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Canadian Policy Research Networks. Frontline Health Care in Canada: Innovations in Delivering Services to Vulnerable Populations. Judi Varga-Toth Assistant Director, Social Development. Canadian Association of Occupational Therapists Conference 2007 St. John ‘s, Newfoundland and Labrador

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frontline health care in canada innovations in delivering services to vulnerable populations

Canadian Policy

Research Networks

Frontline Health Care in Canada:Innovations in Delivering Services to Vulnerable Populations

Judi Varga-Toth

Assistant Director, Social Development

Canadian Association of Occupational Therapists

Conference 2007St. John ‘s, Newfoundland and Labrador

July 13, 2007

Canadian PolicyResearch Networks

overview
Overview
  • Project investigated:
    • Access to primary health care services for people in rural, remote and northern regions, and inner-city areas
    • Issues and challenges for vulnerable populations
    • Innovations in service delivery by frontline health care workers, in context of challenging conditions and demands

Canadian Policy Research Networks

partnership
Partnership
  • Collaboration between the private sector and the non-profit sector:
  • Project Phases
  • Successes and challenges
  • Future avenues

Canadian Policy Research Networks

vulnerable populations
Vulnerable Populations
  • Rural, remote and northern
    • Poorer health status and greater need for primary health care
    • Large gaps in service availability (e.g. mental health, addictions, cancer, OT/PT, trauma, dental, maternity)
    • Challenges of geography, weather, isolation
    • Recruitment and retention of health care workers

Canadian Policy Research Networks

vulnerable populations5
Vulnerable Populations
  • Inner city and marginalized
    • Low levels of education, employment, access to human and financial resources
    • Health problems are often severe and complex, complicated by poor housing, nutrition, oral health
    • Particular populations are at risk; street youth, homeless, immigrants and refugees, Aboriginal Peoples

Canadian Policy Research Networks

frontline health services
Frontline Health Services
  • Characteristics
    • Effective, responsive
    • Delivery systems and mechanisms are not mainstream
    • Workers are “specialists”
  • Access points
    • Urban (hospital emergency departments, community health centres, community services)
    • Rural (family doctor, rural hospitals, CHCs, mobile health units, nursing stations)

Canadian Policy Research Networks

frontline health services7
Frontline Health Services
  • Hospital Emergency Departments
    • Urban
    • Rural
    • Community Paramedicine
  • Community Health Centres
    • Urban CHCs
    • Aboriginal CHCs
    • Rural CHCs

Canadian Policy Research Networks

innovative health initiatives
Innovative Health Initiatives
  • Target populations
  • Appropriate care
  • Delivery practices and systems
  • Demands and resources

Canadian Policy Research Networks

issues and challenges
Issues and Challenges
  • Inadequate training
  • Shortage of health care professionals
  • Conflicting funding models
  • Lack of integrated care
  • Poor coverage of CHCs
  • Inadequate services in the suburbs and rural/remote communities

Canadian Policy Research Networks

policy perspectives for frontline health
Policy Perspectives for Frontline Health
  • Health Determinants
  • Who is Responsible?
  • Supporting Community Innovations
  • Health Services, Access and “Wait Times”

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summary
Summary
  • Innovations in Delivery of Frontline Health Care Services
  • Needs of Vulnerable Populations
  • Appropriate Policy Perspective

Canadian Policy Research Networks

read the full report
Read the full report

David Hay, Judi Varga-Toth and Emily Hines Frontline Health Care in Canada: Innovations in Delivering Services to Vulnerable Populations, Ottawa: Canadian Policy Research Networks, September 2006.

Available atwww.CPRN.org

Canadian Policy Research Networks

slide13

Canadian Policy

Research Networks

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