Posted by Steve Jones
Tue, Dec 23, 2014
Colin Goodfellow, the President and Chief Executive Officer of the Kemptville District Hospital south of Ottawa, recently published a whitepaper in the Healthcare management Forum titled, “The Dramatic Dehospitalization of Health Services is a Prerequisite for a Sustainable and Effective Health System.” While the article itself is available only by subscription, Dr. Goodfellow has posted a video outlining the main points of his vision.
Highlights of the video:
The current healthcare system is:
- not patient centric
The new system would have:
- Decentralized delivery of health care by specialized services such as physiotherapy clinics and home care services
- Distributed, well-coordinated delivery system, where each part communicates with the other parts
- Digital patient records
- Standardization of care
Barriers to change:
- The health system itself: Big institutions are extremely resistant to change.
- Over-funding: This is counter-intuitive when individuals are being denied the home care they need because of a lack of funding, but there is so much money in the system, it perpetuates itself.
- For the cost of one mega-hospital we could have a full integrated digital patient record system across both the institutional government-funded sector and the private sector.
Health care systems such as Dr. Goodfellow proposes exist in a number of places, notably, in certain health management systems in the USA, and in Northern Ireland.
Canada’s health care system is a good system; it delivers decent quality health care. It performs in the middle of the spectrum of health care systems in developed nations. The problem is that it is out-of-date, and does not serve us as well as it could. Our system is a legacy from the 1960’s administration of Lester B. Pearson with only one major revision since.
What do you think? Would Dr. Goodfellow’s proposal work for Canada?