the honourable carolyn bennett m.d., m.p. mcmaster medical school february 20, 2013
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The Honourable Carolyn Bennett M.D., M.P.McMaster Medical School
February 20, 2013
www.carolynbennett.ca 2
1. Respond to individual patient health needs and issues as part of patient care;
2. Respond to the health needs of the communities that they serve;
3. Identify the determinants of health of the populations that they serve;
4. Promote the health of individual patients, communities and populations.
Patient as Partner Doctor Multidisciplinary Hospital Community Social Determinants of Health
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“The worst thing for a physician is to help someone get well and then send them straight back into the situation that made them sick in the first place”
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“Good public policy is developed when the policy-makers can keep in their mind’s eye the people affected.”
Jane Jacobs
When physicians speak, people listen
Dr. Albert Schweitzer - HumanitarianDr. Gro Harlem Bruntland - NorwayDr. Helen Caldicott – anti-nuclear activistDr. Michelle Bachelet -ChileDr. Howard Dean –GovernorPrime Minister Charles Tupper- Canada
www.carolynbennett.ca 6
from cynicism to effective citizenship
“A politician’s guide to listeningA citizen’s guide to being heard
work in progress !!!www.carolynbennett.ca 7
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Patient as Partner
Ask people what’s wrong and listen, together develop a plan
Patient knew their body best, Doctor knows the system best
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Sharing risk getting people the health care they need
when they need it
Keeping people well not just patching them up once they get sick
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“Politics in Canada has always been the art of making the necessary possible.
Peter C. Newman
Deciding ‘what’s necessary’…..
is political
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Fair Transparent Takes people seriously
INITIATED BY
Government Parliament
PUBLIC CONSULTATION
INITATED BY
Citizen Stakeholder group
ADVOCACY
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“People don’t want to govern they want to be heard.”
“Civic efficacy”
“Two-way accountability”
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Government vs Parliament
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INFORMATION COMMUNICATION SEND SEND
AND RECEIVE
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NGO’s
Professional Organizations
Media
Electoral Politics
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Who What When Where Why
And HOW
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What Why
Who Where When
And HOW
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WHAT
Short Term Long Term
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WHY
Evidence International, other jurisdictional examples Win, win
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WHO Minister, staff MP’s on Committee Other possible MP champions Opinion leaders
Getting ‘unusual suspects’ onside Gotta get a posse
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WHEN
Have a look at the Parliamentary Schedule !
Earlier the better !!!
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IDEAS floated Think tanks party platform
Speech from the Throne White Papers, Green Papers, Draft
Leglislation Bill tabled
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HOW Tell the truth !! what will the opponents be saying ? Bills:
Prepare possible amendments Suggest other witnesses
Questions for QP Petitions www.parl.gc.ca Media
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2005
CAUSES
CAUSES of theCAUSES
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As a nation, we aspire to a Canada in which
every person is as healthy as they can be – physically, mentally, emotionally and spiritually.
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HYGEIA: Goddess of Health
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I swear by Hygieia, the goddess of health making her my witness that I will fulfill according to my ability and judgment this oath and covenant: I affirm that the ultimate goal of all health providers is to promote health, prevent disease and injury whenever possible.
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Patchwork quilt of non- systems
Focus on sickness… and the repair
shops38
“For every complex human problem, there is a neat simple solution. It’s just that it is wrong.”
HLMencken
Complex problems require complex solutions
We need simpler messages……www.carolynbennett.ca 39
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A) strong fence at the top of the cliff
B) state of the art fleet of ambulances & paramedics waiting at the bottom ?
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A) Clean air
B) Enough puffers and respirators
for all
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A) a falls program to reduce preventable hip fractures
B) private orthopaedic hospitals and more surgeons
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A) how much they spent on the sickness care system
B) the health of their citizens, leaving no-one behind
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Most appropriate care
In the most appropriate place
By the most appropriate person –
paid and unpaid
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PREVENTION Public Health Network – 13 jurisdictions Regulation
Transfats, Sodium, Generic Oxycontin Social Determinants of Health
Poverty –EI, housing, pensions Violence – gun control Environment – air, water, land Equity Education – FN’s, post secondary
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QUALITY Health Council Canada
was overseeing 2004 Accord 6 provinces have Quality Councils
? Insist on 13 Hold Federal Government accountable for
results Aboriginal, Corrections, Military, Veterans,
(RCMP)
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Use the system wisely Keeping our families well Clinical guidelines Self Care Manuals
Fight for more HEALTH so we`ll need less health care
Democracy between elections
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Putting the ‘poli’ into policy
Research Policy Practice
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research
practice policy
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research
practice policy
KT
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research
practice policy
KT
Political Will
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research
practice policy
KT
Political Will
Applied researc
h
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research
practice policy
KT
Political Will
Applied researc
h
CITIZEN ENGAGEMENT
Physical and mental energy come from feeling in control of your life, having real choices, and being involved with other to find ways of organizing change for the better.
Barbara Rogers
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“We are not tinkers, who patch and mend
what is broken. We must be watchmen, guardians of the life and health of our generation, so that stronger and more able generations may come after.”
Dr. Elizabeth Blackwellfirst woman physician North
America
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