Podcast
Questions and Answers
What is a significant challenge faced by hospitals and health authorities in their operations?
What is a significant challenge faced by hospitals and health authorities in their operations?
What is the predominant reason for the scarcity of real-time data provision to healthcare providers?
What is the predominant reason for the scarcity of real-time data provision to healthcare providers?
How did the adoption of electronic medical records in Canada change between 2006 and 2015?
How did the adoption of electronic medical records in Canada change between 2006 and 2015?
What is a key aspect of CADTH's role in the Canadian healthcare system?
What is a key aspect of CADTH's role in the Canadian healthcare system?
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What issue arises from the isolation of hospital-based systems and primary care systems?
What issue arises from the isolation of hospital-based systems and primary care systems?
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What potential benefit does centralised data collection in single-payer insurance plans offer?
What potential benefit does centralised data collection in single-payer insurance plans offer?
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Which of the following illustrates the special Canadian brand of decentralisation in the context of health technology assessment?
Which of the following illustrates the special Canadian brand of decentralisation in the context of health technology assessment?
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What factor limits the ease of scale-up for innovation in the healthcare environment?
What factor limits the ease of scale-up for innovation in the healthcare environment?
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What is a challenge regarding the evidence-informed recommendations made by CADTH?
What is a challenge regarding the evidence-informed recommendations made by CADTH?
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What impact does the prioritization of privacy and data security have on healthcare operations?
What impact does the prioritization of privacy and data security have on healthcare operations?
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Study Notes
### Fragmentation in Healthcare Delivery
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Hospitals, health authorities, and other organizations independently make decisions about services, leading to fragmentation.
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Centralized data collection from single-payer insurance plans has the potential to improve healthcare quality.
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Data inform health ministries and support research, but operational use for front-line improvements is limited.
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Data access for real-time use is hindered by privacy, security, and difficulties in providing just-in-time data from large databases.
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The ease of innovation scale-up in a single-payer system is not fully realized.
Electronic Medical Records and Data Sharing
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Electronic medical records (EMRs) adoption increased from 23% in 2006 to 73% in 2015.
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However, hospital-based and primary care systems are often designed in isolation, hindering information sharing.
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Different electronic tools and lack of linkages between systems cause fragmentation of care as patients move through different parts of the healthcare system.
National Bodies and Health Technology Assessment
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National bodies aiming to overcome fragmentation have had varying degrees of success.
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The Canadian Agency for Drugs and Technologies in Health (CADTH) provides evidence-informed recommendations on drug and technology coverage.
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Unlike similar international organizations, CADTH's recommendations are advisory only.
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Regional health plans align with CADTH recommendations in over 90% of cases between 2012 and 2013.
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Despite CADTH approval, manufacturers must navigate 13 provincial and territorial approval processes.
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85% of private plans cover all prescriptions, even those not recommended by CADTH, indicating a gap between public and private coverage decisions.
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Description
This quiz explores the challenges of fragmentation in healthcare delivery and the role of electronic medical records (EMRs) in improving data sharing. Understand how centralized data collection can potentially elevate healthcare quality while discussing the barriers related to privacy and system isolation. Test your knowledge on the innovations and operational limitations within the healthcare system.