisions in Canada.
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Annual meetings and bans on smoking

https://policybase.cma.ca/en/permalink/policy131
Last Reviewed
2017-03-04
Date
2003-08-20
Topics
Population health/ health equity/ public health
Resolution
GC03-33
That beginning once current contractual commitments are honored, Canadian Medical Association in keeping with its vision of a healthy Canadian population, hold its annual meeting only in those jurisdictions where legislation ensures a 100% ban on smoking in indoor public places.
Policy Type
Policy resolution
Last Reviewed
2017-03-04
Date
2003-08-20
Topics
Population health/ health equity/ public health
Resolution
GC03-33
That beginning once current contractual commitments are honored, Canadian Medical Association in keeping with its vision of a healthy Canadian population, hold its annual meeting only in those jurisdictions where legislation ensures a 100% ban on smoking in indoor public places.
Text
That beginning once current contractual commitments are honored, Canadian Medical Association in keeping with its vision of a healthy Canadian population, hold its annual meeting only in those jurisdictions where legislation ensures a 100% ban on smoking in indoor public places.
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Needs of retired physicians

https://policybase.cma.ca/en/permalink/policy135
Last Reviewed
2017-03-04
Date
2003-08-20
Topics
Health human resources
Resolution
GC03-37
That Canadian Medical Association, in collaboration with the divisions, address specific needs of retired physicians in the Canadian Medical Association's physician health and well-being program.
Policy Type
Policy resolution
Last Reviewed
2017-03-04
Date
2003-08-20
Topics
Health human resources
Resolution
GC03-37
That Canadian Medical Association, in collaboration with the divisions, address specific needs of retired physicians in the Canadian Medical Association's physician health and well-being program.
Text
That Canadian Medical Association, in collaboration with the divisions, address specific needs of retired physicians in the Canadian Medical Association's physician health and well-being program.
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Compensating clinical physicians who teach

https://policybase.cma.ca/en/permalink/policy141
Last Reviewed
2017-03-04
Date
2003-08-20
Topics
Health human resources
Physician practice/ compensation/ forms
Resolution
GC03-43
That Canadian Medical Association and its divisions and affiliates ask Canadian universities and governments to accurately document and appropriately compensate clinical physicians who are teaching, in recognition of their substantial contribution to the professional education of physicians in Canada.
Policy Type
Policy resolution
Last Reviewed
2017-03-04
Date
2003-08-20
Topics
Health human resources
Physician practice/ compensation/ forms
Resolution
GC03-43
That Canadian Medical Association and its divisions and affiliates ask Canadian universities and governments to accurately document and appropriately compensate clinical physicians who are teaching, in recognition of their substantial contribution to the professional education of physicians in Canada.
Text
That Canadian Medical Association and its divisions and affiliates ask Canadian universities and governments to accurately document and appropriately compensate clinical physicians who are teaching, in recognition of their substantial contribution to the professional education of physicians in Canada.
