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  1. Article ; Online: Universal Pharmacare - Redressing Social Inequities in the Canadian Health System: A Response to Recent Commentaries.

    Hajizadeh, Mohammad / Edmonds, Sterling

    International journal of health policy and management

    2021  Volume 10, Issue 6, Page(s) 356–357

    MeSH term(s) Canada ; Government Programs ; Humans ; Insurance, Pharmaceutical Services ; Prescription Drugs
    Chemical Substances Prescription Drugs
    Language English
    Publishing date 2021-06-01
    Publishing country Iran
    Document type Journal Article ; Comment
    ZDB-ID 2724317-5
    ISSN 2322-5939 ; 2322-5939
    ISSN (online) 2322-5939
    ISSN 2322-5939
    DOI 10.34172/ijhpm.2020.129
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Universal Pharmacare – Redressing Social Inequities in the Canadian Health System

    Mohammad Hajizadeh / Sterling Edmonds

    International Journal of Health Policy and Management, Vol 10, Iss 6, Pp 356-

    A Response to Recent Commentaries

    2021  Volume 357

    Keywords universal pharmacare ; health policy ; equity ; canada ; Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2021-06-01T00:00:00Z
    Publisher Kerman University of Medical Sciences
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Universal Pharmacare in Canada

    Mohammad Hajizadeh / Sterling Edmonds

    International Journal of Health Policy and Management, Vol 9, Iss 3, Pp 91-

    A Prescription for Equity in Healthcare

    2020  Volume 95

    Abstract: Despite progressive universal drug coverage and pharmaceutical policies found in other countries, Canada remains the only developed nation with a publicly funded healthcare system that does not include universal coverage for prescription drugs. In the ... ...

    Abstract Despite progressive universal drug coverage and pharmaceutical policies found in other countries, Canada remains the only developed nation with a publicly funded healthcare system that does not include universal coverage for prescription drugs. In the absence of a national pharmacare plan, a province may choose to cover a specific sub-population for certain drugs. Although different provinces have individually attempted to extend coverage to certain subpopulations within their jurisdictions, out-of-pocket expenses on drugs and pharmaceutical products (OPEDP) accounts for a large proportion of out-of-pocket health expenses (OPHE) that are catastrophic in nature. Pharmaceutical drug coverage is a major source of public scrutiny among politicians and policy-makers in Canada. In this editorial, we focus on social inequalities in the burden of OPEDP in Canada. Prescription drugs are inconsistently covered under patchworks of public insurance coverage, and this inconsistency represents a major source of inequity of healthcare financing. Residents of certain provinces, rural households and Canadians from poorer households are more likely to be affected by this inequity and suffer disproportionately higher proportions of catastrophic out-of-pocket expenses on drugs and pharmaceutical products (COPEDP). Universal pharmacare would reduce COPEDP and promote a more equitable healthcare system in Canada.
    Keywords universal pharmacare ; health policy ; equity ; canada ; Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2020-03-01T00:00:00Z
    Publisher Kerman University of Medical Sciences
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Universal Pharmacare in Canada: A Prescription for Equity in Healthcare.

    Hajizadeh, Mohammad / Edmonds, Sterling

    International journal of health policy and management

    2020  Volume 9, Issue 3, Page(s) 91–95

    Abstract: Despite progressive universal drug coverage and pharmaceutical policies found in other countries, Canada remains the only developed nation with a publicly funded healthcare system that does not include universal coverage for prescription drugs. In the ... ...

    Abstract Despite progressive universal drug coverage and pharmaceutical policies found in other countries, Canada remains the only developed nation with a publicly funded healthcare system that does not include universal coverage for prescription drugs. In the absence of a national pharmacare plan, a province may choose to cover a specific sub-population for certain drugs. Although different provinces have individually attempted to extend coverage to certain subpopulations within their jurisdictions, out-of-pocket expenses on drugs and pharmaceutical products (OPEDP) accounts for a large proportion of out-of-pocket health expenses (OPHE) that are catastrophic in nature. Pharmaceutical drug coverage is a major source of public scrutiny among politicians and policy-makers in Canada. In this editorial, we focus on social inequalities in the burden of OPEDP in Canada. Prescription drugs are inconsistently covered under patchworks of public insurance coverage, and this inconsistency represents a major source of inequity of healthcare financing. Residents of certain provinces, rural households and Canadians from poorer households are more likely to be affected by this inequity and suffer disproportionately higher proportions of catastrophic out-of-pocket expenses on drugs and pharmaceutical products (COPEDP). Universal pharmacare would reduce COPEDP and promote a more equitable healthcare system in Canada.
    MeSH term(s) Canada ; Health Equity/legislation & jurisprudence ; Health Expenditures ; Health Policy ; Healthcare Disparities/economics ; Humans ; Insurance, Pharmaceutical Services/economics ; National Health Programs ; Policy Making ; Prescription Drugs/economics
    Chemical Substances Prescription Drugs
    Language English
    Publishing date 2020-03-01
    Publishing country Iran
    Document type Editorial
    ZDB-ID 2724317-5
    ISSN 2322-5939 ; 2322-5939
    ISSN (online) 2322-5939
    ISSN 2322-5939
    DOI 10.15171/ijhpm.2019.93
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Assessing progressivity and catastrophic effect of out-of-pocket payments for healthcare in Canada: 2010-2015.

