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CMA PolicyBase

Policies that advocate for the medical profession and Canadians


20 records – page 1 of 2.

Supporting the enactment of Bill C-14, Medical Assistance in Dying

https://policybase.cma.ca/en/permalink/policy13693
Last Reviewed
2019-03-03
Date
2016-05-02
Topics
Ethics and medical professionalism
  1 document  
Policy Type
Parliamentary submission
Last Reviewed
2019-03-03
Date
2016-05-02
Topics
Ethics and medical professionalism
Text
In this submission to the House of Commons Standing Committee on Justice and Human Rights, the CMA’s feedback is focused on three of the legislative objectives of Bill C-14, given their relevance to the CMA’s Principles-based Recommendations for a Canadian Approach to Assisted Dying. On behalf of its more than 83,000 members and the Canadian public, the CMA performs a wide variety of functions. Key functions include advocating for health promotion and disease/injury prevention policies and strategies, advocating for access to quality health care, facilitating change within the medical profession, and providing leadership and guidance to physicians to help them influence, manage and adapt to changes in health care delivery. i) Robust Safeguards First, the CMA supports the legislative objective of ensuring a system of robust safeguards to the provision of medical assistance in dying. The safeguards proposed by Bill C-14 include: patient eligibility criteria, process requirements to request medical assistance in dying, as well as monitoring and reporting requirements. The CMA is a voluntary professional organization representing the majority of Canada’s physicians and comprising 12 provincial and territorial divisions and over 60 national medical organizations. ii) Consistent, Pan-Canadian Framework Second, the CMA supports the legislative objective that a consistent framework for medical assistance in dying in Canada is desirable. In addition to robust safeguards, key measures proposed by Bill C-14 support the promulgation of a consistent framework across jurisdictions include legislating definitions for “medical assistance in dying” and “grievous and irremediable condition.” The CMA’s Principles-based Recommendations reflect on the subjective nature of what constitutes “enduring and intolerable suffering” and a “grievous and irremediable condition” as well as the physician’s role in making an eligibility determination. iii) End-of-Life Care Coordination System Thirdly, the CMA supports the objective to develop additional measures to support the provision of a full range of options for end-of-life care and to respect the personal convictions of health care providers. The fulfilment of these commitments with federal non-legislative measures will be integral to supporting the achievement of access to care, respecting the personal convictions of health care providers, and developing a consistent, pan-Canadian framework. The CMA encourages the federal government to rapidly advance its commitment to engage the provinces and territories in developing a pan-Canadian end-of-life care coordinating system. It will be essential for this system to be in place for June 6, 2016. At least one jurisdiction has made a system available to support connecting patients with willing providers. Until a pan-Canadian system is available, there will be a disparity of support for patients and practitioners across jurisdictions. iv) Respect Personal Convictions Finally, it is the CMA’s position that Bill C-14, to the extent constitutionally possible, must respect the personal convictions of health care providers. In the Carter decision, the Supreme Court of Canada emphasized that any regulatory or legislative response must seek to reconcile the Charter rights of patients wanting to access assisted dying and physicians who choose not to participate in medical assistance in dying on grounds of conscientious objection. The CMA’s Principles-based Recommendations achieves an appropriate balance between physicians’ freedom of conscience and the assurance of effective and timely patient access to a medical service. From the CMA’s significant consultation with our membership, it is clear that physicians who are comfortable providing referrals strongly believe it is necessary to ensure the system protects the conscience rights of physicians who are not. While the federal government has achieved this balance with Bill C-14, there is the potential for other regulatory bodies to implement approaches that may result in a patchwork system. The CMA’s position is that the federal government effectively mitigate this outcome by rapidly advancing the establishment of the pan-Canadian end-of-life care coordinating system. CMA Supports Cautious Approach for “Carter Plus” The CMA must emphasize the need for caution and careful study in consideration of “Carter Plus”, which includes: eligibility of mature minors, eligibility with respect to sole mental health conditions, and advance care directives. The CMA supports the federal government’s approach not to legislate these issues, rather to study them in greater detail. Word count: 750
Documents
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Medical assistance in dying education