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Joint statement on scopes of practice

https://policybase.cma.ca/en/permalink/policy219
Last Reviewed
2017-03-04
Date
2003-03-01
Topics
Health human resources
  1 document  
Policy Type
Policy endorsement
Last Reviewed
2017-03-04
Date
2003-03-01
Topics
Health human resources
Text
Joint Statement on Scopes of Practice (February 2003) Canada's physicians, nurses, pharmacists and other health professionals recognize that a sustainable health workforce is a key challenge facing our health care system. In this regard, scopes of practice is an important issue that needs to be addressed. The Canadian Medical Association (CMA), the Canadian Nurses Association (CNA) and the Canadian Pharmacists Association (CPhA) have approved the following principles and criteria for the determination of scopes of practice. The primary purposes of such determinations are to meet the health care needs of Canadians, and to serve the interests of patients and the public safely, efficiently and competently. The CPhA, CNA and CMA believe that policy decisions taken in this area must put patients first. Secondly, they should be grounded in principles that reflect our commitment to professionalism, lifelong learning and patient safety. Thirdly, that there be recognition of the need for legislative and regulatory changes to support evolving scopes of practice. Moreover, we believe that health professionals must be involved in decision-making processes in this area. Principles Focus: Scopes of practice statements should promote safe, ethical, high-quality care that responds to the needs of patients and the public in a timely manner, is affordable and is provided by competent health care providers. Flexibility: A flexible approach is required that enables providers to practise to the extent of their education, training, skills, knowledge, experience, competence and judgment while being responsive to the needs of patients and the public. Collaboration and cooperation: In order to support interdisciplinary approaches to patient care and good health outcomes, physicians, nurses and pharmacists engage in collaborative and cooperative practice with other health care providers who are qualified and appropriately trained and who use, wherever possible, an evidence-based approach. Good communication is essential to collaboration and cooperation. Coordination: A qualified health care provider should coordinate individual patient care. Patient choice: Scopes of practice should take into account patients' choice of health care provider. Criteria Accountability: Scopes of practice should reflect the degree of accountability, responsibility and authority that the health care provider assumes for the outcome of his or her practice. Education: Scopes of practice should reflect the breadth, depth and relevance of the training and education of the health care provider. This includes consideration of the extent of the accredited or approved educational program(s), certification of the provider and maintenance of competency. Competencies and practice standards: Scopes of practice should reflect the degree of knowledge, values, attitudes and skills (i.e., clinical expertise and judgement, critical thinking, analysis, problem solving, decision making, leadership) of the provider group. Quality assurance and improvement: Scopes of practice should reflect measures of quality assurance and improvement that have been implemented for the protection of patients and the public. Risk assessment: Scopes of practice should take into consideration risk to patients. Evidence-based practices: Scopes of practice should reflect the degree to which the provider group practices are based on valid scientific evidence where available. Setting and culture: Scopes of practice should be sensitive to the place, context and culture in which the practice occurs. Legal liability and insurance: Scopes of practice should reflect case law and the legal liability assumed by the health care provider including mutual professional malpractice protection or liability insurance coverage. Regulation: Scopes of practice should reflect the legislative and regulatory authority, where applicable, of the health care provider. Principles and criteria to ensure safe, competent and ethical patient care should guide the development of scopes of practice of health care providers. This document is based on a January 2002 policy developed by the Canadian Medical Association whicb has been endorsed by the Canadian Nurses Association and the Canadian Pharmacists Association. We welcome the support of other health care providers for these principles and criteria regarding scopes of practice.
Documents
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Compensation for adverse effects from smallpox vaccination

https://policybase.cma.ca/en/permalink/policy311
Last Reviewed
2017-03-04
Date
2003-06-01
Topics
Population health/ health equity/ public health
Resolution
BD03-05-148 - That the Canadian Medical Association urge the federal, provincial and territorial governments to ensure appropriate compensation for front-line health care and emergency workers or their family members who volunteer to accept smallpox vaccination and subsequently experience associated illness or financial harm.
Policy Type
Policy resolution
Last Reviewed
2017-03-04
Date
2003-06-01
Topics
Population health/ health equity/ public health
Resolution
BD03-05-148 - That the Canadian Medical Association urge the federal, provincial and territorial governments to ensure appropriate compensation for front-line health care and emergency workers or their family members who volunteer to accept smallpox vaccination and subsequently experience associated illness or financial harm.
Text
That the Canadian Medical Association urge the federal, provincial and territorial governments to ensure appropriate compensation for front-line health care and emergency workers or their family members who volunteer to accept smallpox vaccination and subsequently experience associated illness or financial harm.
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Preventive practices of health professionals

https://policybase.cma.ca/en/permalink/policy747
Last Reviewed
2017-03-04
Date
1991-10-19
Topics
Population health/ health equity/ public health
Resolution
BD92-03-34
That the Canadian Medical Association approve in principle the concept of enhancing preventive practices of health professionals.
