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CMA's Presentation to the House of Commons Standing Committee on Health : H1N1 Preparedness and Response

https://policybase.cma.ca/en/permalink/policy9699
Date
2009-10-05
Topics
Population health/ health equity/ public health
  1 document  
Policy Type
Parliamentary submission
Date
2009-10-05
Topics
Population health/ health equity/ public health
Text
Good afternoon Madame Chair. The Canadian Medical Association is pleased to address the committee as part of its ongoing study of H1N1 planning and response. In the broad context of pandemic planning, the CMA has focused on developing information and education tools on cma.ca to ensure Canada's doctors are equipped to provide the best possible care to patients. We have also engaged in discussions with the Assembly of First Nations to address workforce shortages in First Nations and Inuit communities during a pandemic. Despite the work of governments and others, there remains much to do. To provide optimal patient care, individual physicians - primary care providers and specialists alike - require: * Regular updates on the status of H1N1 in their community; * Timely and easy access to diagnostic and treatment recommendations with clear messages tailored to their service level; * Rapid responses to questions; and * Adequate supplies of key resources such as masks, medications, diagnostic kits and vaccines. The CMA commends federal, provincial and territorial governments for creating the Canadian Pandemic Influenza Plan for the Health Care Sector. The CMA was pleased to provide feedback on elements of the plan and we are participating on the anti-viral and clinical care task groups. There are three issues that still must be addressed: First, the communications gap between public health officials and front-line providers; Second, the lack of adequate resources on the front lines; and finally, variability that exists across the country. The Communications Gap Physicians must be involved in the planning stages and must receive consistent, timely and practical plain-language information. They should not have to seek information out from various websites or other sources, or through the media. This communications gap also includes a gap between information and action. For example, we are told to keep at least a six-foot distance between an infected patient and other patients and staff. This will not be possible in a doctor's waiting room, nor will disinfecting examining and waiting rooms in-between each patient. Adequate resources Patient volumes may increase dramatically and there are serious concerns about how to manage supplies if an office is overwhelmed. There is also considerable concern over whether we can keep enough health care professionals healthy to care for patients, and whether we have enough respirators and specialty equipment to treat patients. Intensive-care units of hospitals can also expect to be severely strained as a second-wave pandemic hits. This speaks to a general lack of surge capacity within the system. Also, pandemic planning for ICUs and other hospital units must include protocols to determine which patients can benefit most when there are not enough respirators and personnel to provide the required care for all who need it. Beyond the need for more supplies, however, there is also the concern that there are only so many hours in a day. Doctors will always strive to provide care for those who need it, but if treating H1N1 cases takes all of our time, who will be available to care for patients with other conditions? Variability across the country CMA has consulted with provincial and territorial medical associations and their level of involvement in government planning as well as the general state of preparedness varies greatly. There is also marked inconsistency province-to-province around immunization schedules. We need a clear statement of recommendation to clear up this variability. In summary, there remains a great deal of uncertainty among physicians about: the vaccine, the supply of antivirals, the role of assessment centres and mass immunization clinics, delegated acts, and physicians' medico-legal obligations and protections. The bottom line is that there is still more work to do at all levels before front-line clinicians feel well prepared with information, tools and strategies they need. The CMA was pleased to meet with Dr. Butler-Jones to discuss our concerns last week and will continue to work closely with Public Health Agency of Canada to identify gaps and to prepare user-friendly information for clinicians. Thank you and I welcome any questions.
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Prescription of heroin for the treatment of drug abuse

