Fragmentation in Healthcare Delivery
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Questions and Answers

What is a significant challenge faced by hospitals and health authorities in their operations?

  • They lack specific budgets for different departments.
  • They operate independently with separate boards and budgets. (correct)
  • They utilize the same electronic medical records systems.
  • They are all controlled by a single board.
  • What is the predominant reason for the scarcity of real-time data provision to healthcare providers?

  • The unavailability of data in electronic format.
  • A lack of trained personnel to analyze data.
  • The high cost of data collection infrastructure.
  • Difficulties in safeguarding data privacy and security. (correct)
  • How did the adoption of electronic medical records in Canada change between 2006 and 2015?

  • It increased steadily but only reached 50%.
  • It increased from 23% to approximately 73%. (correct)
  • It remained consistent at about 30%.
  • It significantly decreased to around 50%.
  • What is a key aspect of CADTH's role in the Canadian healthcare system?

    <p>It provides advisory recommendations for drug and technology funding.</p> Signup and view all the answers

    What issue arises from the isolation of hospital-based systems and primary care systems?

    <p>Fragmentation of care due to disjointed information systems.</p> Signup and view all the answers

    What potential benefit does centralised data collection in single-payer insurance plans offer?

    <p>Improved support for quality improvement initiatives.</p> Signup and view all the answers

    Which of the following illustrates the special Canadian brand of decentralisation in the context of health technology assessment?

    <p>The advisory role of CADTH compared to international counterparts.</p> Signup and view all the answers

    What factor limits the ease of scale-up for innovation in the healthcare environment?

    <p>Fragmentation resulting from independent organizational structures.</p> Signup and view all the answers

    What is a challenge regarding the evidence-informed recommendations made by CADTH?

    <p>They are advisory and not mandatory for implementation.</p> Signup and view all the answers

    What impact does the prioritization of privacy and data security have on healthcare operations?

    <p>It hinders timely access to data for operational improvements.</p> Signup and view all the answers

    Study Notes

    ### Fragmentation in Healthcare Delivery

    • Hospitals, health authorities, and other organizations independently make decisions about services, leading to fragmentation.

    • Centralized data collection from single-payer insurance plans has the potential to improve healthcare quality.

    • Data inform health ministries and support research, but operational use for front-line improvements is limited.

    • Data access for real-time use is hindered by privacy, security, and difficulties in providing just-in-time data from large databases.

    • The ease of innovation scale-up in a single-payer system is not fully realized.

    Electronic Medical Records and Data Sharing

    • Electronic medical records (EMRs) adoption increased from 23% in 2006 to 73% in 2015.

    • However, hospital-based and primary care systems are often designed in isolation, hindering information sharing.

    • 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

    • National bodies aiming to overcome fragmentation have had varying degrees of success.

    • The Canadian Agency for Drugs and Technologies in Health (CADTH) provides evidence-informed recommendations on drug and technology coverage.

    • Unlike similar international organizations, CADTH's recommendations are advisory only.

    • Regional health plans align with CADTH recommendations in over 90% of cases between 2012 and 2013.

    • Despite CADTH approval, manufacturers must navigate 13 provincial and territorial approval processes.

    • 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.

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