Policy Type
Policy resolution
Last Reviewed
2017-03-04
Date
1991-10-19
Topics
Population health/ health equity/ public health
Resolution
BD92-03-34
That the Canadian Medical Association approve in principle the concept of enhancing preventive practices of health professionals.
Text
That the Canadian Medical Association approve in principle the concept of enhancing preventive practices of health professionals.
Less detail
Last Reviewed
2017-03-04
Date
1975-06-25
Topics
Health human resources
Resolution
GC75-7
That this Canadian Medical Association statement on eye care be approved. 1. The medical profession in general and ophthalmologists in particular have a responsibility to provide leadership in developing plans for effective, efficient and realistic eye care in Canadians. 2. The principle that the provision of eye care includes both medical and non-medical personnel is recognized and accepted. Any such personnel should be organized and administered to ensure adherence to all of the following specific principles: a) provision of quality eye care includes both medical (including surgical) and non-medical acts, b) only duly qualified and legally licensed physicians must be allowed to provide the medical aspects of eye care, c) duly qualified and legally licensed physicians must also be free to provide complete eye care, d) the duly qualified and legally licensed physician must be free to delegate appropriate eye care acts at his discretion to persons acting under his control and his responsibility, e) non-medical personnel should be free to perform independently only non-medical eye care acts: and they should perform independently only those acts that they are legally authorized to perform independently, and f) guidelines for referral between non- medical and medical personnel are essential. 3. Within the broad limits set by the above, many patterns are possible. However, in order to be effective, efficient and realistic, any eye care plan or plans that are developed should meet the following criteria: a) every citizen should have reasonable access to the eye care system through duly qualified and legally licensed medical or non-medical personnel of his choice in his own population-area, b) every citizen should have reasonable access to treatment of ocular disease by duly qualified and legally licensed medical personnel either by direct personal appointment, or by referral from other primary eye care personnel, c) treatment for especially complicated cases should be available to every citizen upon referral from medical personnel to specialized medical personnel in one or more adequately equipped centres in each province or region, d) programs designed for the promotion of eye health should be provided in every population-area. These should include prevention and early detection of eye disease and injury, and may be provided through programs and services that serve general needs or special needs such as: i) pre-school needs ii) school needs iii) industrial and occupational and recreational needs iv) specific survey (e.g., glaucoma) needs v) special purpose (e.g., driving and sports) needs vi) geriatric needs vii) ocular rehabilitation needs e) training institutions must be equipped and staffed to prepare graduates appropriately for their assigned roles in eye care term, f) optical appliances should be available in every population area, and other ocular prostheses should be within reasonable access- all at reasonable cost, g) methods of financing should provide for the maximum quality eye care for every one at the lowest possible cost to the government and to the private citizen, h) eye research programs should be appropriately staffed and funded, and i) the organizational structure of eye care services should establish and maintain lines of control and responsibility that are consistent with the principles and criteria enunciated above.
