Articles on access to care

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While the gender barriers are coming down, new research suggests that there remain significant geographical barriers in accessing diagnosis and treatment for both men and women with ADHD. (Unsplash+/Getty Images)

The high cost of undiagnosed and untreated ADHD: Unequal mental‑health access and the care economy

Mental health disorders such as ADHD are among the top five causes of disability in Canada, yet spending on mental-health care is often viewed as an economic drain.
Canada’s 2020 adult guideline reframed obesity, reorganizing care around what matters to patients: quality of life, function and reduction of related complications, not just kilograms lost. (Canva)

Canada is a global leader in obesity care guidelines, so why are Canadians still waiting months for treatment at home?

Canada has quietly become an unexpected leader in global obesity care guidelines, but care at home — where one in four adults now lives with obesity — remains slow and uneven.
A community health worker is typically a trusted member of the local community who understands the challenges of those who are sick or socially excluded. (Unsplash+/Getty Images)

For women who live on the margins, health care is often out of reach. Here’s how we can build a bridge to access

Women affected by poverty, racism, trauma, caregiving stress or unstable housing often lack primary health care. They wind up in walk-in clinics or emergency with late-stage serious illnesses.
All patients should have access to a primary care team with a minimum composition of a family physician and/or nurse practitioner, dietitian, nurse, occupational therapist, pharmacist, physiotherapist and social worker. (Shutterstock)

Access to care: 5 principles for action on primary health‑care teams

A newly created Primary Care Action Team has a lofty goal: to ensure all Ontarians have access to primary health care within five years. Here are five principals to consider to help achieve it.
Nearly one in three Canadian women over age 60 has had their uterus removed. (Shutterstock)

Hysterectomy is more common, and occurs at younger ages, for women with less education

Women in Alberta with a high school diploma or less have nearly double the rate of hysterectomies than those with a university degree, raising questions about social disparities in medical care.
Person-centred care means treating people who face health issues as valued partners in health systems. (Priscilla du Preez/Unsplash)

Person‑centred health care means ensuring that affected communities are leaders and partners in research

Research partnerships with the people and communities affected help to challenge health inequities, and support person-centred care in health systems.
We should be asking legislators and policymakers to build a health-care system that supports better lives for people with mental disorders and their families. (Gus Moretta/Unsplash)

MAID and mental health: Does ending the suffering of mental illness mean supporting death or supporting better lives?

In addition to asking health-care systems to prepare to end suffering of mental illness through Medical Assistance in Dying (MAID), we must ask policymakers to support better lives for families.
There is debate about whether a health-care worker can ethically participate in both palliative care and the MAID program. (Shutterstock)

MAID’s evolving ethical tensions: Does it make dying with dignity easier than living with dignity?

Bill C-7 has created ethical tensions between MAID providers and palliative care, between transparency and patient privacy, and between offering a dignified death rather than a dignified life.
Psychologists can be found in the public system (for example, schools, hospitals, public health offices), but increasingly are choosing to work in private practice, fee-for-service, clinics. (Shutterstock)

In Canada’s two‑tiered mental health system, access to care is especially challenging in rural areas

Rural Canadians face challenges accessing mental health services, and an exodus of psychologists from the public system may make matters worse.
When ambulances are delayed at overcrowded hospitals because they can’t offload patients, it means they can’t respond to emergency calls and people wait longer for paramedics to arrive. THE CANADIAN PRESS/Frank Gunn

Emergency department crowding has gone beyond hallways onto ambulance ramps. Now there’s nowhere left to wait.

Ambulance response times have not always met targets, but the alarming new pinch point in our health-care system is that there are no ambulances at all available to respond to calls.
The HIV prevention drug cabotegravir, which is delivery by injection every eight weeks, is not yet available in Canada. (Shutterstock)

Long‑acting injectable PrEP is a big step forward in HIV prevention

The next step in HIV prevention — long-acting injectable pre-exposure prophylaxis (PrEP) — is not yet available in Canada, a year after its approval in the U.S.
In a Spring 2022 survey of parents with kids between ages six and 17 years, more than 50 per cent perceived that their child had needed help regarding their emotional or behavioural problems in the past six months. (Shutterstock)

On World Children’s Day, let’s recognize that children’s rights include mental health

Canada ranks 30th out of 38 wealthy nations in supporting the mental health and well-being of children. The need to invest in and prioritize mental health for children and young people is urgent.
Several factors ranging from personal spiritual beliefs to patient relationships to medical legal issues can influence whether a health-care practitioner participates in providing medical assistance in dying (MAID). (Shutterstock)

Health‑care providers and MAID: The reasons why some don’t offer medically assisted death

For people to access medical assistance in dying (MAID) requires health-care professionals willing to provide the service. The reasons health-care providers choose not to participate are important.
Responding to the mental health needs of people who are unjustly disadvantaged by the pandemic in Canada will require accurate data. (Shutterstock)

Building back equitably: 4 ways to address mental health inequities magnified by the pandemic, and ensure access to care

The mental health impact of the pandemic has not affected everyone equally. An equitable approach to mental health promotion, prevention and treatment can help ensure equitable access to services.

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