    Edmonds, Sterling / Hajizadeh, Mohammad

    The European journal of health economics : HEPAC : health economics in prevention and care

    2019  Volume 20, Issue 7, Page(s) 1001–1011

    Abstract: Equity in healthcare is an important policy objective of the Canadian healthcare system. Out-of-pocket payments for healthcare (OPPH) by Canadian households account for a substantial share of total healthcare expenditures. Using data from Statistics ... ...

    Abstract Equity in healthcare is an important policy objective of the Canadian healthcare system. Out-of-pocket payments for healthcare (OPPH) by Canadian households account for a substantial share of total healthcare expenditures. Using data from Statistics Canada's Survey of Household Spending (SHS, n = 33,367), this study examined the progressivity and catastrophic effect of OPPH in Canada over the period 2010 to 2015 inclusive. The Kakwani Progressivity Index (KPI) was used to measure the progressivity of OPPH for each year of the study period. The catastrophic effect of OPPH was calculated using a threshold of 10% of total household consumption. The computed KPI indicated that OPPH are a regressive source of healthcare funding in Canada and the regressivity of OPPH has increased over the study period. This indicates that the distribution of OPPH in Canada is not equitable and the percentage contribution of households from their total consumption to healthcare as OPPH decreases as their consumption increase. The results also suggested that 7% of Canadian households face catastrophic out-of-pocket payments for healthcare (COPPH) over the study period. The proportion of households with COPPH was higher in rural areas compared with urban areas over the study period. Policies to enhance financial risk protection among low-income and rural households are required to improve equity in healthcare financing in Canada.
    MeSH term(s) Canada ; Catastrophic Illness/economics ; Delivery of Health Care/economics ; Financing, Personal/economics ; Financing, Personal/trends ; Health Care Surveys ; Humans
    Language English
    Publishing date 2019-05-28
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2045253-6
    ISSN 1618-7601 ; 1618-7598
    ISSN (online) 1618-7601
    ISSN 1618-7598
    DOI 10.1007/s10198-019-01074-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Transparency too little, too late? Why and how Health Canada should make clinical data and regulatory decision-making open to scrutiny in the face of COVID-19.

    Edmonds, Sterling / MacGregor, Andrea / Doll, Agnieszka / Vural, Ipek Eren / Graham, Janice / Fierlbeck, Katherine / Lexchin, Joel / Doshi, Peter / Herder, Matthew

    Journal of law and the biosciences

    2020  Volume 7, Issue 1, Page(s) lsaa083

    Language English
    Publishing date 2020-11-19
    Publishing country England
    Document type Journal Article
    ZDB-ID 2756090-9
    ISSN 2053-9711
    ISSN 2053-9711
    DOI 10.1093/jlb/lsaa083
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Interpretation of digital radiographs by pediatric critical care physicians using Web-based bedside personal computers versus diagnostic workstations.

    Sterling, Loretta / Tait, Gordon A / Edmonds, John F

    Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies

    2003  Volume 4, Issue 1, Page(s) 26–32

    Abstract: Objective: To determine whether the interpretations of digital radiographs by pediatric critical care physicians displayed on the bedside personal computer differ from the interpretations of images displayed on the diagnostic workstation.: Design: ... ...

    Abstract Objective: To determine whether the interpretations of digital radiographs by pediatric critical care physicians displayed on the bedside personal computer differ from the interpretations of images displayed on the diagnostic workstation.
    Design: Paired comparison.
    Setting: A 38-bed pediatric critical care unit in a 372-bed pediatric university hospital.
    Subjects: Four pediatric critical care fellows and four pediatric critical care staff physicians.
    Interventions: Eight critical care physicians interpreted 114 radiographs in random order on two separate occasions. Each radiograph was assessed for the presence or absence of five chest abnormalities, the correct or incorrect endotracheal tube position, and the position of central venous catheters. These interpretations were scored against a gold standard.
    Measurements and main results: Sensitivity and specificity were calculated for the presence or absence of five chest abnormalities and the identification of correct or incorrect endotracheal tube position. Kappa was calculated to assess agreement in the interpretation of central catheter position. Regarding chest abnormalities, improvement in sensitivity on the diagnostic workstation was statistically significant for one critical care fellow. The specificity on the diagnostic workstation was significantly worse for two critical care fellows and two critical care staff physicians. Regarding endotracheal tube position, improvement in sensitivity on the diagnostic workstation was statistically significant for one critical care staff physician. There were no statistically significant differences between the two viewing modalities for specificity measures. For central venous catheter position, there were no statistically significant differences in the interobserver or intra-observer agreements between the two viewing modalities.
    Conclusions: With the exception of diffuse chest abnormalities, pediatric critical care physicians can use the Web-based bedside personal computer for clinical decision-making with the confidence that the decisions will be similar to those made on the diagnostic workstation.
    MeSH term(s) Chi-Square Distribution ; Clinical Competence ; Critical Care ; Humans ; Intensive Care Units, Pediatric ; Internet ; Internship and Residency ; Microcomputers ; Pediatrics/methods ; Point-of-Care Systems ; ROC Curve ; Radiographic Image Enhancement ; Radiography, Thoracic ; Radiology/methods ; Radiology/standards ; Radiology Information Systems ; Sensitivity and Specificity ; User-Computer Interface
    Language English
    Publishing date 2003-07-31
    Publishing country United States
    Document type Clinical Trial ; Comparative Study ; Journal Article ; Randomized Controlled Trial
    ZDB-ID 2052349-X
    ISSN 1947-3893 ; 1529-7535
    ISSN (online) 1947-3893
    ISSN 1529-7535
    DOI 10.1097/00130478-200301000-00005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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