Emilie Wang

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on the atlas — 32

highlights — 87

the drastic overrepresentation of Aboriginal children in the child welfare system accelerated in the 1960s, when Aboriginal children were seized and taken from their homes and placed, in most cases, into middle-class Euro-Canadian families
Sixties Scoop
The term Sixties Scoop was coined by Patrick Johnston, author of the 1983 report Native Children and the Child Welfare System. It refers to the mass removal of Aboriginal children from their families into the child welfare system, in most cases without the consent of their families or band
Sixties Scoop
The Opioid Stewardship Program (OSP) is a systems-level intervention developed to address this ongoing gap in care. Implemented in January 2020, the opioid stewardship clinical team consists of a clinical pharmacy specialist and addiction medicine physician who review and assess patients throughout the hospital and provide recommendations to improve opioid prescribing practices
Improving opioid prescribing practices
Additionally, there is a widely held notion that if something is “natural” it must be safe, or beneficial. This misconception also weighs in favor of participation by reducing the perceived risks associated with the study.
Complementary Medicine | UW Department of Bioethics & Humanities
In evaluating the risk of harm and the potential benefits of any therapy, weight must be given to the amount and quality of research that has been done on the intervention, known risks and side effects of the therapy, the credential and competence of the practitioner, the seriousness of the condition being treated, and the belief system and wishes of the patien
Complementary Medicine | UW Department of Bioethics & Humanities
Whole system CAM practices treat the individual patient in a very individualized way, generally using multiple interventions simultaneously. Such an approach does not lend itself to validation by the RCT approach
Complementary Medicine | UW Department of Bioethics & Humanities
CAM whole medical systems are naturopathic medicine, homeopathy, Ayurveda and traditional Chinese medicine (TCM) including acupuncture; these systems have evolved over centuries to millennia. Mind-body medicine and energy medicine encompass a broad spectrum of techniques including meditation, QiGong, and hypnotherapy.
Complementary Medicine | UW Department of Bioethics & Humanities
For this reason and others, it is advisable to involve risk management and legal counsel in decision-making regarding error disclosure.
Clinical Ethics and Law | UW Department of Bioethics & Humanities
Parental decision-making and minor children. A parent may not be permitted in certain situations to consent to non-treatment of his or her minor child, particularly where the decision would significantly impact and perhaps result in death if the minor child did not receive treatment. Examples include parents who refuse medical treatment on behalf of their minor children because of the parents’ social or religious views, such as Jehovah’s Witnesses and Christian Scientists. The decision-making standard that generally applies to minor patients in such cases is known as the best interest standard…
Clinical Ethics and Law | UW Department of Bioethics & Humanities
The litigation process: a brief summary. There are essentially three distinct phases to the litigation process: (1) initiation, (2) pre-trial, and (3) trial and post-trial. The possibility that the parties will reach an agreement about the legal claims before or during trial, known as a settlement, means that the vast majority of initiated claims do not go through all three phases.
Clinical Ethics and Law | UW Department of Bioethics & Humanities
The health care agent or a close family member often can help the care team reach an understanding about what the patient would have wanted. Of course, physician-patient dialogue is the best guide for developing a personalized advance directive.
Advance Care Planning & Advance Directives | UW Department of Bioethics & Humanities
Should your current preferences be strictly applied to future situations or serve as a general guide to your spokesperson or family member(s)? In the event that you are dying, where do you want to receive your health care? Some people have more concerns about the way they will die or dying than death itself. Do you have any fears or concerns about this? Are there any life-sustaining treatments that you know you would want to receive regardless of the circumstances, or would not want to receive under any circumstances? If so, what are they and why do you feel this way about them? For other situ…
Advance Care Planning & Advance Directives | UW Department of Bioethics & Humanities
Advance care planning is a process to help patients with decision-making capacity guide future health care decisions in the event that they become unable to participate directly in their care. The process, when accomplished comprehensively, involves four steps: (1) thinking through one's relevant values and preferences, (2) talking about one's values and preferences with one’s spokesperson, close family members and health care providers, (3) documenting them with an advance directive, and (4) reviewing them periodically and updating them as needed.