Policy Type
Policy resolution
Last Reviewed
2017-03-04
Date
1975-06-25
Topics
Health human resources
Resolution
GC75-7
That this Canadian Medical Association statement on eye care be approved. 1. The medical profession in general and ophthalmologists in particular have a responsibility to provide leadership in developing plans for effective, efficient and realistic eye care in Canadians. 2. The principle that the provision of eye care includes both medical and non-medical personnel is recognized and accepted. Any such personnel should be organized and administered to ensure adherence to all of the following specific principles: a) provision of quality eye care includes both medical (including surgical) and non-medical acts, b) only duly qualified and legally licensed physicians must be allowed to provide the medical aspects of eye care, c) duly qualified and legally licensed physicians must also be free to provide complete eye care, d) the duly qualified and legally licensed physician must be free to delegate appropriate eye care acts at his discretion to persons acting under his control and his responsibility, e) non-medical personnel should be free to perform independently only non-medical eye care acts: and they should perform independently only those acts that they are legally authorized to perform independently, and f) guidelines for referral between non- medical and medical personnel are essential. 3. Within the broad limits set by the above, many patterns are possible. However, in order to be effective, efficient and realistic, any eye care plan or plans that are developed should meet the following criteria: a) every citizen should have reasonable access to the eye care system through duly qualified and legally licensed medical or non-medical personnel of his choice in his own population-area, b) every citizen should have reasonable access to treatment of ocular disease by duly qualified and legally licensed medical personnel either by direct personal appointment, or by referral from other primary eye care personnel, c) treatment for especially complicated cases should be available to every citizen upon referral from medical personnel to specialized medical personnel in one or more adequately equipped centres in each province or region, d) programs designed for the promotion of eye health should be provided in every population-area. These should include prevention and early detection of eye disease and injury, and may be provided through programs and services that serve general needs or special needs such as: i) pre-school needs ii) school needs iii) industrial and occupational and recreational needs iv) specific survey (e.g., glaucoma) needs v) special purpose (e.g., driving and sports) needs vi) geriatric needs vii) ocular rehabilitation needs e) training institutions must be equipped and staffed to prepare graduates appropriately for their assigned roles in eye care term, f) optical appliances should be available in every population area, and other ocular prostheses should be within reasonable access- all at reasonable cost, g) methods of financing should provide for the maximum quality eye care for every one at the lowest possible cost to the government and to the private citizen, h) eye research programs should be appropriately staffed and funded, and i) the organizational structure of eye care services should establish and maintain lines of control and responsibility that are consistent with the principles and criteria enunciated above.
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That this Canadian Medical Association statement on eye care be approved. 1. The medical profession in general and ophthalmologists in particular have a responsibility to provide leadership in developing plans for effective, efficient and realistic eye care in Canadians. 2. The principle that the provision of eye care includes both medical and non-medical personnel is recognized and accepted. Any such personnel should be organized and administered to ensure adherence to all of the following specific principles: a) provision of quality eye care includes both medical (including surgical) and non-medical acts, b) only duly qualified and legally licensed physicians must be allowed to provide the medical aspects of eye care, c) duly qualified and legally licensed physicians must also be free to provide complete eye care, d) the duly qualified and legally licensed physician must be free to delegate appropriate eye care acts at his discretion to persons acting under his control and his responsibility, e) non-medical personnel should be free to perform independently only non-medical eye care acts: and they should perform independently only those acts that they are legally authorized to perform independently, and f) guidelines for referral between non- medical and medical personnel are essential. 3. Within the broad limits set by the above, many patterns are possible. However, in order to be effective, efficient and realistic, any eye care plan or plans that are developed should meet the following criteria: a) every citizen should have reasonable access to the eye care system through duly qualified and legally licensed medical or non-medical personnel of his choice in his own population-area, b) every citizen should have reasonable access to treatment of ocular disease by duly qualified and legally licensed medical personnel either by direct personal appointment, or by referral from other primary eye care personnel, c) treatment for especially complicated cases should be available to every citizen upon referral from medical personnel to specialized medical personnel in one or more adequately equipped centres in each province or region, d) programs designed for the promotion of eye health should be provided in every population-area. These should include prevention and early detection of eye disease and injury, and may be provided through programs and services that serve general needs or special needs such as: i) pre-school needs ii) school needs iii) industrial and occupational and recreational needs iv) specific survey (e.g., glaucoma) needs v) special purpose (e.g., driving and sports) needs vi) geriatric needs vii) ocular rehabilitation needs e) training institutions must be equipped and staffed to prepare graduates appropriately for their assigned roles in eye care term, f) optical appliances should be available in every population area, and other ocular prostheses should be within reasonable access- all at reasonable cost, g) methods of financing should provide for the maximum quality eye care for every one at the lowest possible cost to the government and to the private citizen, h) eye research programs should be appropriately staffed and funded, and i) the organizational structure of eye care services should establish and maintain lines of control and responsibility that are consistent with the principles and criteria enunciated above.
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