scholarly journals Tobacco Control and Nicotine Addiction in Canada: Current trends, Management and Challenges

2009 ◽  
Vol 16 (1) ◽  
pp. 21-26 ◽  
Author(s):  
Andrew McIvor

Despite a significant decrease in tobacco use over the past four decades, cigarette smoking remains the leading preventable cause of death and disease in Canada. Nicotine addiction, unequal access to available support programs and gaps in continuity of health care are recognized as the main barriers to smoking cessation. To overcome these obstacles and to reach the Federal Tobacco Control Strategy goal of reducing smoking prevalence in Canada from 19% to 12% by 2011, several Canadian health care organizations developed extensive sets of recommendations. Improved access to affordable pharmacotherapies and behavioural counselling, better training of health care professionals and the addition of systemic cessation measures appear to be the key components in all of the proposed recommendations.The present article provides an overview of the current approaches to smoking cessation in Canada, describes the remaining challenges, and outlines recent recommendations that are geared toward not only tobacco control but also overall improvement in long-term health outcomes.

Author(s):  
Betty Havens

ABSTRACTLong-term care spans a broad range of very diverse services and a pivotal location within the overall continuum of health and health care. Changes in one component of care affect and are affected by all other components as health care may be characterized as a dynamic series of interdependent processes and persons. The current state of Canadian health care, in general, and long-term care, in particular, demands the skilful juggling of universality and diversity to maximize both these characteristics without sacrificing either. In an atmosphere of reform and fiscal restructuring, the organizational, utilization and financing implications for this system on a tightrope are substantial. The challenges are of major proportions in maintaining a balance while securing a future system that is efficient, efficacious, equitable, effective and empowering.


1992 ◽  
Vol 5 (1) ◽  
pp. 27-34 ◽  
Author(s):  
Robert Loo

Management training has been receiving increasing attention over the past decade. The present study reports on a survey of 1,000 randomly selected Canadian organizations having at least 500 employees. Analysis of returns from 56 health care organizations and 169 other Canadian organizations yielded many notable findings. Only 36 percent of health care and 37 percent of other organizations report formal policies and procedures for management training. Fortunately, many health care organizations are evolving toward a more articulated and comprehensive approach to management training; however, the constraint of limited funds for training is frequently cited. Overall, both health care and other Canadian organizations recognize the importance of management training for achieving organizational goals and they are striving to improve such training.


2010 ◽  
Vol 104 (8) ◽  
pp. 1112-1119 ◽  
Author(s):  
Mark Weir ◽  
Karine Morin ◽  
Nola Ries ◽  
David Castle

Nutritional genomics has reached the public through applications of the Human Genome Project offered direct to consumers (DTC). The ability to pursue nutrigenetic testing without the involvement of a health care professional has received considerable attention from academic and policy commentators. To better understand the knowledge and attitudes of Canadian health care professionals regarding nutritional genomics and nutrigenetic testing, qualitative research in the form of focus group discussions was undertaken. Four key themes emerged: (1) concerns over DTC testing; (2) lack of health care professional competency; (3) genetic scepticism and inevitability; (4) expectation of regulation. Together, they indicate that health care professionals have little knowledge about nutritional genomics and hold contradictory attitudes towards genomics in general, and to nutritional genomics in particular. Respondents argue in favour of a delivery model where health care professionals act as intermediaries. They are also aware of their lack of competency to provide such services. To ensure greater public protection, respondents cite the importance of more stringent regulatory oversight of DTC genetic testing. Whether such an approach is necessary to address the various ethical and social issues raised by nutrigenetic testing remains an open debate.


2005 ◽  
Vol 55 (1) ◽  
pp. 54-59 ◽  
Author(s):  
Donald C. Cole ◽  
Lynda S. Robson ◽  
Louise Lemieux-Charles ◽  
Wendy McGuire ◽  
Claude Sicotte ◽  
...  

2001 ◽  
Vol 12 (5) ◽  
pp. 271-274
Author(s):  
J Conly ◽  
Lynn Johnston

The past decade has seen a dramatic change in Canadian health care as the treatment of many patients shifts from the hospital setting to the home or other alternative health care settings (1). Complex advances in technology and significant changes in the funding environment have also precipitated many changes in the functional capacity of our health care system. The portion of the total Canadian health care expenditures that has been allocated to hospitals and other institutions has declined steadily over the past two decades (2,3). This reduction in institutional-based funding reflects the need to develop a system that improves the use of out-of-hospital sites for delivery of health care services and decreases reliance on the specific institutional component of the health care sector. Recent data reveal that Canadian hospital discharge rates have decreased by 14% between 1994 and 1998, and there has been a reduction in the length of stay from 7.4 to 7 days (4). In conjunction with a reduction in the number of hospital beds, there has been a massive shift in the proportion of surgeries that are performed on an outpatient basis. Further developments in the delivery of care include the increased use of telehealth, which allows health care professionals to provide increasingly complex services centralized hospital sites to outlying areas.


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