https://policybase.cma.ca/en/permalink/policy11941
Last Reviewed
2018-03-03
Date
2016-08-24
Topics
Ethics and medical professionalism
Resolution
GC16-48
The Canadian Medical Association supports the inclusion of education and the development of Canadian accreditation elements related to medical assistance in dying for all medical students and resident physicians.
Policy Type
Policy resolution
Last Reviewed
2018-03-03
Date
2016-08-24
Topics
Ethics and medical professionalism
Resolution
GC16-48
The Canadian Medical Association supports the inclusion of education and the development of Canadian accreditation elements related to medical assistance in dying for all medical students and resident physicians.
Text
The Canadian Medical Association supports the inclusion of education and the development of Canadian accreditation elements related to medical assistance in dying for all medical students and resident physicians.
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Principles for the development, use and evaluation of health care databases

https://policybase.cma.ca/en/permalink/policy579
Last Reviewed
2017-03-04
Date
1997-08-20
Topics
Health information and e-health
Ethics and medical professionalism
Resolution
GC97-26
That physicians, through the Canadian Medical Association, its Divisions and affiliates, should be involved in delineating principles to guide the development, use and evaluation of databases that provide linkages between health care utilization, socioeconomic status and other determinants of health and health status.
Policy Type
Policy resolution
Last Reviewed
2017-03-04
Date
1997-08-20
Topics
Health information and e-health
Ethics and medical professionalism
Resolution
GC97-26
That physicians, through the Canadian Medical Association, its Divisions and affiliates, should be involved in delineating principles to guide the development, use and evaluation of databases that provide linkages between health care utilization, socioeconomic status and other determinants of health and health status.
Text
That physicians, through the Canadian Medical Association, its Divisions and affiliates, should be involved in delineating principles to guide the development, use and evaluation of databases that provide linkages between health care utilization, socioeconomic status and other determinants of health and health status.
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Evidence and stakeholder involvement in the development of health policy

https://policybase.cma.ca/en/permalink/policy580
Last Reviewed
2017-03-04
Date
1997-08-20
Topics
Ethics and medical professionalism
Resolution
GC97-27
That evidence-based approaches and wide stakeholder involvement are essential in the development and implementation of public policies designed to improve the health of the population both collectively and individually.
Policy Type
Policy resolution
Last Reviewed
2017-03-04
Date
1997-08-20
Topics
Ethics and medical professionalism
Resolution
GC97-27
That evidence-based approaches and wide stakeholder involvement are essential in the development and implementation of public policies designed to improve the health of the population both collectively and individually.
Text
That evidence-based approaches and wide stakeholder involvement are essential in the development and implementation of public policies designed to improve the health of the population both collectively and individually.
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Evolving patient-physician relationship

https://policybase.cma.ca/en/permalink/policy581
Last Reviewed
2017-03-04
Date
1997-08-20
Topics
Population health/ health equity/ public health
Health systems, system funding and performance
Ethics and medical professionalism
Resolution
GC97-28
That the Canadian Medical Association explore the changing relationships of physicians with their patients and communities related to the expanding role of patients in decision-making and self-care.
Policy Type
Policy resolution
Last Reviewed
2017-03-04
Date
1997-08-20
Topics
Population health/ health equity/ public health
Health systems, system funding and performance
Ethics and medical professionalism
Resolution
GC97-28
That the Canadian Medical Association explore the changing relationships of physicians with their patients and communities related to the expanding role of patients in decision-making and self-care.
Text
That the Canadian Medical Association explore the changing relationships of physicians with their patients and communities related to the expanding role of patients in decision-making and self-care.
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Evidence-based health-impact analysis and policy development

https://policybase.cma.ca/en/permalink/policy582
Last Reviewed
2017-03-04
Date
1997-08-20
Topics
Health systems, system funding and performance
Ethics and medical professionalism
Resolution
GC97-31
That the Canadian Medical Association and its Divisions urge government to establish a framework to ensure that the development and implementation of public policy is guided by evidence-based health-impact analysis.
Policy Type
Policy resolution
Last Reviewed
2017-03-04
Date
1997-08-20
Topics
Health systems, system funding and performance
Ethics and medical professionalism
Resolution
GC97-31
That the Canadian Medical Association and its Divisions urge government to establish a framework to ensure that the development and implementation of public policy is guided by evidence-based health-impact analysis.
Text
That the Canadian Medical Association and its Divisions urge government to establish a framework to ensure that the development and implementation of public policy is guided by evidence-based health-impact analysis.
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Patient accountability and responsibility