https://policybase.cma.ca/en/permalink/policy1544
Last Reviewed
2013-03-02
Date
1998-12-05
Topics
Population health/ health equity/ public health
Resolution
BD99-05-92
That the Canadian Medical Association recommend that methadone maintenance and counselling programs be more widely available across the country with appropriate education and remuneration of professionals delivering such programs. This recommendation applies also to correctional institutions.
Policy Type
Policy resolution
Last Reviewed
2013-03-02
Date
1998-12-05
Topics
Population health/ health equity/ public health
Resolution
BD99-05-92
That the Canadian Medical Association recommend that methadone maintenance and counselling programs be more widely available across the country with appropriate education and remuneration of professionals delivering such programs. This recommendation applies also to correctional institutions.
Text
That the Canadian Medical Association recommend that methadone maintenance and counselling programs be more widely available across the country with appropriate education and remuneration of professionals delivering such programs. This recommendation applies also to correctional institutions.
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Access to long-term care

https://policybase.cma.ca/en/permalink/policy9500
Last Reviewed
2016-05-20
Date
2009-08-19
Topics
Population health/ health equity/ public health
Health systems, system funding and performance
Resolution
GC09-19
The Canadian Medical Association, in collaboration with provincial/territorial medical associations, affiliates and associates, will communicate to governments that insufficient access to long-term care at all ages is an obstacle to improving the health care system.
Policy Type
Policy resolution
Last Reviewed
2016-05-20
Date
2009-08-19
Topics
Population health/ health equity/ public health
Health systems, system funding and performance
Resolution
GC09-19
The Canadian Medical Association, in collaboration with provincial/territorial medical associations, affiliates and associates, will communicate to governments that insufficient access to long-term care at all ages is an obstacle to improving the health care system.
Text
The Canadian Medical Association, in collaboration with provincial/territorial medical associations, affiliates and associates, will communicate to governments that insufficient access to long-term care at all ages is an obstacle to improving the health care system.
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Patient-focused funding

https://policybase.cma.ca/en/permalink/policy9510
Last Reviewed
2016-05-20
Date
2009-08-19
Topics
Health systems, system funding and performance
Population health/ health equity/ public health
Resolution
GC09-31
The Canadian Medical Association will work with provincial/territorial medical associations to define patient-focused funding in the Canadian context before proposing a methodology for implementation.
Policy Type
Policy resolution
Last Reviewed
2016-05-20
Date
2009-08-19
Topics
Health systems, system funding and performance
Population health/ health equity/ public health
Resolution
GC09-31
The Canadian Medical Association will work with provincial/territorial medical associations to define patient-focused funding in the Canadian context before proposing a methodology for implementation.
Text
The Canadian Medical Association will work with provincial/territorial medical associations to define patient-focused funding in the Canadian context before proposing a methodology for implementation.
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Deafness-screening program for newborns

https://policybase.cma.ca/en/permalink/policy9521
Last Reviewed
2016-05-20
Date
2009-08-19
Topics
Population health/ health equity/ public health
Health systems, system funding and performance
Resolution
GC09-74
The Canadian Medical Association, in collaboration with provincial/territorial medical associations and affiliates, calls upon governments to implement a routine deafness-screening program for newborns.
Policy Type
Policy resolution
Last Reviewed
2016-05-20
Date
2009-08-19
Topics
Population health/ health equity/ public health
Health systems, system funding and performance
Resolution
GC09-74
The Canadian Medical Association, in collaboration with provincial/territorial medical associations and affiliates, calls upon governments to implement a routine deafness-screening program for newborns.
Text
The Canadian Medical Association, in collaboration with provincial/territorial medical associations and affiliates, calls upon governments to implement a routine deafness-screening program for newborns.
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Testing homes for radon

