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Ontario helping more people with compassionate end-of-life care in a home-like setting

12/10/2018

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#CarpenterHospice; #ChristineElliott; #Jane McKenna; #EffieTriantafilopoulos; #endoflifecare 

Toronto, Dec 11 (Canadian-Media): An announcement was made today at Carpenter Hospice jointly by Christine Elliott, Deputy Premier and Minister of Health and Long-Term Care, Effie Triantafilopoulos, Parliamentary Assistant to the Minister, and Jane McKenna, MPP for Burlington regarding Ontario's decision to move forward with its development of long-term transformational health care strategy by investing nearly $33.6 million to build 193 new hospice beds, media reports said.
Picture
Christine Elliott. Image credit: Twitter handle
"With early investments like these, our government...is moving forward quickly to address challenges facing the health care system as we develop our long-term transformational health care strategy, said Elliot."

"I am proud our government is committed to improving access to comfortable, end-of-life care in communities across the province like Burlington," said McKenna.
Picture
Jane McKenna. Image credit: Facebook page
​Ontario government also plans to provide each year $20.3 million in operational funding for nursing, personal support, and other services after these beds open and an additional $90 million in 2018-19 to build 1,100 beds and spaces in hospitals and the community, including 640 new beds and spaces.

​Hospices provides environment of comfort
, where they can be close to loved ones and focuses on relieving suffering and providing services like psychological, spiritual and bereavement support.

"This investment is also helping to address hallway health care...to alleviate the pressures on our health care system," said Triantafilopoulos.

​
Ontario is also adding in the next five years 6,000 new long-term care beds – the first wave of more than 15,000 new long-term care beds.​​
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Canada continues to struggle with drug shortages

12/10/2018

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#CanadianPharmacistsAssociation; #DrugShortagesCanada; #PhilEmberley; #JacalynDuffin; #AbacusData; #IrisGorfinkel

Toronto, Dec 10 (Canadian-Media): A survey commissioned by the Canadian Pharmacists Association (CPA) that Canada continues to grapple with unprecedented drug shortages affecting one in four adults in the country in the last three years, media reports said.​

11 percent of surveyed said they themselves had experienced a drug shortage, 10 percent said they knew a family member who had and nine percent said they knew someone other than family who had been affected.

Dr. Jacalyn Duffin, a hematologist and medical historian at Queen's University who studies the drug shortage issue, believes the problem affects many more people than the pharmacists association's findings suggest — because the survey questioned a relatively small number of 1,500 people from the general public, who may or may not be frequent users of medication. 

Duffin said "the pill-taking population" — such as seniors, who tend to have chronic conditions requiring medication --

were not targeted thereby bringing down the number of people whose prescriptions had to be changed due to a shortage. 

This lack of clear data  fails to accurately measure the real impact of drug shortages on people. 


EpiPen --  used to halt life-threatening allergic reactions to insect bites, nuts and other foods -- shortage in summer was an alarming concern to patients and parents of children who had to face life-threatening allergies, said Phil Emberley, CPA's director of practice advancement and research, who also works as a pharmacist in Ottawa.

In November of this year, Canada again faced serious problems of chronic drug shortage Wellbutrin, a widely used antidepressant and the shortages of various blood pressure medications, including ARBs (angiotensin receptor blockers). 

Drug Shortages Canada, the federal government's official tracking website revealed shortage of more than 1,690 medications.

Although Health Canada had repeatedly said it was aware of the drug shortage issue and working to find solutions to the expert finding of the manufacturing issues to marketing and distribution decisions by pharmaceutical companies

Dr. Iris Gorfinkel, a Toronto family physician, said the process of finding an alternative medication is not cost-effective and added, 

"It resonates very deeply because as a family doctor it's my job to make sure the patients get the drugs they need...Sometimes the substitute drug doesn't work...or has side effects that were not a feature of the original medication... Some people have died, said Gorfinkel."

Another potential danger of drug shortages is people resorting to unregulated online sources to try to get their medications, said  Emberley.

"To go to a website in a situation where there's a drug shortage ... and simply pick something out, there's significant risk with that," Emberley said. "Pharmacists are concerned that Canadians will resort to that out of desperation."

This online survey was conducted by Abacus Data between Nov 9 and 13, 2018, using a random sample of people from a set of "partner panels" (consisting of people who have agreed to complete surveys).

The margin of error for a comparable probability-based random sample of the same size is plus or minus 2.53 percent, 19 times out of 20. 


(Reporting by Asha Bajaj)
​
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