1 canadian policy research networks canadian policy research networks judi varga-toth assistant...
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1Canadian Policy Research Networks
Canadian PolicyResearch Networks
Judi Varga-Toth
Assistant Director, Social Development
Frontline Health Care in Canada:Innovations in Delivering Services to
Vulnerable Populations
Canadian Association of Occupational TherapistsConference 2007
St. John ‘s, Newfoundland and Labrador
July 13, 2007
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Canadian Policy Research Networks 2
Overview
• Project investigated: – Access to primary health care services for people in
rural, remote and northern regions, and inner-city
areas
– Issues and challenges for vulnerable populations
– Innovations in service delivery by frontline health
care workers, in context of challenging conditions
and demands
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Canadian Policy Research Networks 3
Partnership
• Collaboration between the private sector and the non-profit sector:
• Project Phases
• Successes and challenges
• Future avenues
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Canadian Policy Research Networks 4
Vulnerable Populations
• Rural, remote and northern– Poorer health status and greater need for primary
health care
– Large gaps in service availability (e.g. mental health,
addictions, cancer, OT/PT, trauma, dental, maternity)
– Challenges of geography, weather, isolation
– Recruitment and retention of health care workers
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Canadian Policy Research Networks 5
Vulnerable Populations
• Inner city and marginalized– Low levels of education, employment, access to
human and financial resources
– Health problems are often severe and complex,
complicated by poor housing, nutrition, oral health
– Particular populations are at risk; street youth,
homeless, immigrants and refugees, Aboriginal
Peoples
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Canadian Policy Research Networks 6
Frontline Health Services
• Characteristics– Effective, responsive
– Delivery systems and mechanisms are not mainstream
– Workers are “specialists”
• Access points– Urban (hospital emergency departments, community
health centres, community services)
– Rural (family doctor, rural hospitals, CHCs, mobile
health units, nursing stations)
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Canadian Policy Research Networks 7
Frontline Health Services
• Hospital Emergency Departments– Urban
– Rural
– Community Paramedicine
• Community Health Centres– Urban CHCs
– Aboriginal CHCs
– Rural CHCs
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Canadian Policy Research Networks 8
Innovative Health Initiatives
• Target populations
• Appropriate care
• Delivery practices and systems
• Demands and resources
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Canadian Policy Research Networks 9
Issues and Challenges
• Inadequate training
• Shortage of health care professionals
• Conflicting funding models
• Lack of integrated care
• Poor coverage of CHCs
• Inadequate services in the suburbs and rural/remote communities
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Canadian Policy Research Networks 10
Policy Perspectives for Frontline Health
• Health Determinants
• Who is Responsible?
• Supporting Community Innovations
• Health Services, Access and “Wait Times”
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Canadian Policy Research Networks 11
Summary
• Innovations in Delivery of Frontline Health Care Services
• Needs of Vulnerable Populations
• Appropriate Policy Perspective
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Canadian Policy Research Networks 12
Read the full report
David Hay, Judi Varga-Toth and Emily Hines Frontline Health Care in Canada: Innovations in Delivering Services to Vulnerable Populations, Ottawa: Canadian Policy Research Networks, September 2006.
Available at www.CPRN.org
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Canadian Policy Research Networks 13
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Canadian PolicyResearch Networks