https://policybase.cma.ca/en/permalink/policy587
Last Reviewed
2017-03-04
Date
1997-08-20
Topics
Health systems, system funding and performance
Ethics and medical professionalism
Resolution
GC97-44
That the Canadian Medical Association study ways in which the role of patient accountability and responsibility can be incorporated into models of health care.
Policy Type
Policy resolution
Last Reviewed
2017-03-04
Date
1997-08-20
Topics
Health systems, system funding and performance
Ethics and medical professionalism
Resolution
GC97-44
That the Canadian Medical Association study ways in which the role of patient accountability and responsibility can be incorporated into models of health care.
Text
That the Canadian Medical Association study ways in which the role of patient accountability and responsibility can be incorporated into models of health care.
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Prescriber profiles

https://policybase.cma.ca/en/permalink/policy589
Last Reviewed
2017-03-04
Date
1996-05-04
Topics
Ethics and medical professionalism
Resolution
BD96-08-241
That the Canadian Medical Association and the divisions continue to denounce the current inappropriate collection and use of prescriber profiles by private industry and insist that any further collection, sale and other use of prescriber profiles be conducted in an ethical and legal manner (including individual physician knowledge and consent).
Policy Type
Policy resolution
Last Reviewed
2017-03-04
Date
1996-05-04
Topics
Ethics and medical professionalism
Resolution
BD96-08-241
That the Canadian Medical Association and the divisions continue to denounce the current inappropriate collection and use of prescriber profiles by private industry and insist that any further collection, sale and other use of prescriber profiles be conducted in an ethical and legal manner (including individual physician knowledge and consent).
Text
That the Canadian Medical Association and the divisions continue to denounce the current inappropriate collection and use of prescriber profiles by private industry and insist that any further collection, sale and other use of prescriber profiles be conducted in an ethical and legal manner (including individual physician knowledge and consent).
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Criteria for CMA involvement in studies and other research

https://policybase.cma.ca/en/permalink/policy710
Last Reviewed
2017-03-04
Date
1984-08-21
Topics
Health systems, system funding and performance
Ethics and medical professionalism
Resolution
GC84-55
That the Canadian Medical Association assess each proposed study on its own merits and that decisions for Canadian Medical Association involvement, or degree of involvement, be based on: quality of research design and methodology, expertise of the investigators, sound statistical analysis, financial liability.
Policy Type
Policy resolution
Last Reviewed
2017-03-04
Date
1984-08-21
Topics
Health systems, system funding and performance
Ethics and medical professionalism
Resolution
GC84-55
That the Canadian Medical Association assess each proposed study on its own merits and that decisions for Canadian Medical Association involvement, or degree of involvement, be based on: quality of research design and methodology, expertise of the investigators, sound statistical analysis, financial liability.
Text
That the Canadian Medical Association assess each proposed study on its own merits and that decisions for Canadian Medical Association involvement, or degree of involvement, be based on: quality of research design and methodology, expertise of the investigators, sound statistical analysis, financial liability.
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Gender-diversity policy

https://policybase.cma.ca/en/permalink/policy11894
Date
2016-08-24
Topics
Ethics and medical professionalism
Population health/ health equity/ public health
Resolution
GC16-24
The Canadian Medical Association will develop a gender-diversity policy to increase representation in all levels of medical leadership.
Policy Type
Policy resolution
Date
2016-08-24
Topics
Ethics and medical professionalism
Population health/ health equity/ public health
Resolution
GC16-24
The Canadian Medical Association will develop a gender-diversity policy to increase representation in all levels of medical leadership.
Text
The Canadian Medical Association will develop a gender-diversity policy to increase representation in all levels of medical leadership.
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20 records – page 1 of 2.