Advance Care Planning & Advance Directives | UW Department of Bioethics & Humanities
Oregon voters also made history in 2020 by decisively voting to decriminalize the personal possession of small amounts of hard drugs like heroin, cocaine and methamphetamine.
Legal Use of Hallucinogenic Mushrooms Begins in Oregon - The New York Times
On Jan. 1, Oregon became the first state in the nation to legalize the adult use of psilocybin, a naturally occurring psychedelic that has shown significant promise for treating severe depression, post-traumatic stress disorder and end-of-life anxiety among the terminally ill, among other mental health conditions.
Legal Use of Hallucinogenic Mushrooms Begins in Oregon - The New York Times
the interventions that helped prevent these six pandemics were steadfastly unglamorous: building the trust of communities in the local health system.
Epidemics That Weren’t: How Countries Shut Down Recent Outbreaks - The New York Times
Over the past couple of years, the headlines and the social feeds have been dominated by outbreaks around the world. There was Covid, of course, but also mpox (formerly known as monkeypox), cholera and resurgent polio and measles
Epidemics That Weren’t: How Countries Shut Down Recent Outbreaks - The New York Times
A second piece, in the New York Times, tells the story of a 17-year-old who was denied an abortion by a judge who ruled that she was mature enough to become a mother, but not mature enough to make the decision to have an abortion.
We wish we’d written that: STAT staffers' favorite stories of 2022
either as a friend or family member — may not give accurate information or an exact history, or pursue a second opinion or alternative treatment, simply because they feel it is inappropriate to question the care of a doctor they "know."
CMPA - Know the rules, avoid the risks: Treating family and friends
When the patient is a member of the family or a close friend, it may be difficult for a physician to obtain a detailed history, conduct sensitive examinations, or provide comprehensive treatment options. As well, maintaining confidentiality can be difficult, records may be inadequate, and other family members may expect similar attention.
CMPA - Know the rules, avoid the risks: Treating family and friends
Quality of care demands professional objectivity
CMPA - Know the rules, avoid the risks: Treating family and friends
Physicians must not provide treatment for themselves or family members except: For a minor condition, or in emergency situations; and When another qualified health-care professional is not readily available.
CPSO - Physician Treatment of Self, Family Members, or Others Close to Them
the extent to which the patient has confided personal or private information to the physician, and the vulnerability the patient had in the physician-patient relationship.
CPSO - Boundary Violations
A child's health care is confidential, if the child is capable
Know the Law: Children and Consent to Health Care | Dial-A-Law
advised to obtain independent legal advice if they are unsure of their legal obligations in specific circumstances
CPSO - Consent to Treatment
Physicians must use their professional judgment to determine whether it is appropriate to use family members as interpreters, and are advised to take the potential limitations of doing so into account in the specific circumstances (e.g., the family dynamics, the seriousness of the condition and/or treatment, etc.).
CPSO - Consent to Treatment
Substitute decision-maker (SDM): A person who may give or refuse consent to a treatment on behalf of an incapable person.
CPSO - Consent to Treatment
therapeutic, preventative, palliative, diagnostic, cosmetic, or other health-related purpose
CPSO - Consent to Treatment
readmission-prone conditions
‘Please don’t come back’: Using virtual care to prevent readmissions - Healthy Debate
lack reliable broadband internet and adequate bandwidth
‘Please don’t come back’: Using virtual care to prevent readmissions - Healthy Debate
Telehealth and virtual follow-up are untapped resources with immense potential to address bottlenecks and pressures in the health-care delivery system
‘Please don’t come back’: Using virtual care to prevent readmissions - Healthy Debate
virtual follow-up has not been widely adopted in Canada yet
‘Please don’t come back’: Using virtual care to prevent readmissions - Healthy Debate
it aligns with a value-based model of care and can improve the patient and health-care provider experience
‘Please don’t come back’: Using virtual care to prevent readmissions - Healthy Debate
videoconferencing, telephone, web-based tools or secure messaging. It strengthens patient engagement, enhances ease of access and convenience, and improves clinical outcomes – all while reducing costs.