https://policybase.cma.ca/en/permalink/policy9525
Last Reviewed
2016-05-20
Date
2009-08-19
Topics
Population health/ health equity/ public health
Health care and patient safety
Resolution
GC09-77
The Canadian Medical Association encourages all Canadians, and especially those who smoke tobacco, to test their homes for radon.
Policy Type
Policy resolution
Last Reviewed
2016-05-20
Date
2009-08-19
Topics
Population health/ health equity/ public health
Health care and patient safety
Resolution
GC09-77
The Canadian Medical Association encourages all Canadians, and especially those who smoke tobacco, to test their homes for radon.
Text
The Canadian Medical Association encourages all Canadians, and especially those who smoke tobacco, to test their homes for radon.
Less detail
Last Reviewed
2016-05-20
Date
2009-08-19
Topics
Health care and patient safety
Population health/ health equity/ public health
Resolution
GC09-92
The Canadian Medical Association recognizes addiction as a chronic, treatable disease and urges that it be included in national and provincial/territorial efforts to improve chronic disease management.
Policy Type
Policy resolution
Last Reviewed
2016-05-20
Date
2009-08-19
Topics
Health care and patient safety
Population health/ health equity/ public health
Resolution
GC09-92
The Canadian Medical Association recognizes addiction as a chronic, treatable disease and urges that it be included in national and provincial/territorial efforts to improve chronic disease management.
Text
The Canadian Medical Association recognizes addiction as a chronic, treatable disease and urges that it be included in national and provincial/territorial efforts to improve chronic disease management.
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Salt content in processed food

https://policybase.cma.ca/en/permalink/policy9528
Last Reviewed
2016-05-20
Date
2009-08-19
Topics
Population health/ health equity/ public health
Health care and patient safety
Resolution
GC09-93
The Canadian Medical Association will work with other national health care organizations to inform and educate Canadians about the adverse impact salt intake has on hypertension and cardiovascular disease and to lobby the food industry to reduce the salt content in processed food.
Policy Type
Policy resolution
Last Reviewed
2016-05-20
Date
2009-08-19
Topics
Population health/ health equity/ public health
Health care and patient safety
Resolution
GC09-93
The Canadian Medical Association will work with other national health care organizations to inform and educate Canadians about the adverse impact salt intake has on hypertension and cardiovascular disease and to lobby the food industry to reduce the salt content in processed food.
Text
The Canadian Medical Association will work with other national health care organizations to inform and educate Canadians about the adverse impact salt intake has on hypertension and cardiovascular disease and to lobby the food industry to reduce the salt content in processed food.
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Immunization of physicians and other health care providers

https://policybase.cma.ca/en/permalink/policy9530
Last Reviewed
2016-05-20
Date
2009-08-19
Topics
Population health/ health equity/ public health
Ethics and medical professionalism
Health human resources
Resolution
GC09-95
The Canadian Medical Association encourages all physicians and other health care providers to be immunized for influenza annually.
Policy Type
Policy resolution
Last Reviewed
2016-05-20
Date
2009-08-19
Topics
Population health/ health equity/ public health
Ethics and medical professionalism
Health human resources
Resolution
GC09-95
The Canadian Medical Association encourages all physicians and other health care providers to be immunized for influenza annually.
Text
The Canadian Medical Association encourages all physicians and other health care providers to be immunized for influenza annually.
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Access to a family physician

https://policybase.cma.ca/en/permalink/policy9534
Last Reviewed
2016-05-20
Date
2009-08-19
Topics
Health human resources
Health systems, system funding and performance
Physician practice/ compensation/ forms
Population health/ health equity/ public health
Resolution
GC09-29
The Canadian Medical Association will work with provincial/territorial medical associations (PTMAs) to urge governments to collaborate with PTMAs in the implementation of a program that will identify and manage "orphan" patients who do not have access to a family physician.
Policy Type
Policy resolution
Last Reviewed
2016-05-20
Date
2009-08-19
Topics
Health human resources
Health systems, system funding and performance
Physician practice/ compensation/ forms
Population health/ health equity/ public health
Resolution
GC09-29
The Canadian Medical Association will work with provincial/territorial medical associations (PTMAs) to urge governments to collaborate with PTMAs in the implementation of a program that will identify and manage "orphan" patients who do not have access to a family physician.
Text
The Canadian Medical Association will work with provincial/territorial medical associations (PTMAs) to urge governments to collaborate with PTMAs in the implementation of a program that will identify and manage "orphan" patients who do not have access to a family physician.
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36 records – page 1 of 4.