> HI everyone,
> I'll respond just this last time, and will try to be brief.  First, David,
> my apologies for misspelling your last name.  I'll address your questions.
> I feel that you used Tommy Douglas's comments out of context, whatever the
> understanding.  By quoting him as you expound your proposal for Primary
> care cooperatives, you imply that he would approve, when that is certainly
> not clear.
>
> You requested suggestions for ways of working with other primary care
> professionals.  Some ideas:
> *     Stop characterizing nurses as assistants, as you did in your initial
> message.  Nurses must be able exercise their full scope of practice.
> Currently in Ontario, nurses who are employed in physician's offices are
> underpaid, and frequently end up doing clerical work.  Alternatively, in
> the Sexual Health Centre (part of our Public Health Department) here in
> Ottawa, nurses complete client assessments, determine what tests are
> required, do all teaching about medications and contraceptive methods.  In
> smaller, satellite clinics, Public Health Nurses complete pelvic exams,
> pap tests and STI screening, and provide oral contraceptives, depo provera
> and emergency contraception under standing orders from our Medical
> Director.  I'm certain there are many other examples other nurses and
> health professionals could share.
> *     All immunizations could be provided by Public Health Units, at a
> great cost saving.  It is much more expensive to have immunizations
> provided by family physicians.
> *     Physicians should be salaried, and Community Health Centres (with
> the broad range of services they provide) be more widely available.  I
> believe this would allow physicians to spend the time they would like to
> spend with their clients, and likely clients would experience improved
> outcomes.  The current funding formula is not working for anyone, and
> physicians are burning out.
> *     a shift in health funding (less on hospitals and 'downstream' care,
> and more on public and community health).  I strongly support increased
> funds funding for housing, education, employment and social assistance.
> It is understood that such a shift would be gradual.  Even a small change
> would make an enormous difference.  I once heard Dennis speak at a network
> meeting I attended, and he reminded us that the wealthiest Canadians
> currently owe millions of dollars (perhaps hundreds of millions?) in
> unpaid taxes.  Certainly this money could be put to good use.
>
> Thanks everyone, for your indulgence.  Florence Nightingale's birthday is
> May 12th, and nurses throughout Canada (and likely around the world)
> celebrate Nurses Week in her honour May 10-14.  I say, buy a nurse a
> drink!
> Cheers,
> Corrine
>
>
>
> Corrine Langill RN, BscN
> Family Health Specialist
> Family and Community Health
> City Of Ottawa, Public Health Services
> 495 Richmond Rd.
> Ottawa, ON
> K2A 4A4
> (613) 724-4122 ext. 26258
> fax: (613) 724-4148
> [log in to unmask]
>
>
>

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