‘Please don’t come back’: Using virtual care to prevent readmissions - Healthy Debate
She notes that many family physicians use the routine Pap test visit as an opportunity for other health counselling and preventative care.
B.C. physicians’ Pap-a-palooza like a ‘golden ticket’ for patients - Healthy Debate
For the 20 per cent of patients who have never had a Pap test or are not up to date, whether because they don’t have a primary-care provider or because they have experienced discrimination within health-care settings, the option to self-collect swabs may remove a significant barrier.
B.C. physicians’ Pap-a-palooza like a ‘golden ticket’ for patients - Healthy Debate
It can detect abnormalities earlier and is more effective at preventing advanced cases of disease
B.C. physicians’ Pap-a-palooza like a ‘golden ticket’ for patients - Healthy Debate
tobacco smoking and air pollution are leading causes of death worldwide
Fossil fuels are the new tobacco. The health sector must take action - Healthy Debate
For decades, the fossil fuel industry has invested heavily in pseudoscience and public relations – with a false narrative to minimize their responsibility for climate change and undermine ambitious climate policies.
Fossil fuels are the new tobacco. The health sector must take action - Healthy Debate
And like the tobacco industry – with which it has disturbing links – it both represents a massive threat to health and has indulged in unethical behaviours to suppress and distort evidence.
Fossil fuels are the new tobacco. The health sector must take action - Healthy Debate
People with power and privilege must master the art of allyship and accompaniment.
Re-imagining global health care, person by person, mission by mission - Healthy Debate
Single-payer system is a health care system in which one entity – a single payer – collects all health care fees and pays for all health care costs. Proponents of a single-payer system argue that because there are fewer entities involved in the health care system, the system can avoid an enormous amount of administrative waste. Instead, all health care providers in a single-payer system would bill one entity for their services. Within a single-payer system, all citizens would receive high-quality, comprehensive medical care PLUS the freedom to choose providers to a greater extent than most net…
What is a single-payer system? | healthinsurance.org
Medicare is a term that refers to Canada's publicly funded health care system. Instead of having a single national plan, we have 13 provincial and territorial health care insurance plans. Under this system, all Canadian residents have reasonable access to medically necessary hospital and physician services without paying out-of-pocket.
Canada's health care system - Canada.ca
For one, researchers have long known that chronic stress diminishes sleep quality. “Some proportion of [sleep] disparities are most certainly intertwined with psychological distress due to socioeconomic factors, interpersonal stress, racism, and discrimination
Racism can put sleep — and its health benefits — out of reach
Consistently better sleep for all, in turn, could help narrow the existing racial, ethnic, and socioeconomic disparities in cardiometabolic diseases,
Racism can put sleep — and its health benefits — out of reach
A large proportion of the disparities in sleep are really due to social and environmental factors
Racism can put sleep — and its health benefits — out of reach
On average, Black adults in the U.S. get poorer sleep than white adults — often for reasons outside of their control. A growing number of experts argue that in order to address such racial disparities, health professionals need to start discussing sleep within the complex tapestry of a person’s life and surroundings.
Racism can put sleep — and its health benefits — out of reach
Obesity is often included in the litany of chronic diseases that plague six in 10 Americans — except by Medicare, which currently refuses to cover treatment for obesity until it causes significant health problems like diabetes or heart disease.
To combat diabetes, treat obesity like other diseases - STAT
applying a whole-of-society approach to promote, protect, and care for mental health ensuring widespread availability of emergency mental health and psychosocial support supporting recovery from Covid-19 by building mental health services for the future
A global need: addressing health workers' mental health - STAT
While barriers to treatment include a lack of resources and trained health workers, the social stigma and shame surrounding mental health is often the greatest impediment to care.
A global need: addressing health workers' mental health - STAT