Sunday, August 02, 2009

John Stossel on Canadian Health Care

I'm always looking for clinical benchmarks. Canada not the place to look.



Update: A PDF file from the Canadian Dermatology Association: 6-month wait to see a dermatologist By Chuck Poulsen Sunday, July 13, 2008
Although skin cancer rates continue to rise in Canada, there is a severe shortage of dermatologists. In the Okanagan, just one dermatologist serves Kelowna and Vernon. Dr. Carmel Anderson‘s waiting list is six months long. She has stopped putting names on her cancellation list because that has too many names on it to make a cancellation appointment even remotely possible except for those at the top. The Canadian Dermatology Association said only between 600 and 700 dermatologists are available to treat the country‘s population of more than 30 million.
Read the whole thing. This is what price controls do too supply. In this case, the supply of Dermatologists. Americans wouldn't tolerate this.

Update: Colonoscopy Wait Times in Canada. PROLONGED WAIT TIMES FOR COLONOSCOPY IN CANADA: THE CANADIAN ASSOCIATION OF GASTROENTEROLOGY (CAG) ENDOSCOPY QUALITY INITIATIVE (EQI) PILOT PROJECT

Wait times for many patients referred for colonoscopy exceed the CAG-recommended maxima. Wait times for FOBT-positive patients are somewhat shorter but access to care remains unacceptably prolonged for those with symptoms of serious GI disease. The EQI program provides a valuable, point-of-care data collection tool to evaluate delivery of care for patients with digestive diseases.
Indication N Total Wait Time = WT_T (days) Median (75th / 90th centile)
(a) IBD flare 25 102 (170/531)
(b) Gastrointestinalblood loss 169 110 (189/294)
(b) Positive FOBT 22 34 (84/205)
(b) Diarrhea 87 132 (221/344)
(c) Family history of colon cancer 150 163 ( 329/480)


Or, Non-emergency surgeries in Nova Scotia, 2007

CANSIM - Results
Table 105-30011,2,3,4,5,6,7
Median waiting times for specialized services, by type of service, household population aged 15 and over, Canada, provinces and territories, occasional

Survey or program details:
Canadian Community Health Survey - 3226
Health Services Access Survey - 5002

Geography=Nova Scotia
Type of specialized service2,3,4=Non-emergency surgeries6
Median waiting times for specialized services, occasional Characteristics8,9,10,11,12 2007
Number of persons 58,391
Low 95% confidence interval, number of persons 49,278
High 95% confidence interval, number of persons 67,505
Median waiting time, weeks 4.3
So half of those 58k folks in Nova Scotia waited over 4.3 weeks to see their doc. Take look. It's all online.

1 comment:

Taylor said...

Hi. Have a look at the (hundreds of) comments on Stossel's site in reaction to his piece, with particular attention to comments by Canadian viewers.
http://blogs.abcnews.com/johnstossel/2009/07/47-million-uninsured.html
You will find that almost all Canadians think Stossel's piece is unmitigated hogwash from beginning to end. It is of course possible that Canadians are basically happy with their system just because they have not had the good fortune to experience the vastly superior American one. Perhaps Canadians are just too ignorant to be dissatisfied.
http://www.theglobeandmail.com/life/health/canadians-happy-with-primary-health-care-study-says/article1229169/